دورية أكاديمية

The effectiveness of medical nurses in treating children with silver diamine fluoride in a school‐based caries prevention program.

التفاصيل البيبلوغرافية
العنوان: The effectiveness of medical nurses in treating children with silver diamine fluoride in a school‐based caries prevention program.
المؤلفون: Ruff, Ryan Richard, Godín, Tamarinda Barry, Niederman, Richard
المصدر: Community Dentistry & Oral Epidemiology; Aug2024, Vol. 52 Issue 4, p398-405, 8p
مصطلحات موضوعية: CAVITY prevention, NURSES, MATHEMATICAL variables, RESEARCH funding, DENTAL fluoride treatment, FLUORIDE varnishes, EVALUATION of human services programs, STATISTICAL sampling, CLINICAL trials, INDEPENDENT variables, NURSING, DESCRIPTIVE statistics, PEDIATRIC dentistry, SCHOOL nursing, CONFIDENCE intervals, CLINICAL education, DATA analysis software, COVID-19 pandemic
مستخلص: Background: The sustainability of school‐based oral health programs depends on the utilization of effective, efficient treatments and the availability of a trained clinical workforce. The objective of this study was to determine whether registered nurses are comparable to dental hygienists in the application and effectiveness of silver diamine fluoride (SDF) and fluoride varnish (FV) for the prevention of dental caries. Methods: CariedAway was a school‐based study of SDF and FV versus dental sealants and atraumatic restorations. Within the SDF + FV arm, participants were treated by either a licensed dental hygienist or a registered nurse, both under the supervision of a paediatric dentist. Although initial treatment assignment in CariedAway was randomized, assignment to provider was not. The proportion of children who remained caries free after 2 years was assessed for non‐inferiority using two‐group proportion tests, adjusting for the clustering effect of schools. Results: A total of 417 children with no untreated caries at baseline were analysed including 298 treated by hygienists and 119 by nurses. The proportion of children who remained caries free after 2 years was 0.81 and 0.80 for those treated by hygienists and nurses, respectively, for a difference of 0.01 (95% CI = −0.07, 0.098) and within the pre‐determined non‐inferiority margin. Conclusions: Nurses may be effective in treating children with silver diamine fluoride and other fluoride varnishes in school‐based oral health programs. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:03015661
DOI:10.1111/cdoe.12925