摘要
背景:氟斑牙严重影响了患者的形象,传统口腔充填材料具有缺陷。目的:评估Icon渗透树脂治疗氟斑牙的临床疗效。方法:选择2018年12月至2019年12月河北省眼科医院收治的30例氟斑牙患者(共200颗患牙),均采用ICON渗透树脂进行修复治疗。治疗后,通过问卷调查的形式统计患者主观上对治疗的感受,包括对美观的满意度、治疗后牙齿敏感度、治疗过程的满意度等。统计病变的尺寸大小、氟斑牙牙面指数和充填所需酸蚀次数之间的关系,探讨病变对治疗的影响。结果与结论:(1)30例患者治疗后3,6,9个月的美学满意度高于治疗前与治疗后即刻(P<0.05);30例患者中,树脂修复治疗后19例没有牙本质过敏症状,11例称牙本质敏感症状在72 h内消失,所有患者对治疗表示满意。(2)治疗前,氟斑牙牙面指数评分为1,2,3的牙数占比分别为65.50%,30.50%,4.00%;治疗后即刻,氟斑牙牙面指数评分为0,1,2的牙数占比分别为83.00%,16.00%,1.00%。Spearman秩相关分析显示,操作中的酸蚀次数和病变的尺寸、氟斑牙牙面指数有一定关联。(3)结果表明,ICON渗透树脂治疗氟斑牙效果显著且稳定,但是氟斑牙病变的尺寸和氟斑牙牙面指数可能会影响操作中的酸蚀次数,需要医生的重视。
BACKGROUND:Dental fluorosis seriously affects the aesthetics of patients,and traditional oral filling materials have defects.OBJECTIVE:To evaluate the clinical efficacy of Icon(DMG,Hamburg,Germany)penetrating resin in the treatment of dental fluorosis.METHODS:ICON penetrating resin was used to treat dental fluorosis in 30 patients(200 teeth in total)admitted to Hebei Eye Hospital from December 2018 to December 2019.After treatment,patients’subjective feelings about the treatment,including satisfaction with aesthetics,tooth sensitivity after treatment,and dignity with the treatment process,were counted through a questionnaire.The relationship between the size of the lesion,the tooth surface index of fluorosis,and the number of dental erosion required for the filling was calculated to investigate the effect of the lesion on the treatment.RESULTS AND CONCLUSION:(1)The aesthetic satisfaction of 30 patients was higher at 3,6,and 9 months after treatment than that before and immediately after treatment(P<0.05).Among 30 patients,dentin hypersensitivity was not detected in 19 patients after resin restoration,and dentin sensitivity disappeared within 72 hours in 11 patients.All patients were satisfied with the treatment.(2)Before treatment,the proportion of tooth surface index of fluorosis scoring 1,2,and 3 was 65.50%,30.50%,and 4.00%,respectively.Immediately after treatment,the proportion of the tooth surface index of fluorosis scoring 0,1,and 2 was 83.00%,16.00%,and 1.00%,respectively.Spearman rank correlation analysis demonstrated a correlation between the number of dental erosion during the operation,the size of the lesion,and the tooth surface index of fluorosis.(3)It is concluded that ICON infiltration resin has a highly effective and stable effect for treating dental fluorosis.However,the size of the fluorosis lesion and the tooth surface index of fluorosis may affect the number of dental erosion during the procedure,which also needs to be taken into account by the practitioner.
作者
孙红蕾
齐凤娜
程瑞卿
Sun Honglei;Qi Fengna;Cheng Ruiqing(Department of Stomatology,Hebei Eye Hospital,Xingtai 054001,Hebei Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2022年第34期5419-5424,共6页
Chinese Journal of Tissue Engineering Research
基金
河北省医学科学研究课题计划(20191054),项目负责人:程瑞卿。
关键词
氟斑牙
树脂渗透
牙科材料
微创技术
酸蚀次数
氟斑牙面指数
牙本质敏感
美观满意度
dental fluorosis
resin infiltration
dental materials
minimally invasive techniques
number of dental erosion
tooth surface index of fluorosis
dentin sensitivity
aesthetic satisfaction
