Sword Rhoda J, Haywood Van B
Associate Professor, Department of Restorative Sciences, Augusta University, Augusta, Georgia.
Professor, Department of Restorative Sciences, Augusta University, Augusta, Georgia.
Compend Contin Educ Dent. 2020 May;41(5):e11-e16.
Clear aligner treatment has become popular for many orthodontic cases that ordinarily would have required traditional orthodontic brackets and wires. One of the motivating reasons for patients to use clear aligner therapy is to improve their esthetic appearance, which typically is the same motivation for teeth bleaching, thus a combination of the two treatments may be desirable. The case report presented demonstrates bleaching concurrent with clear aligner (Invisalign®) treatment. A concern about bleaching during such treatment is that the areas on the tooth under the composite attachments, or buttons, used to retain the clear aligner trays may remain unbleached. However, due to the small molecular size of the bleaching material agent and its ability to permeate the tooth, the area under the attachment will be bleached as well. With this understanding, a practitioner can treat patients more efficiently by being able to complete bleaching treatment simultaneously with clear aligner treatment.
对于许多通常需要传统正畸托槽和钢丝的正畸病例来说，隐形矫治已变得很受欢迎。患者选择隐形矫治疗法的一个主要动机是改善美观，这通常也是牙齿美白的动机，因此将这两种治疗方法结合起来可能是可取的。所呈现的病例报告展示了与隐形矫治（隐适美®）治疗同时进行的牙齿美白。在此类治疗期间对美白的一个担忧是，用于固定隐形矫治器托盘的复合附件（即按钮）下方的牙齿区域可能无法被漂白。然而，由于漂白剂材料的分子尺寸小且具有渗透牙齿的能力，附件下方的区域也会被漂白。有了这种认识，从业者能够通过在隐形矫治治疗的同时完成漂白治疗，从而更高效地治疗患者。
