fa بررسی اثربخشی فیشورسیلانت در پیشگیری از پوسیدگی دندانی در کودکان12تا 14 سال؛ یک مطالعه گذشته نگر دندانپزشکی کودکان Pediatrics مطالعه اصیل original article <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">سابقه و هدف:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">فیشورسیلانت به عنوان بخشی از برنامه جامعه نگر سلامت دهان و دندان با هدف کاهش پوسیدگی دندان های دائمی اجرا می شود. این مطالعه با هدف بررسی تاثیر فیشورسیلانت انجام شده در برنامه جامعه نگر در پیشگیری از پوسیدگی دندان های مولر اول دائمی انجام شد.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:106%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:"><span style="color:black">مواد و روش ها: </span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">این</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">تحقیق</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">به</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">صورت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">یک</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">مطالعه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">گذشته</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">نگر</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">تاریخی انجام</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">شد. متوسط</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">سن</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">کودکان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">زمان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">قرار</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">دادن</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">فیشورسیلانت 1/13سال</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">بطور</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">متوسط</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">زمان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">اجرای</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">برنامه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">فیشورسیلانت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">آن ها 5 ماه گذشته</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">بود.</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">سه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">سال</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">پس</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">انجام</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">این</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">برنامه،</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">وضعیت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">دندانی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">کودکانی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">که</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">در برنامه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">شرکت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">کرده</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">بودند (127 نفر گروه مورد) با</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">کودکانی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">همان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">کلینیک</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">که</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">برنامه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">شرکت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">ننموده</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">بودند (127 نفر گروه شاهد) مقایسه گردید. وضعیت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">پوسیدگی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">دندان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">های</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">دائمی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">گروه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">مورد</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">شاهد</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">استفاده</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">محاسبه خطر نسبی، نسبت شانس و ضریب همبستگی پیرسون مورد</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">تحلیل</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">قرار</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">گرفت. </span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:106%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته ها: </span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">میزان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">پوسیدگی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">گروه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">مورد 35 درصد و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">گروه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">شاهد 43 درصد بود (0/08 > </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:106%">P</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:"> )</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:106%">.</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:"> شانس</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">بروز</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">پوسیدگی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">برای</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">افراد</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">گروه شاهد</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">نسبت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">به</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">گروه</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">مورد 84/0 بود که از</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">نظر آماری معنا دار نبود. (0/08=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:106%">P</span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:106%"><span b="" nazanin="" style="font-family:">)</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه گیری: </span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">برنامه</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">پیت</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">و</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">فیشور</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">سیلانت باعث ارتقا سلامت دهان و دندان کودکان می گردد؛ با این حال برای اثربخشی بیشتر، بهتر است با پیگیری دوره ای، آموزش بهداشت و فلورایدتراپی همراه باشد.</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt">Background and Aim</span></b><b><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">:</span></span></b> <span style="font-size:11.0pt">Fissure sealant is implemented as a part of the community-based oral and dental health program with the aim of reducing the caries of permanent teeth. This study was conducted with the aim of investigating the effect of fissure sealant performed in the community-based program in preventing the caries of permanent first molar teeth.</span></span></span><br> <span style="font-size:11pt"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></span></b><b> </b>&nbsp;<span new="" roman="" style="font-family:" times="">This research was conducted as a historical retrospective study. The average age of the children at the time of placing the sealant was 13.1 years, and on average, 5 months had passed since the implementation of the fissure sealant program. Three years after this program, the dental condition of the children who participated in the program (127 case group) was compared with children from the same clinic who did not participate in the program (127 control group). The caries status of permanent teeth in the case and control groups were analyzed using relative risk calculation, odds ratio, and Pearson correlation coefficient (p=0.05).</span></span></span><br> <span style="font-size:11pt"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Result:</span></span></b> <span new="" roman="" style="font-family:" times="">The rate of caries in the case group was 35% and in the control group was 43%. (P < 0.08) The chance of caries in the control group was 0.84 compared to the case group and was not statistically significant.</span></span></span><br> <span style="font-size:12pt"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt">Conclusion:</span></b> <span style="font-size:11.0pt">The pit and fissure sealant program improves children&#39;s oral health; however, for greater effectiveness, it is best to combine it with periodic follow-up, hygiene education, and fluoride therapy.</span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><span style="font-size:11.0pt"></span></span></span><br> &nbsp; پیت و فیشورسیلانت, دندانپزشکی پیشگیرانه, پوسیدگی دندانی, کودکان pit and fissure sealant, preventive dentistry, dental caries, children 170 179 http://jrds.ir/browse.php?a_code=A-10-1981-1&slc_lang=fa&sid=1 Reza omrani رضا عمرانی Rezaemrani@yahoo.com 100319475328460022224 100319475328460022224 No استادیار سلامت دهان و دندانپزشکی اجتماعی، دانشگاه علوم پزشکی قزوین Nazanin Gholitabar نازنین قلی تبار gholitabarnazanin@gmail.com 100319475328460022225 100319475328460022225 Yes 2-دستیار تخصصی گروه کودکان، دانشگاه علوم پزشکی قزوین Razie Hosseininnavaz راضیه حسینی نواز rshn1016@gmail.com 100319475328460022226 100319475328460022226 No دستیار تخصصی گروه کودکان، دانشگاه علوم پزشکی قزوین Mahya chaharyari محیا چهاریاری maahyaa.ch@gmail.com 100319475328460022227 100319475328460022227 No دندانپزشک عمومی Aida Salimi آیدا سلیمی dr.salimi73@gmail.com 100319475328460022228 100319475328460022228 No 2-دستیار تخصصی گروه کودکان، دانشگاه علوم پزشکی قزوین yasmina Davari یاسمینا داوری Yasmina.Davari.Yd@gmail.com 100319475328460022229 100319475328460022229 No 2-دستیار تخصصی گروه کودکان، دانشگاه علوم پزشکی قزوین