Int J Esthet Dent. 2023 May 11;18(2):200-206.
White spot lesions are considered to be a major concern in esthetic dentistry. These lesions can be treated with noninvasive to less invasive procedures, which remain a challenge for many clinicians. The treatment of choice should be as minimally invasive as possible and should aim to minimize the color difference between the white spots and the healthy tooth enamel. Tooth whitening can be used initially to minimize this difference by rendering the extent of the white spot defects less visible, which permits a bevel effect. In addition, the microinvasive treatment option of resin infiltration, which does not involve trauma or require cavity preparation, can supplement the tooth whitening procedure to achieve excellent esthetic results, giving patients renewed confidence in their smiles. Therefore, the purpose of the present study was to illustrate the combination of dental bleaching and resin infiltration in a patient with white spot lesions caused by diffuse opacities (teeth that were undergoing enamel maturation at the time of occurrence of a systemic insult). The treatment aimed to improve the patient's esthetics, self-esteem, and quality of life.
白斑病被认为是美学牙科的主要关注点。这些病变可以通过非侵入性到侵入性较小的程序来治疗，这对许多临床医生来说仍然是一个挑战。首选的治疗方法应尽可能微创，并应旨在最小化白斑和健康牙釉质之间的颜色差异。牙齿美白最初可通过使白斑缺陷的程度不太明显来减小这种差异，从而产生斜面效果。此外，不会造成创伤或不需要进行窝洞预备的微创树脂渗透治疗选择，可以补充牙齿美白程序，以达到极好的美学效果，使患者对自己的笑容重新充满信心。因此，本研究的目的是说明在一名因弥漫性不透明（在系统性损伤发生时正在进行牙釉质成熟的牙齿）引起的白斑病患者中联合使用牙科漂白和树脂渗透的情况。该治疗旨在改善患者的美观、自尊和生活质量。
