ประสิทธิผลการใช้ฟลูออไรด์วานิชในการป้องกันรากฟัน ในผู้สูงอายุ ในจังหวัดนครปฐม

บทคัดย่อ

Objective: To study the effectiveness of Fluoride varnish in preventing root caries of the elderly in Nakhon Pathom and developing oral health care preventive program for this group of age. For try to find the preventive program for the elderly.

Method: Quasi experimental study was done. By using the samples from 4 hospitals, and there network hospital in 3 districts: Sam Phran, Nakhon Chai Si and Kamphaeng Saen.The 131 samples were allocated by block randomization to 3 groups, a control group and other Two intervention groups were applied every 3 and 6 months fluoride varnish to who had root recession over 4 millimeters, pre-cavitaded lesion or cavitaded lesion. Follow up was done in every 6 months. Both the control and study group has received oral health care instructions and polished every visit by the dentist.

Result: In control group, all surfaces were developed to soft caries from 33.3% to 33.8 %. In 3 months intervention group, early stage caries lesion developed to arrested from 9.4% to 15.4 % for all surfaces, and soft caries were decreased from 39.5 % to 34.6% after 1 year following. For 6 months intervention group, primary soft caries decreased from 30.1% to 26.3 %.

Conclusion : Pre-cavitated lesion or primary root caries can be arrested non operatively by applying fluoride varnish. This treatment regime is an effective alternative to preserve elderly population.