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使用渗透树脂治疗白斑病变一年随访后牙釉质颜色变化的分光光度评估

Spectrophotometric Evaluation of Enamel Color Variation Using Infiltration Resin Treatment of White Spot Lesions at One Year Follow-Up.

作者信息

Lo Giudice Roberto, Lipari Frank, Puleio Francesco, Alibrandi Angela, Lo Giudice Fabrizio, Tamà Cristina, Sazonova Evgenia, Lo Giudice Giuseppe

机构信息

Department of Clinical and Experimental Medicine, Messina University, 98100 Messina, Italy.

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy.

出版信息

Dent J (Basel). 2020 Apr 10;8(2):35. doi: 10.3390/dj8020035.

Abstract

The aim of this study is to evaluate the color changes and the stability at a 1-year follow-up of white spot lesions (WSLs) treated with an infiltrating technique by using etching and TEGDMA resin. The color of 22 white spot lesions and the sound adjacent enamel (SAE) were assessed with a spectrophotometer at T0 (baseline), T1 (after treatment), and T2 (1 year after). The color change ΔE (WSLs-SAE) at T0 vs. T1 were compared to evaluate the camouflage effect efficiency, and at T1 vs. T2 to assess the stability of outcomes. To evaluate the effect on the treatment outcome of gender, the presence or not of previous orthodontic treatment, WSLs onset more/less than 10 years, the age of the patient, and the ΔE WSL (T0 vs. T1) was analyzed. The difference between ΔE (WSLs-SAE) at T0 and T1 resulted in statistical significance ( < 0.01). No statistical difference was found between ΔE (WSLs-SAE) at T1 vs. T2. The variables considered showed no statistical differences in treatment outcomes. The results of our investigation show that the technique used is immediately effective and the camouflage effect keeps up and steady one year after treatment. Such results do not appear to be influenced by analyzed clinical variables.

摘要

本研究的目的是通过使用酸蚀和TEGDMA树脂的渗透技术,在1年随访期内评估白斑病变(WSLs)的颜色变化和稳定性。在T0(基线)、T1(治疗后)和T2(1年后),用分光光度计评估22个白斑病变和相邻正常釉质(SAE)的颜色。比较T0与T1时的颜色变化ΔE(WSLs-SAE)以评估伪装效果效率,比较T1与T2时的颜色变化以评估结果的稳定性。为了评估性别、既往正畸治疗情况、WSLs发病时间大于或小于10年、患者年龄以及ΔE WSL(T0与T1)对治疗结果的影响,对其进行了分析。T0和T1时ΔE(WSLs-SAE)之间的差异具有统计学意义(<0.01)。T1和T2时ΔE(WSLs-SAE)之间未发现统计学差异。所考虑的变量在治疗结果上未显示出统计学差异。我们的研究结果表明,所使用的技术立即有效,且治疗后1年伪装效果持续且稳定。这些结果似乎不受所分析的临床变量的影响。

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