Professionally applied topical fluoride: evidence-based clinical recommendations.
Professionally applied topical fluoride: evidence-based clinical recommendations.
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DOI：
10.1002/j.0022-0337.2007.71.3.tb04289.x
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发表时间：
2006
影响因子：
3.9
通讯作者：
中科院分区：
文献类型：
--
作者：
背景随着口腔健康科学信息量的急剧增加，有必要对口腔保健和牙科实践采取循证方法。有必要总结、批判和传播科学证据，并将证据转化为牙医易于使用的实用格式。本报告中的循证临床建议是由美国牙科协会科学事务理事会成立的专家小组制定的，该委员会评估了关于专业应用局部氟化物预防龋齿有效性的科学证据。这些建议旨在帮助牙医进行临床决策。检索MEDLINE和科克伦图书馆，以获得截至2005年10月关于专业应用的局部氟化物（包括凝胶、泡沫和保护漆）的系统综述和临床研究。小组成员是根据他们在相关主题方面的专业知识选择的。建议按年龄组和龋齿风险分层，并指出应考虑对中度或高度龋齿风险的儿童和成人进行定期氟化物治疗。临床建议中包括一个汇总表，可用作椅旁资源。临床意义牙医，知道病人的健康史和口腔疾病的脆弱性，是在最好的位置，使治疗决定在每个病人的利益。这些临床建议必须与医生的专业知识和患者个人的喜好相平衡。
BACKGROUND With the dramatic increase in the amount of scientific information available about oral health, an evidence-based approach to oral health care and the practice of dentistry is necessary. There is a need to summarize, critique and disseminate scientific evidence and to translate the evidence into a practical format that is used easily by dentists The evidence-based clinical recommendations in this report were developed by an expert panel established by the American Dental Association Council on Scientific Affairs that evaluated the collective body of scientific evidence on the effectiveness of professionally applied topical fluoride for caries prevention. The recommendations are intended to assist dentists in clinical decision making. TYPES OF STUDIES REVIEWED MEDLINE and the Cochrane Library were searched for systematic reviews and clinical studies of professionally applied topical fluoride--including gel, foam and varnish--through October 2005. RESULTS Panelists were selected on the basis of their expertise in the relevant subject matter. The recommendations are stratified by age groups and caries risk and indicate that periodic fluoride treatments should be considered for both children and adults who are at moderate or high risk of developing caries. Included in the clinical recommendations is a summary table that can be used as a chairside resource. CLINICAL IMPLICATIONS The dentist, knowing the patient's health history and vulnerability to oral disease, is in the best position to make treatment decisions in the interest of each patient. These clinical recommendations must be balanced with the practitioner's professional expertise and the individual patient's preferences.