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氟斑牙治疗中树脂浸润——1年随访

Resin Infiltration in Dental Fluorosis Treatment-1-Year Follow-Up.

作者信息

Zotti Francesca, Albertini Luca, Tomizioli Nicolò, Capocasale Giorgia, Albanese Massimo

机构信息

Section of Dentistry and Maxillofacial Surgery, Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, 37134 Verona, Italy.

出版信息

Medicina (Kaunas). 2020 Dec 29;57(1):22. doi: 10.3390/medicina57010022.

DOI:10.3390/medicina57010022
PMID:33383755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7823358/
Abstract

Dental fluorosis is a disease affecting dental hard tissues featured with white or yellowish lesions. Several treatments are proposed in the literature, some even invasive. This clinical study aimed to evaluate the effectiveness of resin infiltration in terms of lesions resolution, trend of sensitive teeth and satisfaction of patients over time. 200 fluorosis lesions were treated using ICON infiltrating resin (DMG, Hamburg, Germany). Parameters related to patients were collected by a questionnaire and analyzed aesthetic dissatisfaction about lesions, Shiff Air Index Sensitive Scale, sensitive teeth after treatment, the satisfaction of duration of treatment. The same operator measured dimensions of lesions Tooth Surface Index of Fluorosis (TSIF) and numbers of etching cycles needed for treating lesions. Statistical analysis was performed. The follow-up was of 1-year a measurement were performed at baseline (t0), immediately after the treatment (t1) and every three months during the observation period. All lesions disappeared after one treatment. Pain or sensitive teeth were reported inside the 72 h and they disappeared after. Statistical analysis showed highly statistically correlation between etching cycles and the dimension of lesions and TSIF at the time-points evaluated as well as for pain during treatment, whereas a statistical significance was not noticed where etching cycles were correlated to sensitive teeth after 72 h. Overall, the treatment was found to be statistically significantly associated with differences in answers of aesthetic dissatisfaction between t0 and t1 and those collected between t1 and t2. Between t2 and t3 and between t3 and t4 no statistical differences were found in answers of patients about dissatisfaction, indicating the stability of the results. The ICON resin infiltration technique was found to be effective in lesions resolution with steady results.

摘要

氟斑牙是一种影响牙齿硬组织的疾病,其特征为白色或淡黄色病变。文献中提出了几种治疗方法,有些甚至具有侵入性。本临床研究旨在评估树脂渗透在病变消退、敏感牙齿趋势以及患者随时间的满意度方面的有效性。使用ICON渗透树脂(德国汉堡的DMG公司)对200个氟斑牙病变进行了治疗。通过问卷调查收集与患者相关的参数,并分析对病变的美学不满、希夫空气指数敏感量表、治疗后的敏感牙齿、治疗持续时间的满意度。由同一名操作人员测量病变的尺寸——氟斑牙牙齿表面指数(TSIF)以及治疗病变所需的蚀刻周期数。进行了统计分析。随访为期1年,在基线(t0)、治疗后立即(t1)以及观察期内每三个月进行一次测量。所有病变经一次治疗后均消失。在72小时内报告有疼痛或敏感牙齿,但之后消失。统计分析表明,在评估的时间点,蚀刻周期与病变尺寸和TSIF之间以及治疗期间的疼痛之间存在高度统计学相关性,而在蚀刻周期与72小时后的敏感牙齿之间未发现统计学意义。总体而言,发现该治疗与t0和t1之间以及t1和t2之间美学不满答案的差异在统计学上具有显著相关性。在t2和t3之间以及t3和t4之间,患者关于不满的答案未发现统计学差异,表明结果具有稳定性。发现ICON树脂渗透技术在病变消退方面有效,结果稳定。

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