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氟斑牙和釉质发育不全变色的替代美学处理:树脂渗透技术获得的混合效果。

Alternative esthetic management of fluorosis and hypoplasia stains: blending effect obtained with resin infiltration techniques.

机构信息

School of Dentistry, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.

出版信息

J Esthet Restor Dent. 2013 Feb;25(1):32-9. doi: 10.1111/j.1708-8240.2012.00527.x. Epub 2012 Jul 10.

Abstract

STATEMENT OF PROBLEM

New light-polymerized resin composites optimized for rapid infiltration of enamel lesions with resin light curing monomers are commercially available today to prevent enamel lesions from further demineralization and provide a highly conservative therapy. In addition, this technique has proved to be effective treatment for blending white spot lesions because the microporosities of infiltrated lesions are filled with resin.

PURPOSE

This clinical report presents and describes cases in which the minimally invasive infiltrant resin technique was used for blending different microporous lesions, mild-to-moderate fluorosis, and hypoplasia stains related to traumatic dental injuries.

RESULTS

The fluorosis stain showed visually perceptual improvements. In the cases of hypoplasia, stains were not completely blended. However, the general clinical outcomes of these cases were considered successful and recovered the patients' self-esteem.

CONCLUSION

Based on the results obtained, it could be concluded that the resin infiltration technique shows promising results and could be considered a minimally invasive procedure for mild-to-moderate fluorosis and hypoplasia stains.

CLINICAL SIGNIFICANCE

This case study allows a better understanding of the concept of the resin infiltration technique applied in other types of porous lesions, increasing its use as a therapeutic alternative for esthetic purposes in the philosophy of minimally invasive dentistry.

摘要

问题陈述

如今,市场上有新的光固化树脂复合材料,专门用于快速渗透牙釉质病变部位,并用树脂光固化单体加以封闭,以防止牙釉质病变进一步脱矿,并提供一种高度保守的治疗方法。此外,该技术已被证明对混合白垩斑病变有效,因为渗透病变的微孔被树脂填充。

目的

本临床报告介绍并描述了使用微创渗透树脂技术治疗不同微孔病变、轻度至中度氟斑牙和与牙外伤有关的发育不全染色的病例。

结果

氟斑牙的染色得到了明显改善。在发育不全的情况下,染色并没有完全混合。然而,这些病例的总体临床效果被认为是成功的,恢复了患者的自尊心。

结论

根据获得的结果,可以得出结论,树脂渗透技术显示出有前途的结果,可以被认为是轻度至中度氟斑牙和发育不全染色的微创治疗方法。

临床意义

本病例研究使人们更好地理解了在其他类型多孔病变中应用树脂渗透技术的概念,增加了其在微创牙科美学理念中作为治疗选择的用途。

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