HIỆU QUẢ CAN THIỆP LÂM SÀNG CỦA SDF 38% TRÊN HỌC SINH LỚP 1 TRƯỜNG TIỂU HỌC BÌNH KHÁNH CÓ SÂU RĂNG SỚM VÀ SÂU RĂNG SỚM TRẦM TRỌNG

Abstract

Background: The use of Silver Diamine Fluoride (SDF) is considered a current trend in treating early childhood caries in children worldwide. Objective: To evaluate the clinical intervention effectiveness of 38% Silver Diamine Fluoride (SDF 38%) on first-grade students with Early Childhood Caries (ECC) and Severe Early Childhood Caries (S-ECC) at the 12-week follow-up. Materials and methods: A community-based interventional study with a control group was conducted on 120 first-grade students with ECC and S-ECC attending Binh Khanh Primary School in Can Gio District, Ho Chi Minh City. The study compared the intervention effectiveness of  SDF 38% with a control group using 5% sodium fluoride (NaF 5%) varnish. Oral care practices at home were collected through direct interviews with parents. Caries status was assessed clinically using the International Caries Detection and Assessment System (ICDAS) criteria. Results: Among the 120 participating children, 70 were treated with SDF 38%, and 50 were treated with 5% NaF varnish. No statistically significant differences were observed in the characteristics of the study subjects between the two treatment groups. The mean number of cavitated dentin surfaces (s1) decreased by 3.1 surfaces in the SDF 38% group, and the rate of arrested caries lesions was higher in the SDF 38% group than in the control group after the 12-week intervention. Conclusion: The use of SDF 38% demonstrated efficacy in enhancing enamel remineralization and halting caries progression. Clinicians may consider implementing SDF 38% as a treatment and preventive measure for managing childhood caries.