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治疗中度氟斑牙的微创方法:一例报告

Minimally Invasive Approach to Treating Moderate Dental Fluorosis: A Case Report.

作者信息

Nordin Muhammad Mustaqim, Mamat Rosnani, Ibrahim Hafizah

机构信息

Conservative Dentistry and Endodontics, School of Dental Science, Universiti Sains Malaysia, Kota Bharu, MYS.

Conservative Dentistry, Universiti Sains Malaysia, Kota Bharu, MYS.

出版信息

Cureus. 2024 Nov 29;16(11):e74795. doi: 10.7759/cureus.74795. eCollection 2024 Nov.

DOI:10.7759/cureus.74795
PMID:39737285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11683276/
Abstract

Dental fluorosis (DF) is a condition affecting tooth enamel that occurs during the development of permanent teeth, resulting from excessive fluoride consumption. Based on the severity, the tooth surface exhibits discoloration or structural anomalies. The range of colors varies from mild discoloration to severe dark brown lesions. These abnormalities lead to issues with appearance and impact the patient's self-esteem. This case report details a minimally invasive treatment for moderate DF in a 23-year-old male patient. The treatment involved a two-week at-home whitening regimen utilizing a 10% carbamide peroxide gel to diminish chromatic contrast on the affected teeth. Subsequently, enamel microabrasion was conducted to eliminate superficial discoloration prior to resin penetration on each maxillary tooth from UR5 to UL5. Following a two-year follow-up assessment, it was demonstrated that the tooth color was preserved, and no further discoloration occurred. This example showed that moderate DF can be addressed with a minimally invasive technique that integrates bleaching, microabrasion, and resin penetration.

摘要

氟斑牙(DF)是一种影响恒牙釉质的病症,发生在恒牙发育期间,由过量摄入氟化物所致。根据严重程度,牙齿表面会出现变色或结构异常。颜色范围从轻度变色到严重的深褐色病变不等。这些异常会导致外观问题并影响患者的自尊心。本病例报告详细介绍了一名23岁男性患者中度氟斑牙的微创治疗。治疗包括为期两周的在家美白方案,使用10%的过氧化脲凝胶来减少患牙的色差。随后,进行了釉质微磨除,以在上颌从UR5到UL5的每颗牙齿上进行树脂渗透之前消除表面变色。经过两年的随访评估,结果表明牙齿颜色得以保持,未出现进一步变色。该实例表明,中度氟斑牙可以通过整合漂白、微磨除和树脂渗透的微创技术来治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/a25b95a56e96/cureus-0016-00000074795-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/0ed9588d4e2f/cureus-0016-00000074795-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/147c69f45e88/cureus-0016-00000074795-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/8e931bcb506d/cureus-0016-00000074795-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/b69d325ca98b/cureus-0016-00000074795-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/95771e2c182f/cureus-0016-00000074795-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/2fa5280cf62f/cureus-0016-00000074795-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/39d5397cb365/cureus-0016-00000074795-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/f07a91aac2de/cureus-0016-00000074795-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/d6c050b856ff/cureus-0016-00000074795-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/b558fdefed8e/cureus-0016-00000074795-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/77f7074e1067/cureus-0016-00000074795-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/a25b95a56e96/cureus-0016-00000074795-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/0ed9588d4e2f/cureus-0016-00000074795-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/147c69f45e88/cureus-0016-00000074795-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/8e931bcb506d/cureus-0016-00000074795-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/b69d325ca98b/cureus-0016-00000074795-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/95771e2c182f/cureus-0016-00000074795-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/2fa5280cf62f/cureus-0016-00000074795-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/39d5397cb365/cureus-0016-00000074795-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/f07a91aac2de/cureus-0016-00000074795-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/d6c050b856ff/cureus-0016-00000074795-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/b558fdefed8e/cureus-0016-00000074795-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/77f7074e1067/cureus-0016-00000074795-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c15/11683276/a25b95a56e96/cureus-0016-00000074795-i12.jpg

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本文引用的文献

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Minimally invasive esthetic management of dental fluorosis: a case report.微创美学处理氟斑牙:病例报告。
J Int Med Res. 2020 Oct;48(10):300060520967538. doi: 10.1177/0300060520967538.
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