GÜMÜŞ DİAMİN FLORÜR TEDAVİSİNİN EBEVEYNLER TARAFINDAN KABULÜ VE DEĞERLENDİRİLMESİ

Yıl 2024, , 33 - 42, 26.01.2024

Hamide Cömert , Aysegul Olmez

https://doi.org/10.54617/adoklinikbilimler.1308553

Öz

Amaç: Bu çalışmanın amacı; diş çürüğünün durdurulmasında kullanılan gümüş diamin florürün (GDF), ön ve arka bölge dişlerdeki uygulamalarında ebeveyn kabulünü ölçmek ve demografik verilerle ilişkilendirmektir.
Gereç ve Yöntem: Bu çalışma, 2-10 yaş grubu aralığında çocuğu olan 176 ebeveyn ile yürütülmüştür. İlk olarak ebeveyn yaşı, cinsiyeti, eğitim durumu, geliri, çocuğun yaşı ve cinsiyeti hakkında veriler toplanmıştır. Çocuğun dental tedavi geçmişi ve tedavi sürecindeki uyumu hakkında bilgi edinilmiştir. Ardından GDF tedavisi öncesi ve sonrası çekilen fotoğraflar eşliğinde, arka ve ön dişlerde tedavi kabulü hakkında iki adet soru yöneltilmiştir. Son olarak ‘’sedasyon veya genel anestezi’’ ile tedavi ihtiyacı oluşması durumunda ön ve arka dişlerde GDF kabulü sorulmuştur.
Bulgular: Ön ve arka dişlerde GDF uygulamalarında ebeveyn kabulü; ebeveyn yaşı, cinsiyeti, eğitim durumu, geliri ile çocuğun yaşı, cinsiyeti, tedavi geçmişi ve uyumu gibi verilerle ilişkilendirilememiştir. Ön dişlerde GDF uygulamasına ‘’kararsızım’’, ‘’reddederim’’ ve ‘’kesinlikle reddederim’’ cevaplarının arka dişlere göre anlamlı şekilde daha yüksek oranda görüldüğü tespit edilmiştir. Sedasyon veya genel anestezi gereksinimi durumunda ön ve arka dişlerde GDF kabulü arasında bir ilişki bulunamamıştır.
Sonuç: Ebeveynlerin GDF kabulünde etkili olabilecek faktörlerin geniş çapta anlaşılması için daha fazla araştırmaya ihtiyaç vardır. Ebeveynler; çocuklarının dental tedavilerinde çeşitli zorluklarla karşılaşsalar da, özellikle ön bölgedeki dişlerde estetik kaygıları geri planda tutmamaktadır.

Anahtar Kelimeler

Gümüş boyama, Florürler, Çocuk diş hekimliği, Dental estetik, Ebeveyn rızası, Diş çürükleri

PARENTAL ACCEPTANCE AND CONSIDERATION OF SILVER DIAMINE FLUORIDE THERAPY

Öz

Aim: The aim of this study; to measure parental acceptance of silver diamine fluoride (SDF), in anterior and posterior teeth applications and to correlate it with demographic data.
Material and Method: This study was conducted with 176 parents with children aged 2-10 years. Socioeconomic and demographic data were collected. Two questions were asked about the acceptance of treatment in the posterior and anterior teeth, with photographs taken before and after SDF treatment. Then, in case of need for treatment with "sedation or general anesthesia", the acceptance of SDF in anterior and posterior teeth was asked.
Results: Parent's age, gender, educational status, income and child's age, gender, treatment history and cooperation could not be associated with parental acceptance of SDF. It has been determined that the answers of "undecided", "refuse" and "absolutely refuse" to SDF application in anterior teeth are seen at a significantly higher rate than in posterior teeth. No correlation was found between the need for sedation/general anesthesia and the acceptance.
Conclusion: More research is needed to understand the factors that parents’ acceptance of SDF. Despite the difficulties in the treatment of their children, parents do not keep aesthetic concerns in the background, especially in the anterior teeth.

Anahtar Kelimeler

Silver staining, Fluorides, Pediatric dentistry, Dental esthetic, Parental consent, Dental caries

Kaynakça

• Referans1. World Health Organization. WHO model list of essential medicines - 22nd list. Tech Doc [Internet]. 2021 Oct [cited 2023 May 2];(1)1 [about 55 p.] Available from: https://www.who.int/ publications/i/item/WHO-MHP-HPS-EML-2021.02
• Referans2. Gao SS, Amarquaye G, Arrow P, Bansal K, Bedi R, Campus G, et al. Global Oral Health Policies and Guidelines: Using Silver Diamine Fluoride for Caries Control. Front Oral Heal 2021;2:1–12.
• Referans3. Mei ML, Ito L, Cao Y, Lo ECM, Li QL, Chu CH. An ex vivo study of arrested primary teeth caries with silver diamine fluoride therapy. J Dent 2014;42:395–402.
• Referans4. Chu CH, Lo ECM. Microhardness of dentine in primary teeth after topical fluoride applications. J Dent 2008;36:387–91.
• Referans5. Gao SS, Zhao IS, Hiraishi N, Duangthip D, Mei ML, Lo ECM, et al. Clinical Trials of Silver Diamine Fluoride in Arresting Caries among Children. JDR Clin Transl Res 2016;1:201–10.
• Referans6. Chu CH, Mei L, Seneiratne CJ, Lo ECM. Effects of silver diamine fluoride on dentine carious lesions induced by Streptococcus mutans and Actinomyces naeslundii biofilms. Int J Paediatr Dent 2012;22:2–10.
• Referans7. Mei ML, Ito L, Cao Y, Li QL, Lo ECM, Chu CH. Inhibitory effect of silver diamine fluoride on dentine demineralisation and collagen degradation. J Dent 2013;41:809–17.
• Referans8. Kiesow A, Menzel M, Lippert F, Tanzer JM, Milgrom P. Dentin tubule occlusion by a 38% silver diamine fluoride gel: an in vitro investigation. BDJ Open 2022;8:1–5.
• Referans9. Yamaga R, Yikomizo I. Arrestment of caries of deciduous teeth with diamine silver fluoride. Dent Outlook 1969;33:1007–13.
• Referans10. Leal SC, Takeshita EM. Pediatric restorative dentistry. Springer International Publishing; 2018. p. 143–153.
• Referans11. IAPD. Use of Fluoride for Caries Prevention: Foundational Articles and Consensus Recommendations. 2020 Apr [cited 2023 May 2];1(1) [about 1 p.] Available from: https://iapdworld. org/wp-content/uploads/2020/04/03_Use-of-Fluoride-for-Caries- Prevention.pdf
• Referans12. Slayton RL, Urquhart O, Araujo MWB, Fontana M, Guzmán- Armstrong S, Nascimento MM, et al. Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions. J Am Dent Assoc 2018;149:837-849.e19.
• Referans13. American Academy of Pediatric Dentistry. Fluoride Therapy. Ref Man Pediatr Dent 2022;1:317–20.
• Referans14. Greenwall-Cohen J, Greenwall L, Barry S. Silver diamine fluoride - an overview of the literature and current clinical techniques. Br Dent J 2020;228:831–8.
• Referans15. Wajahat M, Abbas B, Tariq K, Imran E, Aslam S, Khurshid Z. Parental perception of silver diamine fluoride for the management of dental caries. J Taibah Univ Med Sci 2022;17:408–14.
• Referans16. Alshammari AF, Almuqrin AA, Aldakhil AM, Alshammari BH, Lopez JNJ. Parental perceptions and acceptance of silver diamine fluoride treatment in Kingdom of Saudi Arabia. Int J Health Sci 2019;13;25–9.
• Referans17. Crystal YO, Janal MN, Hamilton DS, Niederman R. Parental perceptions and acceptance of silver diamine fluoride staining. J Am Dent Assoc [Internet]. 2017;148:510-518.e4.
• Referans18. Bagher SM, Sabbagh HJ, Aljohani SM, Alharbi G, Aldajani M, Elkhodary H. Parental acceptance of the utilization of silver diamine fluoride on their child’s primary and permanent teeth. Patient Prefer Adher 2019;13:829–35.
• Referans19. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Lawrence Erlbaum Associates. 1988.
• Referans20. Nelson T, Scott JM, Crystal YO, Berg JH, Milgrom P. Silver Diamine Fluoride in Pediatric Dentistry Training Programs: Survey of Graduate Program Directors. Pediatr Dent 2016;38:212–7.
• Referans21. Sert T, Akbay Oba A, Arıkan V, Şahin ND. 7-15 Yaş Arası Çocuklarda Dental Anksiyete Sıklığı ve Ebeveynlerin Anksiyetesi ile İlişkisi. İnönü Üniversitesi Sağlık Hizmetleri Mesl Yüksek Okulu Derg 2020;8:36–45.
• Referans22. Almarwan M, Almawash A, AlBrekan A, Albluwi S. Parental Acceptance for the Use of Silver Diamine Fluoride on Their Special Health Care-Needs Child’s Primary and Permanent Teeth. Clin Cosmet Investig Dent 2021;13:195–200.
• Referans23. Sabbagh H, Othman M, Khogeer L, Al-harbi H, Al harthi A, Abdulgader Yaseen Abdulgader A. Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis. BMC Oral Health 2020 20;20:227.
• Referans24. Kumar A, Cernigliaro D, Northridge ME, Wu Y, Troxel AB, Cunha-Cruz J, et al. A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries. BMC Oral Health 2019;19:228.
• Referans25. Gordon NB. Silver Diamine Fluoride Staining is Acceptable for Posterior Primary Teeth and Is Preferred Over Advanced Pharmacologic Behavior Management by Many Parents. J Evid Based Dent Pract 2018;18:94–7.
• Referans26. Kyoon-Achan G, Schroth RJ, Martin H, Bertone M, Mittermuller BA, Sihra R, et al. Parents’ Views on Silver Diamine Fluoride to Manage Early Childhood Caries. JDR Clin Transl Res 2021;6:251–7.
• Referans27. Duangthip D, Chu CH, Lo ECM. A randomized clinical trial on arresting dentine caries in preschool children by topical fluorides - 18 month results. J Dent 2016;44:57–63.
• Referans28. Duangthip D, Fung MHT, Wong MCM, Chu CH, Lo ECM. Adverse Effects of Silver Diamine Fluoride Treatment among Preschool Children. J Dent Res 2018;97:395–401.
• Referans29. Triches TC, Cordeiro MMR, Souza JGMV, Saltori EK, França BHS. Parental acceptance of the use of diamine silver fluoride in children aged 0 to 3 years in the city of Cascavel, PR, Brazil. Brazilian Res Pediatr Dent Integr Clin 2010;9:265–9.