Chadwick B L
Department of Child Dental Health, University of Wales College of Medicine, Heath Park, Cardiff, U.K.
Br J Orthod. 1994 Nov;21(4):395-8. doi: 10.1179/bjo.21.4.395.
The potential for iatrogenic damage following fixed orthodontic treatment has been well documented for many years. Enamel decalcification and gingival inflammation are preventable if good practice is followed. Patients with gingivitis or active caries should not be considered for fixed orthodontics until the disease is controlled. Diet advice, oral hygiene, and topical fluorides are the basic elements of any preventive regime, and while they need to be individually tailored for each patient, fluoride mouthrinses should be routinely used by all patients with fixed appliances. The susceptibility of enamel adjacent to an orthodontic attachment remains a problem which future improvements in adhesive materials may help to address.
多年来，固定正畸治疗后发生医源性损伤的可能性已有充分记录。如果遵循良好的操作规范，牙釉质脱矿和牙龈炎症是可以预防的。患有牙龈炎或活动性龋齿的患者在疾病得到控制之前不应考虑进行固定正畸治疗。饮食建议、口腔卫生和局部用氟化物是任何预防措施的基本要素，虽然需要针对每个患者进行个性化调整，但所有佩戴固定矫治器的患者都应常规使用含氟漱口水。正畸附件附近牙釉质的易感性仍然是一个问题，未来粘合剂材料的改进可能有助于解决这一问题。
