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树脂渗透（RI）、诊室漂白（B）、釉质微磨除（M）及双倍应用渗透剂的树脂渗透（2RI）对非凹陷性氟斑牙色斑美学改善效果的比较评估：一项为期6个月的随机干预研究

Comparative Evaluation of Esthetic Improvement of Resin Infiltration (RI), In-office Bleaching (B), Enamel Microabrasion (M) and Resin Infiltration with Double Application of Infiltrant (2RI) on Non-pitted Fluorosis Stains: A Randomized Six-month Interventional Study.

作者信息

Garg Ishika, Kumar Arun, Kumar Adarsh

机构信息

Pedodontics and Preventive Dentistry, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.

Public Health Dentistry, Postgraduate Institute of Dental Sciences, Rohtak, Haryana, India.

出版信息

Int J Clin Pediatr Dent. 2022 Jan-Feb;15(1):20-34. doi: 10.5005/jp-journals-10005-2140.

DOI:10.5005/jp-journals-10005-2140
PMID:35528481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9016915/
Abstract

BACKGROUND

Newer minimally invasive treatment options for improvement in appearance of dental fluorosis stains are gaining popularity in recent years.

OBJECTIVE

To evaluate and compare the clinical success in esthetic improvement of resin infiltration, in-office bleaching with 35% hydrogen peroxide, enamel microabrasion, and resin infiltration with double infiltrant application on nonpitted fluorosis stains.

MATERIALS AND METHODS

Seventy two patients aged between 6 and 12 years with nonpitted dental fluorosis stains on the upper anterior teeth were randomly selected and divided into four interventional groups: group 1- resin infiltration (RI), group 2- in-office bleaching using 35% hydrogen peroxide (B), group 3- enamel microabrasion (M), and group 4- resin infiltration with double infiltrant application (2RI). In each group, standardized photographs were taken preoperatively, immediate postoperatively and after 1, 3, and 6 months time interval postoperatively to assess the esthetic improvement (EI) and changes in white/brown surface opacities/stains (SC) using a Visual Assessment Scale (VAS).

RESULTS

RI and 2RI showed statistically significant results ( ≤0.05) followed by microabrasion and bleaching, for both the evaluation criteria (EI and SC) at all the follow-up intervals.

CONCLUSION

Resin infiltration is a promising procedure that demonstrated remarkable clinical success for improvement in esthetics of nonpitted fluorosis stains with stable long-term positive outcome.

HOW TO CITE THIS ARTICLE

Garg I, Kumar A, Kumar A. Comparative Evaluation of Esthetic Improvement of Resin Infiltration (RI) In-office Bleaching (B) Enamel Microabrasion (M) and Resin Infiltration with Double Application of Infiltrant (2RI) on Non-pitted Fluorosis Stains: A Randomized Six-month Interventional Study. Int J Clin Pediatr Dent 2022;15(1):20-34.

摘要

背景

近年来，用于改善氟斑牙色斑外观的新型微创治疗方法越来越受欢迎。

目的

评估并比较树脂渗透、35%过氧化氢诊室漂白、釉质微磨除以及双渗透剂应用的树脂渗透对无凹陷型氟斑牙色斑进行美学改善的临床成功率。

材料与方法

随机选取72例年龄在6至12岁之间、上前牙有无凹陷型氟斑牙色斑的患者，分为四个干预组：第1组——树脂渗透（RI），第2组——35%过氧化氢诊室漂白（B），第3组——釉质微磨除（M），第4组——双渗透剂应用的树脂渗透（2RI）。每组在术前、术后即刻以及术后1、3和6个月时间间隔拍摄标准化照片，使用视觉评估量表（VAS）评估美学改善（EI）以及白色/棕色表面不透明度/色斑（SC）的变化。

结果

对于所有随访间隔的两项评估标准（EI和SC），RI和2RI均显示出具有统计学意义的结果（≤0.05），其次是微磨除和漂白。

结论

树脂渗透是一种很有前景的治疗方法，在改善无凹陷型氟斑牙色斑的美学方面取得了显著的临床成功，具有稳定的长期积极效果。

如何引用本文

加尔格I，库马尔A，库马尔A。树脂渗透（RI）、诊室漂白（B）、釉质微磨除（M）以及双渗透剂应用的树脂渗透（2RI）对无凹陷型氟斑牙色斑美学改善的比较评估：一项为期六个月的随机干预研究。《国际临床儿科牙科学杂志》2022年；15（1）：20 - 至34页。

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本文引用的文献

1
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J Family Med Prim Care. 2019 Oct 31;8(10):3108-3113. doi: 10.4103/jfmpc.jfmpc_648_19. eCollection 2019 Oct.
2
A comparison of the effectiveness of resin infiltration and microabrasion treatments applied to developmental enamel defects in color masking.树脂渗透与微研磨处理治疗发育性牙釉质缺陷的颜色掩饰效果比较。
Dent Mater J. 2019 Mar 31;38(2):295-302. doi: 10.4012/dmj.2018-074. Epub 2019 Feb 1.
3
Interventions for dental fluorosis: A systematic review.
干预氟斑牙的措施：系统评价。
J Esthet Restor Dent. 2018 Nov;30(6):502-508. doi: 10.1111/jerd.12408. Epub 2018 Sep 8.
4
Dental Fluorosis Treatment Can Improve the Individuals' OHRQoL? Results from a Randomized Clinical Trial.氟斑牙治疗能否改善个体的口腔健康相关生活质量？一项随机临床试验的结果
Braz Dent J. 2018 Mar-Apr;29(2):109-116. doi: 10.1590/0103-6440201801733.
5
Microabrasion-remineralization (MAb-Re): An innovative approach for dental fluorosis.微磨损再矿化（MAb-Re）：一种治疗牙齿氟斑牙的创新方法。
J Indian Soc Pedod Prev Dent. 2017 Oct-Dec;35(4):384-387. doi: 10.4103/JISPPD.JISPPD_216_16.
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A comparison of various minimally invasive techniques for the removal of dental fluorosis stains in children.儿童牙齿氟斑牙色斑去除的各种微创技术比较
J Indian Soc Pedod Prev Dent. 2017 Jul-Sep;35(3):260-268. doi: 10.4103/JISPPD.JISPPD_138_16.
7
Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies.比较树脂渗透、诊室漂白和联合治疗对非凹陷性氟斑牙染色美学变化的效果。
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J Clin Pediatr Dent. 2014 Spring;38(3):207-13. doi: 10.17796/jcpd.38.3.0h120nkl8852p568.
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J Esthet Restor Dent. 2013 Dec;25(6):422-30. doi: 10.1111/jerd.12052. Epub 2013 Sep 5.