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联合微创美学修复氟斑牙的 5 年随访:病例报告。

Combined Minimally Invasive Esthetic Rehabilitation of Dental Fluorosis-5-year Follow-up: Case Report.

机构信息

*Gokhan Dokumacigil, DDS, Department of Restorative Dentistry, Faculty of Dentistry, Istanbul Galata University, Istanbul, Turkey.

Bora Korkut, DDS, PhD, Department of Restorative Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Turkey.

出版信息

Oper Dent. 2024 Sep 1;49(5):497-506. doi: 10.2341/23-176-S.

DOI:10.2341/23-176-S
PMID:39187955
Abstract

Dental fluorosis (DF) is a specific esthetic issue characterized by a persistent condition in which there is a disruption in enamel development, leading to the formation of hypomineralized enamel. The resulting unusual appearance varies in intensity, presenting as mildly white and opaque to dark brown, and significantly impacts individuals' esthetic features and self-confidence. The objective of this case report was to assess the efficacy of microabrasion, dental whitening, and resin infiltration in terms of resolving lesions, tracking the sensitivity of teeth, and evaluating patient satisfaction over a period of time. A minimally invasive treatment approach in a 27-year-old woman with severe DF is detailed. The treatment plan involved enamel microabrasion, in-office bleaching, and two weeks of at-home bleaching, followed by resin infiltration for the affected tooth under rubber dam isolation. After a 5-year follow-up, the assessment of the patient's esthetic appearance indicated a successful treatment of teeth affected by DF.

摘要

氟牙症(DF)是一种特殊的美学问题,其特征为釉质发育持续性紊乱,导致釉质矿化不全。由此产生的异常外观在强度上有所不同,表现为轻度白垩色和不透明至深棕色,严重影响个体的美观特征和自信心。本病例报告的目的是评估微研磨、牙齿美白和树脂渗透在解决病变、跟踪牙齿敏感性以及评估患者满意度方面的疗效。详细介绍了一名 27 岁女性严重氟牙症的微创治疗方法。治疗计划包括釉质微研磨、诊室漂白和两周家庭漂白,然后在橡皮障隔离下对受影响的牙齿进行树脂渗透。经过 5 年的随访,对患者美观外观的评估表明,DF 受累牙齿的治疗取得了成功。

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Oper Dent. 2024 Sep 1;49(5):497-506. doi: 10.2341/23-176-S.
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