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牙齿美白凝胶:一种日益常用方法的优缺点

Dental Whitening Gels: Strengths and Weaknesses of an Increasingly Used Method.

作者信息

Fiorillo Luca, Laino Luigi, De Stefano Rosa, D'Amico Cesare, Bocchieri Salvatore, Amoroso Giulia, Isola Gaetano, Cervino Gabriele

机构信息

Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, School of Dentistry, Messina University, 98100 Messina, Italy.

Department of Biomedical and Surgical and Biomedical Sciences, Naples University, 80100 Naples, Italy.

出版信息

Gels. 2019 Jul 4;5(3):35. doi: 10.3390/gels5030035.

DOI:10.3390/gels5030035
PMID:31277412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6787621/
Abstract

Many people nowadays undergo treatments to improve their aesthetics, often neglecting the general state of health. Aesthetics and appearance have become of prime importance, perhaps correlating with of the advent of social networks and digital photographs. One of the most requested aesthetic treatments for dentists is dental bleaching through the use of whitening gels. Dental bleaching is a treatment which involves an improvement in the chrome of the teeth in a short time, and this treatment appears not invasive for the patients. In-office and at-home bleaching treatments can be found. The purpose of this scientific study is to evaluate all of the advantages and disadvantages of this medical treatment. In this study, were report information and items related to bleaching side effects. Dentists often find themselves in disagreement on this topic. The PICO (Population/Intervention/Comparison/Outcome) question investigated was: Are dental patients who have dental bleaching an increased risk of teeth damage? All of the data in the literature has been collected, and all of the side effects of this treatment were evaluated. 263 studies emerged from initial research; only 14 were screened after screening, as they contained sufficient data to evaluate the side effects of treatment. One certain thing emerged; among the contraindications to the treatment of dental bleaching dentinal hypersensitivity could be cited. In fact, one of the most reported undesirable effects regards this problem. Other studies have evaluated pain, color improvement and duration, or patient satisfaction. Dental bleaching is a treatment that aims to improve the aesthetics of our patients; this is also reflected from a psychological point of view and therefore has effects on general health. However, the whitening treatment is not suitable for everyone and must be carefully evaluated by a specialist. This treatment also entails maintenance by the patient and therefore better compliance to normal oral hygiene procedures.

摘要

如今,许多人接受改善容貌的治疗,却常常忽视整体健康状况。美学和外表已变得至关重要,这或许与社交网络和数码照片的出现有关。对牙医来说,最常被要求的美容治疗之一是使用美白凝胶进行牙齿漂白。牙齿漂白是一种能在短时间内改善牙齿色泽的治疗方法,而且这种治疗对患者而言似乎并无侵入性。有诊所内漂白治疗和家庭漂白治疗。这项科学研究的目的是评估这种医学治疗的所有优缺点。在本研究中,报告了与漂白副作用相关的信息和事项。牙医们在这个问题上常常存在分歧。所研究的PICO(人群/干预措施/对照/结果)问题是:接受牙齿漂白的牙科患者牙齿受损风险会增加吗?已收集了文献中的所有数据,并评估了这种治疗的所有副作用。初步研究得出263项研究;筛选后仅14项符合要求,因为它们包含足够的数据来评估治疗的副作用。有一点是确定的;在牙齿漂白治疗的禁忌症中可提及牙本质过敏。事实上,最常报告的不良影响之一就是这个问题。其他研究评估了疼痛、色泽改善情况、持续时间或患者满意度。牙齿漂白是一种旨在改善患者容貌的治疗方法;这从心理学角度也有所体现,因此对整体健康有影响。然而,美白治疗并非适用于所有人,必须由专科医生仔细评估。这种治疗还需要患者进行维护,因此要更好地遵守正常的口腔卫生程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4a/6787621/5feb240e3c3e/gels-05-00035-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4a/6787621/3a168ec401ce/gels-05-00035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4a/6787621/f967e2c216db/gels-05-00035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4a/6787621/5feb240e3c3e/gels-05-00035-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4a/6787621/3a168ec401ce/gels-05-00035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4a/6787621/f967e2c216db/gels-05-00035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4a/6787621/5feb240e3c3e/gels-05-00035-g003.jpg

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本文引用的文献

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Effect of Non-Vital Bleaching on the Durability of Resin⁻Dentin Bond with an Ethanol-Based Etch-And-Rinse Adhesive.非活髓牙漂白对乙醇基酸蚀冲洗粘结剂与牙本质粘结耐久性的影响
Biomimetics (Basel). 2018 Nov 6;3(4):35. doi: 10.3390/biomimetics3040035.
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Molecular Biomarkers Related to Oral Carcinoma: Clinical Trial Outcome Evaluation in a Literature Review.口腔癌相关分子标志物的文献回顾:临床试验结局评价。
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Eur J Dent. 2025 May;19(2):323-329. doi: 10.1055/s-0044-1789603. Epub 2024 Dec 10.
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Assessment of Color Change, Esthetic Perception, Treatment Satisfaction, and Side Effects Following the Use of Over-the-Counter Whitening Products.使用非处方美白产品后的颜色变化、美学感知、治疗满意度及副作用评估。
Acta Stomatol Croat. 2023 Dec;57(4):300-315. doi: 10.15644/asc57/4/2.
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