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牙齿漂白后单色调树脂颜色调整的临床意义:一项系统评价

Clinical Implications of Color Adjustment in Single-Shade Resins Post-Dental Bleaching: A Systematic Review.

作者信息

Miranda Samille Biasi, Leal Caroline de Farias Charamba, Lins Rodrigo Barros Esteves, Montes Marcos Antonio Japiassu Resende

机构信息

Departament of Dental Materials, Faculty of Dentistry, University of Pernambuco, Recife 50100-130, PE, Brazil.

Departament of Restorative Dentistry, School of Dentistry, Federal University of Alagoas, Maceió 57072-900, AL, Brazil.

出版信息

J Clin Med. 2025 May 5;14(9):3194. doi: 10.3390/jcm14093194.

DOI:10.3390/jcm14093194
PMID:40364225
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12073051/
Abstract

: Tooth bleaching can compromise the color match between dental tissues and restorations. Single-shade resin-based composites (RBCs) have been developed to simplify shade matching; however, their performance after dental bleaching remains uncertain. : This study aimed to evaluate the ability of single-shade RBCs to adapt to the color of the dental substrate after dental bleaching. : A systematic review was conducted according to the PRISMA guidelines and registered in PROSPERO. Searches were performed in PubMed, Embase, Web of Science, and Scopus (December 2024). In vitro studies were selected based on the PICOS criteria (P: human or bovine teeth; I: teeth restored with single-shade RBCs and bleached; C: bleached dental tissue; O: color match; S: in vitro studies). Two reviewers (kappa = 0.90) applied eligibility criteria, extracted the data, and assessed the risk of bias using the RoBDEMAT tool. : Eight studies involving 362 restorations were included. Most studies indicated that single-shade RBCs achieved an acceptable color match after tooth bleaching. Study quality was generally moderate to low, with most evaluations rated as "sufficiently reported or adequate". : Single-shade RBCs demonstrated the ability to match bleached dental tissue in vitro, although effectiveness may vary depending on bleaching duration and storage conditions.

摘要

牙齿漂白会影响牙齿组织与修复体之间的颜色匹配。已开发出单色度树脂基复合材料(RBC)以简化比色;然而,它们在牙齿漂白后的性能仍不确定。本研究旨在评估单色度RBC在牙齿漂白后与牙齿基底颜色匹配的能力。根据PRISMA指南进行了系统评价,并在PROSPERO中注册。于2024年12月在PubMed、Embase、Web of Science和Scopus中进行检索。根据PICOS标准选择体外研究(P:人牙或牛牙;I:用单色度RBC修复并漂白的牙齿;C:漂白的牙齿组织;O:颜色匹配;S:体外研究)。两名评价者(kappa = 0.90)应用纳入标准、提取数据并使用RoBDEMAT工具评估偏倚风险。纳入了八项涉及362个修复体的研究。大多数研究表明,单色度RBC在牙齿漂白后实现了可接受的颜色匹配。研究质量一般为中等至低等,大多数评价被评为“报告充分或足够”。单色度RBC在体外表现出与漂白牙齿组织匹配的能力,尽管有效性可能因漂白持续时间和储存条件而异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9f2/12073051/cc985fcd9fd5/jcm-14-03194-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9f2/12073051/bf75e6678286/jcm-14-03194-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9f2/12073051/cc985fcd9fd5/jcm-14-03194-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9f2/12073051/bf75e6678286/jcm-14-03194-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9f2/12073051/cc985fcd9fd5/jcm-14-03194-g002.jpg

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本文引用的文献

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Color Stability of Single-Shade Resin Composites in Direct Restorations: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.直接修复中单色树脂复合材料的颜色稳定性:随机对照试验的系统评价和荟萃分析
Polymers (Basel). 2024 Jul 30;16(15):2172. doi: 10.3390/polym16152172.
2
Influence of in-office whitening on the color matching and surface characteristics of single-shade resin composites.诊室美白对单色调树脂复合材料颜色匹配及表面特性的影响。
J Esthet Restor Dent. 2025 Feb;37(2):423-439. doi: 10.1111/jerd.13279. Epub 2024 Jul 14.
3
Influence of cavity wall thickness on the color adjustment potential of single-shade resin composites.
腔壁厚度对单色调树脂复合材料颜色调整潜力的影响。
J Am Dent Assoc. 2024 Jul;155(7):605-613. doi: 10.1016/j.adaj.2024.03.006. Epub 2024 May 31.
4
Color match of single-shade restorations after professional dental bleaching: An study.专业牙齿漂白后单色调修复体的颜色匹配:一项研究。
J Conserv Dent Endod. 2024 Mar;27(3):280-285. doi: 10.4103/JCDE.JCDE_295_23. Epub 2024 Mar 6.
5
Tooth whitening: current status and prospects.牙齿美白:现状与展望。
Odontology. 2024 Jul;112(3):700-710. doi: 10.1007/s10266-024-00914-4. Epub 2024 Apr 3.
6
Smile aesthetics in Pakistani population: dentist preferences and perceptions of anterior teeth proportion and harmony.巴基斯坦人群的微笑美学:牙医对前牙比例和协调性的偏好和认知。
BMC Oral Health. 2024 Mar 29;24(1):401. doi: 10.1186/s12903-024-04100-4.
7
Color discrepancy of single-shade composites at different distances from the interface measured using cell phone images.使用手机图像测量的单色调复合材料在距界面不同距离处的颜色差异。
Restor Dent Endod. 2024 Jan 24;49(1):e7. doi: 10.5395/rde.2024.49.e7. eCollection 2024 Feb.
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Effect of aging and bleaching on the color stability and surface roughness of a recently introduced single-shade composite resin.老化和漂白对最近推出的单色调合树脂的颜色稳定性和表面粗糙度的影响。
J Dent. 2024 Apr;143:104917. doi: 10.1016/j.jdent.2024.104917. Epub 2024 Mar 1.
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