RESUMO
PURPOSE: This study's purpose was to test silver diammine fluoride (SDF) in arresting incipient occlusal caries in erupting permanent first molars and to compare it with other approaches. METHODS: Sixty-six first erupting permanent molars were randomly divided into 3 groups: cross tooth-brushing technique (CTT), application of SDF, and glass ionomer fissure sealant (GIC). The clinical procedures were conducted by the same dentist. Teeth were assessed clinically by 1 blinded examiner using visual inspection at baseline and after 3, 6, 12, 18, and 30 months and radiographically at 6-, 12-, and 30-month follow-up evaluations. The Kruskall-Wallis test was used to compare noninvasive treatments, and the Friedman test was performed to evaluate differences for each group during different follow-up periods. RESULTS: A reduced number of active caries lesions was noted in all groups. After 3 and 6 months, SDF showed a significantly greater capacity for arresting caries lesions than CTT and GIC. At 18- and 30-month evaluations, no differences were observed among the 3 groups. All groups showed differences between baseline and all follow-up re-examinations. CONCLUSIONS: All the tested techniques are equally efficient in controlling initial occlusal caries in erupting permanent first molars after 30-months of follow-up.
Assuntos
Cariostáticos/uso terapêutico , Cárie Dentária/prevenção & controle , Fluoretos Tópicos/uso terapêutico , Cimentos de Ionômeros de Vidro/farmacologia , Dente Molar , Compostos de Amônio Quaternário/uso terapêutico , Escovação Dentária/métodos , Índice CPO , Cárie Dentária/diagnóstico por imagem , Dentição Permanente , Humanos , Dente Molar/diagnóstico por imagem , Projetos Piloto , Radiografia , Distribuição Aleatória , Compostos de Prata , Estatísticas não Paramétricas , Resultado do TratamentoRESUMO
Floating-Harbor syndrome is a rare genetic disorder of unknown aetiology. It was described for the first time in 1973. The syndrome is characterized mainly by short stature, delay in speech development and characteristic facial features. This article describes a report of a case of the syndrome and emphasizes the oral aspects, including descriptions of soft tissues, teeth, occlusion, stage of dental development and findings on examination of the temporomandibular joint. The treatment provided and its outcome is also described. Hopefully this information will be compared with findings from other patients in the future to assist in clarifying the phenotype of the Floating-Harbor syndrome.