[1] 陆丽荣. 渗透树脂修复正畸后牙面白斑样病损的美学效果及预后研究[J].中国美容医学,2021,(5):133-136.
　 LU Li-rong. Esthetic Effect and Prognosis Follow-up of Infiltrating Resin Applied to Patients withTooth White Spot after Orthodontics[J].Medical Aesthetics and Beauty,2021,(5):133-136.
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 渗透树脂修复正畸后牙面白斑样病损的美学效果及预后研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年5期
页码:
133-136
栏目:
出版日期:
2021-05-10

文章信息/Info

Title:
 Esthetic Effect and Prognosis Follow-up of Infiltrating Resin Applied to Patients with
Tooth White Spot after Orthodontics
文章编号:
1008-6455（2021）05-0133-04
作者:
 陆丽荣
Author(s):
 LU Li-rong
关键词:
 [关键词]渗透树脂; 口腔正畸; 美学效果; 牙面白斑样病损; 预后
Keywords:
 Key words: permeable resin;  orthodontic technique;  aesthetic effect;  white spot on tooth surface;  prognosis
分类号:
R783.5
文献标志码:
A
摘要:
[摘要]目的：探讨渗透树脂应用于正畸治疗后牙面白斑样病损患者的修复美学效果及预后随访。方法：选择笔者医院口腔
科2017年1月-2019年12月正畸术后84例牙面白斑样病损患者为研究对象，共84颗患牙。按照随机数表法将其分为观察组
（n =43）和对照组（n =41），对照组予以氟化物治疗，观察组予以渗透树脂治疗。对比两组病损面积比、有效率、患牙表
面显微硬度（SMH）及L*值、患牙白垩斑评分、美观效果及不良反应情况。结果：治疗后，观察组患者患牙病损面积比明
显低于对照组，而有效率明显高于对照组[（5.84±0.65 vs 13.25±2.73）、（88.37 vs 65.85）]% （P ＜0.05）；观
察组患者患牙SMH及L*值均明显高于对照组[（196.31±21.71 vs 131.64±15.84）、（82.67±9.12 vs 78.25±8.62）]
（P ＜0.05）；观察组患者患牙计算机评分及专业医生评分均明显高于对照组[（44.82±5.82 vs 39.27±4.93）、
（39.27±4.93 vs 40.76±5.14）]分（P ＞0.05）；观察组患者前牙覆盖与覆牙合良好、后牙咬合状况良好及牙齿排列整齐明
显高于对照组[（95.35 vs 78.05）、（90.02 vs 73.17）、（100.00 vs 75.61）]%（P ＜0.05）；观察组患者患牙不良反
应率明显低于对照组（6.98 vs 24.39）%（P＜0.05）。对患者进行为期1年随访，牙面仍旧自然美观，无明显变色和着色，
未见龋洞形成，龈色正常。结论：渗透树脂应用于正畸术后牙面白斑样病损患者不仅可减少病损面积，还可提高临床效果及
美学效果，不良反应小，安全性较高，值得在临床上推广应用。

Abstract:
Abstract: Objective Study on the aesthetic effect and prognosis of the application of osmotic resin in the patients with white
spot lesions after orthodontic surgery. Methods A total of 84 patients with leukoid lesions after orthodontic surgery in the
department of stomatology of our hospital from January 2017 to December 2019 were selected as the research subjects, and a
total of 84 teeth were affected. According to the random number table method, they were divided into observation group (n =43)
and control group (n =41). The control group was treated with fluoride, and the observation group was treated with permeable
resin.The lesion area ratio,the effective rate, the surface microhardness (SMH) and the value of L*, the chalky plaque score,
the aesthetic effect and the adverse reactions were compared between the two groups. Results After treatment, the lesion area
ratio of patients in the observation group was significantly lower than that of the control group, while the effective rate was
significantly higher than that of the control group [(5.84±0.65 vs 13.25±2.73), (88.37 vs 65.85)]% (P ＜0.05). The SMH and
L* values of the observed group were significantly higher than those of the control group [(196.31±21.71 vs 131.64±15.84)
and (82.67±9.12 vs 78.25±8.62)] (P ＜0.05). The computer score and professional doctor’s score of the observation group were
significantly higher than those of the control group [(44.82±5.82 vs 39.27±4.93) and (39.27±4.93 vs 40.76±5.14)] (P ＞0.05). In
the observation group, patients with good anterior tooth coverage and overbite, good posterior teeth bite condition and orderly
teeth arrangement were significantly higher than those in the control group [(95.35 vs 78.05), (90.02 vs 73.17), (100.00 vs
75.61)]% (P ＜0.05). The rate of adverse tooth reactions in the observation group was significantly lower than that in the control
group (6.98 vs 24.39) % (P ＜0.05).After a 1-year follow-up, the tooth surface was still natural and beautiful, with no obvious
discoloration and coloring, no caries formation, and normal gum color. Conclusion The application of osmotic resin in the
patients with white spot lesions after orthodontic surgery can not only reduce the lesion area, but also improve the clinical and
aesthetic effects.

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更新日期/Last Update: 2021-06-08