Attal Jean-Pierre, Atlan Anthony, Denis Maud, Vennat Elsa, Tirlet Gilles
Unité de recherches biomatériaux innovation et interfaces (URB2i), faculté de chirurgie dentaire, Paris Descartes, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Faculté de chirurgie dentaire, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Hôpital Charles-Foix, 7, avenue de la République, 94205 Ivry-sur-Seine, France.
Unité de recherches biomatériaux innovation et interfaces (URB2i), faculté de chirurgie dentaire, Paris Descartes, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Faculté de chirurgie dentaire, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Hôpital Charles-Foix, 7, avenue de la République, 94205 Ivry-sur-Seine, France.
Int Orthod. 2014 Mar;12(1):1-31. doi: 10.1016/j.ortho.2013.12.011. Epub 2014 Feb 3.
In this 2nd part, the current treatment of white spot lesions by erosion/infiltration is presented, beginning with a reminder of the principle of superficial infiltration, which enables most early carious lesions, fluorosis and post-traumatic lesions to be treated. However, this technique has met with frequent failures in cases of MIH or deep lesions of traumatic origin or those associated with fluorosis. For this reason a new deep infiltration technique is proposed: thanks to its global treatment concept, this enables all white spots to be treated. The place of whitening in these treatment options is discussed, with explanations of the main reasons for its failures.
在第二部分中,介绍了目前通过侵蚀/渗透治疗白斑病变的方法,首先回顾了表面渗透的原理,该原理可用于治疗大多数早期龋损、氟斑牙和创伤后病变。然而,在乳牙列发育不全(MIH)或创伤性深层病变或与氟斑牙相关的病变中,该技术经常失败。因此,提出了一种新的深层渗透技术:由于其整体治疗理念,该技术能够治疗所有白斑。文中讨论了美白在这些治疗方案中的地位,并解释了其失败的主要原因。