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优化氟斑牙的美容效果:一例漂白与微磨除技术的病例报告

Optimizing Cosmetic Results in Dental Fluorosis: A Case Report of Bleaching and Microabrasion Techniques.

作者信息

Bhojwani Priyanka, Ikhar Anuja, Patel Aditya, Chandak Manoj, Sedani Shweta, Bhoptakar Jay, Manik Khyati, Khanadali Bhuvaneshwari

机构信息

Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

出版信息

Case Rep Dent. 2025 Jun 12;2025:9972925. doi: 10.1155/crid/9972925. eCollection 2025.

DOI:10.1155/crid/9972925
PMID:40538829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12178729/
Abstract

Dental discoloration, particularly due to fluorosis, presents a significant aesthetic challenge for many patients. This article explores the combined use of dental bleaching and enamel microabrasion as effective treatments for managing fluorosis-induced discoloration. Dental bleaching, a widely used method for lightening extrinsic and intrinsic stains, has shown promising results in improving the overall appearance of discolored teeth. Enamel microabrasion, which involves the mechanical removal of superficial enamel stains, can enhance the effectiveness of bleaching by addressing more severe or resistant discoloration. The article reviews the mechanisms of these treatments, their clinical indications, and their outcomes in patients with varying degrees of dental fluorosis. Additionally, potential side effects, such as tooth sensitivity and enamel damage, are discussed, emphasizing strategies to minimize these risks. By combining these methods, clinicians can offer more comprehensive, individualized care for patients seeking cosmetic improvements for fluorotic teeth, with attention to both aesthetic outcomes and long-term dental health.

摘要

牙齿变色,尤其是氟斑牙,给许多患者带来了重大的美学挑战。本文探讨了联合使用牙齿美白和釉质微磨除术作为治疗氟斑牙所致变色的有效方法。牙齿美白是一种广泛用于减轻外源性和内源性色斑的方法,在改善变色牙齿的整体外观方面已显示出有前景的结果。釉质微磨除术涉及机械去除表层釉质色斑,通过处理更严重或顽固的变色情况可提高美白效果。本文回顾了这些治疗方法的机制、临床适应症以及它们在不同程度氟斑牙患者中的治疗效果。此外,还讨论了潜在的副作用,如牙齿敏感和釉质损伤,并强调了将这些风险降至最低的策略。通过结合这些方法,临床医生可以为寻求改善氟斑牙美观的患者提供更全面、个性化的护理,同时兼顾美学效果和长期牙齿健康。

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Optimizing Cosmetic Results in Dental Fluorosis: A Case Report of Bleaching and Microabrasion Techniques.优化氟斑牙的美容效果:一例漂白与微磨除技术的病例报告
Case Rep Dent. 2025 Jun 12;2025:9972925. doi: 10.1155/crid/9972925. eCollection 2025.
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本文引用的文献

1
Evaluation of two different remineralising toothpastes in children with drug-controlled asthma and allergic rhinitis: a randomised clinical trial.评价两种不同再矿化牙膏在哮喘及变应性鼻炎患儿中的应用:一项随机临床试验
Eur J Paediatr Dent. 2024 Jun 3;25(2):137-142. doi: 10.23804/ejpd.2024.2130. Epub 2024 Feb 1.
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"Comparative Evaluation of Three Different Microabrasion Techniques in Esthetic Management of Fluorosis": An Study.“三种不同微磨耗技术在氟斑牙美学处理中的比较评价”:一项研究。
Int J Clin Pediatr Dent. 2023 Jul-Aug;16(4):572-581. doi: 10.5005/jp-journals-10005-2610.
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An comparative evaluation of casein phosphopeptide-amorphous calcium phosphate fluoride, tricalcium phosphate and grape seed extract on remineralization of artificial caries lesion in primary enamel.
酪蛋白磷酸肽-无定形磷酸钙氟化物、磷酸三钙和葡萄籽提取物对乳牙釉质人工龋损再矿化的比较评价。
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Microabrasion in tooth enamel discoloration defects: three cases with long-term follow-ups.牙釉质变色缺损的微磨耗:三例长期随访病例
J Appl Oral Sci. 2014 Jul-Aug;22(4):347-54. doi: 10.1590/1678-775720130672.
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Esthetic management of developmental enamel opacities in young permanent maxillary incisors with two microabrasion techniques--a split mouth study.两种微磨耗技术用于年轻恒牙上颌切牙发育性釉质混浊的美学处理——一项双盲研究
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Minimal alterations on the enamel surface by micro-abrasion: in vitro roughness and wear assessments.微研磨对牙釉质表面的微小改变:体外粗糙度和磨损评估。
J Appl Oral Sci. 2013 Mar-Apr;21(2):112-7. doi: 10.1590/1678-7757201302117.
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Combining enamel microabrasion and dental bleaching: recovering smile aesthetics.结合牙釉质微磨除术与牙齿美白:恢复微笑美学效果
Dent Today. 2013 Mar;32(3):110-1.
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Comparison between phosphoric acid and hydrochloric acid in microabrasion technique for the treatment of dental fluorosis.磷酸与盐酸在微磨损技术治疗氟斑牙中的比较。
J Conserv Dent. 2013 Jan;16(1):41-4. doi: 10.4103/0972-0707.105297.
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Viable approach to manage superficial enamel discoloration.处理牙釉质表面变色的可行方法。
Contemp Clin Dent. 2010 Oct;1(4):284-7. doi: 10.4103/0976-237X.76404.
10
Conservative approach for esthetic treatment of enamel hypoplasia.保守方法治疗釉质发育不全的美学问题。
Oper Dent. 2011 May-Jun;36(3):340-3. doi: 10.2341/10-189-T. Epub 2011 Jul 8.