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渗透树脂处理对白斑病的长期颜色耐久性的影响。

Long-Term Chromatic Durability of White Spot Lesions through Employment of Infiltration Resin Treatment.

机构信息

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy.

Department of Medicine, Surgery and Dentistry "Schola Medica Salernitana", University of Salerno, 84084 Baronissi, Italy.

出版信息

Medicina (Kaunas). 2023 Apr 12;59(4):749. doi: 10.3390/medicina59040749.

Abstract

: White spot lesions (WSLs) denote regions of subsurface demineralization on the enamel that manifest as opaque and milky-white regions. Treatment for WSLs is essential for both clinical and aesthetic reasons. Resin infiltration has been identified as the most efficacious solution for alleviating WSLs, but studies with long-term monitoring are scarce. The aim of this clinical study is to assess the color change stability of the lesion after four years of implementing the resin infiltration technique. Forty non-cavity and unrestored white spot lesions (WSLs) were treated with the resin infiltration technique. The color of the WSLs and adjacent healthy enamel (SAE) was assessed using a spectrophotometer at T0 (baseline), T1 (after treatment), T2 (1 year after) and T3 (4 years after). The Wilcoxon test was utilized to determine the significance of the variation of color (ΔE) between WSLs and SAE over the observed time periods. : When comparing the color difference ΔE (WSLs-SAE) at T0-T1, the Wilcoxon test demonstarated a statistically significant difference ( < 0.05). For ΔE (WSLs-SAE) at T1-T2 and T1-T3, the color variation was not statistically significant ( = 0.305 and = 0.337). The study's findings indicate that the resin infiltration technique is an effective solution for resolving the appearance of WSLs, and the results have demonstrated stability for a minimum of four years.

摘要

: 白斑病变(WSL)表示釉质下脱矿区域,表现为不透明和乳白色区域。出于临床和美观原因,WSL 的治疗至关重要。树脂渗透已被确定为缓解 WSL 的最有效方法,但缺乏长期监测的研究。本临床研究旨在评估实施树脂渗透技术四年后病变颜色变化的稳定性。四十个非龋和未经修复的白斑病变(WSL)采用树脂渗透技术进行治疗。使用分光光度计在 T0(基线)、T1(治疗后)、T2(1 年后)和 T3(4 年后)评估 WSL 的颜色和相邻健康釉质(SAE)。Wilcoxon 检验用于确定观察期间 WSL 和 SAE 之间颜色变化(ΔE)的显着性。: 在比较 T0-T1 时的颜色差异 ΔE(WSL-SAE)时,Wilcoxon 检验显示有统计学意义(<0.05)。对于 T1-T2 和 T1-T3 时的 ΔE(WSL-SAE),颜色变化没有统计学意义(=0.305 和=0.337)。研究结果表明,树脂渗透技术是解决 WSL 外观的有效方法,结果至少稳定四年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c45d/10146668/d33707540fc7/medicina-59-00749-g001.jpg

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