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正畸治疗后树脂浸润法对白斑病变的微创美学管理：一例报告

Microinvasive, Esthetic Management of White Spot Lesion following Orthodontic Treatment Using Resin Infiltration: A Case Report.

作者信息

Nayak Ullal A, Kailani Tasnem, Althagafy Rahaf

机构信息

Department of Preventive Dental Sciences, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia.

Department of Dentistry, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia.

出版信息

Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):396-399. doi: 10.5005/jp-journals-10005-2529.

DOI:10.5005/jp-journals-10005-2529
PMID:37519974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10373783/
Abstract

AIM

White opacities have always been a major esthetic concern in young patients reporting for dental treatment. We aimed to achieve an esthetic noninvasive immediate correction of these lesions.

BACKGROUND

These discolorations of enamel have a multifactorial etiology and are mainly caused by dental fluorosis, early enamel caries, developmental defects, etc. Conventionally available treatment options for these white opacities include noninvasive and invasive approaches. Recently, a novel "microinvasive" technique has been introduced as an alternative therapeutic technique to manage these opacities esthetically and in a painless way, in a single sitting with no complications.

CASE DESCRIPTION

This paper illustrates the use of resin infiltration to esthetically treat white spot lesions (WSLs) on the anterior maxillary teeth in a 24-year-old female caused due to orthodontic treatment.

CONCLUSION

Resin infiltration can be an effective treatment option for the correction of WSLs on the labial surface of anterior teeth seen after orthodontic treatment.

CLINICAL SIGNIFICANCE

The resin infiltration technique can be a preferred option for treating superficial WSLs and has a high patient acceptance rate with minimal risk of postoperative sensitivity.

HOW TO CITE THIS ARTICLE

Nayak UA, Kailani T, Althagafy R. Microinvasive, Esthetic Management of White Spot Lesion following Orthodontic Treatment using Resin Infiltration: A Case Report. Int J Clin Pediatr Dent 2023;16(2):396-399.

摘要

目的

对于前来接受牙科治疗的年轻患者而言，白色不透明斑块一直是主要的美学问题。我们旨在实现对这些病变进行美观的无创即时矫正。

背景

牙釉质的这些变色病因是多因素的，主要由氟斑牙、早期釉质龋、发育缺陷等引起。针对这些白色不透明斑块，传统的治疗选择包括无创和有创方法。最近，一种新型的“微侵入性”技术被引入，作为一种替代治疗技术，可在单次就诊时以美观且无痛的方式处理这些不透明斑块，且无并发症。

病例描述

本文阐述了使用树脂浸润术对一名24岁女性上颌前牙因正畸治疗导致的白斑病变进行美学治疗的情况。

结论

树脂浸润术对于正畸治疗后前牙唇面的白斑病变矫正可能是一种有效的治疗选择。

临床意义

树脂浸润技术对于治疗浅表白斑病变可能是一个首选方案，患者接受率高，术后敏感风险极小。

如何引用本文

纳亚克·乌阿、凯拉尼·T、阿尔萨加菲·R。使用树脂浸润术对正畸治疗后白斑病变进行微侵入性美学管理：一例报告。《国际临床儿科牙科学杂志》2023年；16(2):396 - 399。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/2800d15a49aa/ijcpd-16-396-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/5011c8b3e966/ijcpd-16-396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/f8f49ec932f6/ijcpd-16-396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/01794d43b43f/ijcpd-16-396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/2800d15a49aa/ijcpd-16-396-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/5011c8b3e966/ijcpd-16-396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/f8f49ec932f6/ijcpd-16-396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/01794d43b43f/ijcpd-16-396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf5/10373783/2800d15a49aa/ijcpd-16-396-g004.jpg

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本文引用的文献

1
Resin infiltration of enamel white spot lesions: An ultramorphological analysis.牙釉质白斑的树脂渗透：超微形态分析。
J Esthet Restor Dent. 2020 Apr;32(3):317-324. doi: 10.1111/jerd.12550. Epub 2019 Nov 19.
2
Is Resin Infiltration a Microinvasive Approach to White Lesions of Calcified Tooth Structures?: A Systemic Review.树脂浸润术是治疗钙化牙结构白色病变的微创方法吗？：一项系统评价。
Int J Clin Pediatr Dent. 2019 Jan-Feb;12(1):53-58. doi: 10.5005/jp-journals-10005-1579.
3
Visible Enamel Defects in Adolescents: How Do their Peers View Them?
青少年的可见牙釉质缺陷：他们的同龄人如何看待这些缺陷？
Int J Clin Pediatr Dent. 2018 Nov-Dec;11(6):479-482. doi: 10.5005/jp-journals-10005-1561.
4
Use of Casein Amorphous Calcium Phosphate (CPP-ACP) on White-spot Lesions: Randomised Clinical Trial.酪蛋白磷酸钙无定形磷酸钙（CPP-ACP）用于白斑病变：随机临床试验。
Oral Health Prev Dent. 2018;16(1):27-31. doi: 10.3290/j.ohpd.a39749.
5
Critical evaluation of incidence and prevalence of white spot lesions during fixed orthodontic appliance treatment: A meta-analysis.固定正畸矫治器治疗期间白斑病变发病率和患病率的批判性评价：一项荟萃分析。
J Int Soc Prev Community Dent. 2015 Nov-Dec;5(6):433-9. doi: 10.4103/2231-0762.167719.
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Masking of labial enamel white spot lesions by resin infiltration--a clinical report.树脂浸润法遮盖唇面釉质白斑病变——临床报告
Quintessence Int. 2009 Oct;40(9):713-8.
7
What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms.什么构成了龋齿？与致龋生物膜作用相关的龋损釉质和牙本质的组织病理学。
J Dent Res. 2004;83 Spec No C:C35-8. doi: 10.1177/154405910408301s07.
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Progression of proximal caries in the mixed dentition: a 4-year prospective study.混合牙列中近端龋的进展：一项4年的前瞻性研究。
Pediatr Dent. 2003 May-Jun;25(3):229-34.
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Orthodontic appliances and enamel demineralization. Part 1. Lesion development.正畸矫治器与牙釉质脱矿。第1部分。病变发展。
Am J Orthod Dentofacial Orthop. 1988 Jul;94(1):68-73. doi: 10.1016/0889-5406(88)90453-2.