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固定多托槽矫治导致的医源性牙釉质病变

Iatrogenic Enamel Lesions with Fixed Multi-bracket Treatment.

作者信息

Kumar Mukesh, Kumari Sommya, Guntipally Sowmya Shree, Chhabra Ajay, Kumar Ashok, Kumar Ratnesh, Singh Ritesh

机构信息

Department of Dentistry, AIIMS, Kalyani, West Bengal, India.

Department of Dentistry, AIIMS Deoghar, Jharkhand, India.

出版信息

J Pharm Bioallied Sci. 2024 Dec;16(Suppl 4):S4068-S4070. doi: 10.4103/jpbs.jpbs_1363_24. Epub 2024 Nov 30.

DOI:10.4103/jpbs.jpbs_1363_24
PMID:39926862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11805071/
Abstract

BACKGROUND

Malocclusion is a serious oral health issue that requires orthodontic correction. Fixed orthodontic appliances are known for acquired enamel damage.

AIMS

To evaluate the incidence of iatrogenic white spots in subjects treated with fixed orthodontic therapy.

METHODS AND MATERIALS

This was a retrospective study. The study sample included the orthodontically treated subjects debonded during the study period. An imaging technique was followed to evaluate enamel white spots. Teeth debonded after orthodontic therapy were evaluated and compared with pretreatment records.

RESULTS

A majority of subjects were young adults. Maximum subjects were school-going children from the rural background. Maxillary incisors were the most affected tooth, whereas maxillary posteriors were the least affected with white spot lesions.

CONCLUSIONS

Iatrogenic enamel damage is the prime concern for orthodontists. Good oral hygiene maintenance and demineralization prevention is the ideal strategy.

摘要

背景

错牙合畸形是一个需要正畸矫治的严重口腔健康问题。固定正畸矫治器会导致牙釉质损伤。

目的

评估接受固定正畸治疗的患者中医源性白斑的发生率。

方法和材料

这是一项回顾性研究。研究样本包括在研究期间拆除矫治器的正畸治疗患者。采用影像学技术评估牙釉质白斑。对正畸治疗后拆除矫治器的牙齿进行评估,并与治疗前记录进行比较。

结果

大多数受试者为年轻成年人。最大比例的受试者是来自农村的学龄儿童。上颌切牙是受影响最严重的牙齿,而上颌后牙受白斑病变影响最小。

结论

医源性牙釉质损伤是正畸医生最关心的问题。保持良好的口腔卫生和预防脱矿是理想的策略。