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树脂渗透治疗:一种针对白斑病的微创治疗方法。

Resin Infiltration Therapy: A micro-invasive treatment approach for white spot lesions.

机构信息

Conducted this review of the literature while students at the Caruth School of Dental Hygiene, Texas A&M College of Dentistry, and are currently clinicians in private practice.

Assistant professor and the Assistant Director for Diversity and Faculty Development at the Caruth School of Dental Hygiene.

出版信息

J Dent Hyg. 2021 Dec;95(6):31-35.

Abstract

The demand for esthetic dentistry has led to the development of new treatments for white spot lesions (WSLs). Microinvasive therapies, such as resin infiltration, have been used to treat demineralized enamel. Recently, resin infiltration using the active ingredient triethylene glycol dimethacrylate (TEGDMA), has been used to restore WSLs. The purpose of this narrative review is to evaluate the evidence on TEGDMA, an innovative resin that has been introduced, as an alternative dental material for treating WSLs. A review of the literature was conducted using key words pertaining to WSLs and resin infiltration including cosmetic dentistry; dental caries; dental materials; general dentistry; sealants; technology for patient care. Evidence was incorporated from biomedical data bases including PubMed and the Cochrane Library, which formed the framework for the review. Based on the synthesis of the evidence, resin infiltration using TEGDMA is an effective alternative treatment option for WSLs. Studies suggest that the outcomes for micro-invasive procedures using resin infiltration may vary depending on the depth of the lesion. Resin infiltration, using TEGDMA, removes minimal amounts of enamel and preserves the hard tissue surrounding the WSLs. Additionally, TEGDMA restores the natural fluorescence, hardness, and texture of intact enamel. Future studies are needed to assess the long-term clinical effects of resin infiltration using this material on both permanent and primary dentition.

摘要

人们对美容牙科的需求促使新的治疗方法应运而生,用以治疗牙齿表面脱矿白斑(WSL)。微侵袭性疗法,如树脂渗透术,已被用于治疗脱矿的牙釉质。最近,采用三甘醇二甲基丙烯酸酯(TEGDMA)活性成分的树脂渗透术已被用于治疗 WSL。本文旨在评估一种创新型树脂——TEGDMA 的相关证据,它是一种用于治疗 WSL 的替代牙科材料。采用与 WSL 和树脂渗透术相关的关键词,如美容牙科、龋齿、牙科材料、普通牙科、密封剂、患者护理技术,对文献进行综述。证据来源于生物医学数据库,包括 PubMed 和 Cochrane Library,这是综述的基础。基于证据的综合分析,采用 TEGDMA 的树脂渗透术是 WSL 的有效替代治疗选择。研究表明,微侵袭性树脂渗透术的结果可能因病变深度而异。TEGDMA 树脂渗透术可去除少量牙釉质,保留 WSL 周围的硬组织。此外,TEGDMA 可恢复完整牙釉质的自然荧光、硬度和质地。需要进一步研究以评估这种材料对恒牙和乳牙的长期临床效果。

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