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树脂渗透(ICON)和两种再矿化剂(牙慕丝和 Toothmin)的微研磨再矿化技术对恒切牙釉质发育不全的疗效:一项随机临床试验。

Effectiveness of resin infiltration (ICON) and microabrasion-remineralization technique with two remineralizing agents (Tooth Mousse and Toothmin) on permanent incisor hypoplasia - A randomized clinical trial.

机构信息

Department of Pediatric and Preventive Dentistry, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.

Department of Periodontology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.

出版信息

J Indian Soc Pedod Prev Dent. 2023 Jul-Sep;41(3):204-215. doi: 10.4103/jisppd.jisppd_245_23.

DOI:10.4103/jisppd.jisppd_245_23
PMID:37861634
Abstract

AIMS

The study aims to compare the effect of resin infiltration and microabrasion-remineralization (MAb-Re) with Tooth Mousse and Toothmin on permanent incisor hypoplasia.

MATERIALS AND METHODS

The study included children with permanent incisor hypoplasia above 9 years of age, 171 teeth divided randomly into four groups: Group A - ICON, Group B - MAb-Re using Tooth Mousse, Group C - MAb-Re using Toothmin, and Group D - control group. Process involved taking standardized photographs at T1 - before intervention, T2 - immediately after treatment, and T3 - 6-month follow-up. Color evaluation, area calculation, participant and expert opinion using a Likert scale, treatment time, and cost-effectiveness were all taken into consideration during the assessment.

STATISTICAL ANALYSIS USED

Data were collected, entered into a computer, and analyzed; one-way ANOVA was used for intergroup assessment.

RESULTS

Overall color change was evident immediately after treatment in the ICON group compared to other groups (P < 0.05). However, no significant difference in color change was visible between the groups after 6 months. Reduction in hypoplastic area was seen in all the groups. The mean time was similar for all the groups. Toothmin was found to be the most cost-effective in comparison with the other two interventions.

CONCLUSIONS

ICON proved to be more effective immediately after treatment for masking incisor hypoplasia. However, at 6-month follow-up interval, all the groups gave similar results.

摘要

目的

本研究旨在比较树脂渗透和微研磨再矿化(MAb-Re)与 Tooth Mousse 和 Toothmin 对恒切牙釉质发育不全的治疗效果。

材料与方法

本研究纳入年龄大于 9 岁的恒切牙釉质发育不全患儿,共 171 颗牙,随机分为 4 组:A 组-ICON,B 组-MAb-Re 使用 Tooth Mousse,C 组-MAb-Re 使用 Toothmin,D 组-对照组。治疗过程包括在 T1-治疗前、T2-治疗即刻和 T3-6 个月随访时拍摄标准化照片。在评估过程中,考虑了颜色评估、面积计算、参与者和专家使用李克特量表的意见、治疗时间和成本效益。

统计学分析

收集数据并输入计算机进行分析;采用单因素方差分析进行组间评估。

结果

ICON 组治疗后即刻的整体颜色变化明显优于其他组(P<0.05)。然而,6 个月后各组之间的颜色变化无显著差异。所有组的釉质发育不全面积均有减少。各组的平均治疗时间相似。与其他两种干预措施相比,Toothmin 被发现最具成本效益。

结论

ICON 在治疗即刻对掩饰恒切牙釉质发育不全方面更有效。然而,在 6 个月的随访期内,所有组的结果相似。

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