Aljanahi May, Alhussin Argwan, Elbishari Haitham
Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai Health, United Arab Emirates; School of Medicine, Dentistry and Biomedical Sciences, Queen´s University Belfast, Belfast, UK; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen´s University Belfast, Belfast, UK.
Hamadan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai Health, United Arab Emirates.
Br Dent J. 2025 Jun;238(12):919-924. doi: 10.1038/s41415-025-8386-z. Epub 2025 Jun 27.
Encountering a single discoloured tooth is a common occurrence in dentistry and it poses a significant concern affecting both aesthetic appearance of natural teeth and patient confidence. Management of tooth discolouration involves a wide variety of options and requires specific protocols for both the clinician and patient to achieve an aesthetic result. One of the toughest challenges in restorative dentistry is being able to mimic natural teeth. This review is the first of two articles that will broadly discuss the aetiology of discolouration and the challenges faced when masking a single discoloured tooth. It will also examine various approaches, encompassing the conservative options, such as scaling, microabrasion, air abrasion, vital and non-vital tooth whitening, and resin infiltration. By integrating current and clinical evidence, this review aims to identify the causes of single tooth discolouration, highlight the challenges/variables faced when masking discoloured teeth and appraise possible minimally invasive procedures.
在牙科领域,遇到单颗牙齿变色是很常见的情况,它引发了一个重大问题,既影响天然牙的美观,也影响患者的自信心。牙齿变色的处理涉及多种选择,并且需要临床医生和患者遵循特定的方案才能达到美观效果。修复牙科中最严峻的挑战之一是能够模仿天然牙齿。这篇综述是两篇文章中的第一篇,将广泛讨论变色的病因以及掩盖单颗变色牙齿时所面临的挑战。它还将研究各种方法,包括保守的选择,如洗牙、微磨除、气磨、活髓和死髓牙齿美白以及树脂渗透。通过整合当前的临床证据,本综述旨在确定单颗牙齿变色的原因,突出掩盖变色牙齿时面临的挑战/变量,并评估可能的微创程序。