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树脂渗透对釉质发育缺陷的遮色效果的定量评估。

Quantitative evaluation of masking effect of resin infiltration on developmental defects of enamel.

作者信息

Khanna Richa, Chandra Anil, Singh Rajeev Kumar

出版信息

Quintessence Int. 2020;51(6):448-455. doi: 10.3290/j.qi.a44493.

Abstract

OBJECTIVE

Qualitative developmental defects of enamel (DDEs) are characterized by an intact hypermineralized surface enamel layer and a porous subsurface hypomineralized layer. This structure is similar to natural early caries lesions, which are effectively arrested by resin infiltration, a micro-invasive clinical procedure. An additional reported effect in early enamel caries is recovery of enamel translucency. Due to structural similarities, a similar mechanism is expected in qualitative DDEs. The objective of the present study was to observe quantitative color masking of qualitative DDEs when subjected to resin infiltration.

METHOD AND MATERIALS

A total of 70 selected enamel defects were subjected to resin infiltration in a nonrandomized study design. Each defect was subjected to photographic imaging using a digital camera both pre- and post-intervention. Each image was assessed using ImageJ digital software (National Institutes of Health) for CIE Lab coordinates.

RESULTS

There were significant changes observed in Lab coordinates of all DDEs, when subjected to resin infiltration.

CONCLUSION

The resin infiltration intervention was successful in masking the "white" opaque discolorations of developmentally affected enamel.

摘要

目的

釉质发育性缺陷(DDEs)的定性特征是表面釉质层矿化过度且完整,而其下方的次表面釉质层矿化不足且呈多孔状。这种结构类似于自然早期龋损,通过树脂渗透这种微创临床操作可有效阻止其发展。据报道,早期釉质龋的另一个作用是恢复釉质的透明度。由于结构相似,预计定性DDEs也有类似机制。本研究的目的是观察定性DDEs经树脂渗透后的颜色定量掩盖情况。

方法和材料

在一项非随机研究设计中,对70个选定的釉质缺陷进行树脂渗透。在干预前后,使用数码相机对每个缺陷进行摄影成像。使用ImageJ数字软件(美国国立卫生研究院)对每张图像的CIE Lab坐标进行评估。

结果

所有DDEs经树脂渗透后,其Lab坐标均有显著变化。

结论

树脂渗透干预成功掩盖了发育受影响釉质的“白色”不透明变色。

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