Aplicación del cariostático fluoruro diamínico de plata para la detención de la caries incipiente en los primeros molares permanentes

Abstract

Objetives The main purpose of this research is to determine and evalúate the therapeutical effect of the application of the Silver Diammine Fluoride (SDF) for detainning the presence of incipient caries on the first permanent molar teeth. MATERIALS AND METH0DS A quasi-experimental trail was carried out,with a nonprobabilistic porpositive sample This investigation was carried on fifty school children ,whose age ranged from 7 to 12 years old,at the Tarqui rural community.Alí of them are scholars with low economical income. Twenty eight(28> children whose molar pieces receíved the application of SDF attend to the Zoila Carmen Alvarado Primary School(groupe A).whereas the other twenty two(22> children whodid not received the SDF application attend to the Manuel Antonio Corral Primary SchooKgoupe B). In the first groupe(A) 112 molar pieces were examined.We detected 109 incipient lesions. In the second groupe(B) 88 molar pieces were examined;we detected 97 incipient lesions. Both groupes received medical counseling and advise for keeping oral hygiene and tooth brush habits. Results Two years later,we reevaluated the situation. Those children who belonged to the groupe A (they received the SDF local application) presented 83 lesions resolved,versus groupe B(did not received SDF application) who did not resolve their lesions. P<0.00001. RR:0.24 95%IC:0.17-0.33 Conclusion The SDF has a superior efficacy for the detention of incipient caries (76%) compared with the children who only improve their oral hygine practice.