Opalescence美白系统对四环素牙漂白疗效的研究
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摘要
目的:评价运用Opalescence Boost诊室美白系统漂白四环素牙的疗效。方法:选取2015年1月至2016年12月就诊的30例四环素牙患者,运用Opalescence美白系统行四环素牙漂白术。用Vita lescence美学修复比色板记录治疗前后色阶,评价美白治疗效果,同时对漂白术后患者敏感程度进行记录并分析。结果:30例四环素牙患者全部有效,有效率为100%。5例轻度患者显效率100%,13例中度患者显效率69.23%,12例重度患者显效率8.33%。所有患者经美白治疗后均出现轻中度牙齿敏感症状,但1周后症状均消失或略有轻微不适感。结论:Opalescence诊室美白系统对轻中度四环素牙,尤其是轻度四环素牙脱色明显,对重度四环素牙疗效不佳。
Objective: To evaluate the therapeutic efficacy of Opalescence Boost whitening system on the tetracycline-stained teeth. Methods: The application of Opalescence whitening system to tetracycline-stained teeth was observed in 30 patients who attended the hospital from January 2015 to December 2016. The color levels before and after treatment were recorded with Vita lescence aesthetic repair shade guide to evaluate the whitening effect. Meanwhile, the sensitivity of patients after bleaching was recorded and analyzed. Results: The system was 100% effective in treating the 30 patients with tetracycline-stained teeth. The marked response rates of 5 mild cases, 13 moderate cases, and 12 severe cases were 100%, 69.23%, and 8.33%, respectively. All patients showed mild to moderate tooth sensitivity symptoms after whitening treatment, but the symptoms disappeared or lessened in a week. Conclusion:The Opalescence whitening system is effective in treating mild to moderate tetracycline-stained teeth, especially in mild cases. For severe tetracycline-stained teeth, it is less effective.
Objective: To evaluate the therapeutic efficacy of Opalescence Boost whitening system on the tetracycline-stained teeth. Methods: The application of Opalescence whitening system to tetracycline-stained teeth was observed in 30 patients who attended the hospital from January 2015 to December 2016. The color levels before and after treatment were recorded with Vita lescence aesthetic repair shade guide to evaluate the whitening effect. Meanwhile, the sensitivity of patients after bleaching was recorded and analyzed. Results: The system was 100% effective in treating the 30 patients with tetracycline-stained teeth. The marked response rates of 5 mild cases, 13 moderate cases, and 12 severe cases were 100%, 69.23%, and 8.33%, respectively. All patients showed mild to moderate tooth sensitivity symptoms after whitening treatment, but the symptoms disappeared or lessened in a week. Conclusion:The Opalescence whitening system is effective in treating mild to moderate tetracycline-stained teeth, especially in mild cases. For severe tetracycline-stained teeth, it is less effective.
引文
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3.王旭东,陈书兰,于江波.冷光美白技术与夜间活髓牙脱色技术协同漂白四环素牙的临床研究[J].华西口腔医学杂志,2008,26(4):409-412.
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13.Sundfeld RH,Sundfeld ND,Machado LS,et al.Dental bleaching with a 10%Hydrogen peroxide product:a six-month clinical observation[J].Indian J Dent Res,2014,25(1):4-8.
14.Kwon SR,Swift EJ.Critical appraisal.In-office tooth whitening:pulpal effects and tooth sensitivity issues[J].J Esthet Restor Dent,2014,26(5):353-358.
15.陈平,邓国川.舒适达治疗牙本质过敏症疗效观察[J].泸州医学院学报,2012,35(2):208-209.
16.Grobler SR,Majeed A,Moola MH.Effect of various tooth-whitening products on enamel microhardness[J].SADJ,2009,64(10):474-479.
17.Polydorou O,Scheitza S,Spraul M,et al.The effect of long-term use of tooth bleaching products on the human enamel surface[J].Odontology,2018,106(1):64-72.
18.Gul P,Harorli OT,Ocal IB,et al.Color recovery effect of different bleaching systems on a discolored composite resin[J].Niger J Clin Pract,2017,20(10):1 226-1 232.
19.Fekrazad R,Alimazandarani S,Kalhori KA,et al.Comparison of laser and power bleaching techniques in tooth color change[J].J Clin Exp Dent,2017,9(4):e511-e515.
2.何志明,张新状,范高飞.光固化树脂修复前牙失败原因探讨[J].泸州医学院学报,2001,24(1):64-65.
3.王旭东,陈书兰,于江波.冷光美白技术与夜间活髓牙脱色技术协同漂白四环素牙的临床研究[J].华西口腔医学杂志,2008,26(4):409-412.
4.Mehta D,Venkata S,Naganath M,et al.Clinical trial of tooth desensitization prior to in-office bleaching[J].Eur JOral Sci,2013,121(5):477-481.
5.樊明文,周学东.牙体牙髓病学[M].4版.北京:人民卫生出版社,2012,132.
6.Coceska E,Gjorgievska E,Coleman NJ,et al.Enamel alteration following tooth bleaching and remineralization[J].J Microsc,2016,262(3):232-244.
7.Poggio C,Grasso N,Ceci M,et al.Ultrastructural evaluation of enamel surface morphology after tooth bleaching followed by the application of protective pastes[J].Scanning,2016,38(3):221-226.
8.Geisinger S,Kwon SR,Qian F.Employment of reservoirs in At-Home whitening trays:efficacy and efficiency in tooth whitening[J].J Contemp Dent Pract,2015,16(5):383-388.
9.De Baat C ZP,Oral H.Adverse effects of medicines and self care products on the gingiva[J].Ned Tijdschr Tandheelkd,2018,125(6):336-340.
10.Wang Y,Gao JX,Jiang T,et al.Evaluation of the efficacy of Potassium nitrate and Sodium fluoride as desensitizing agents during tooth bleaching treatment-A systematic review and meta-analysis[J].J Dent,2015,43(8):913-923.
11.Molina A,Garcia-Gargallo M,Montero E,et al.Clinical efficacy of desensitizing mouthwashes for the control of dentin hypersensitivity and root sensitivity:a systematic review and meta-analysis[J].Int J Dent Hyg,2017,15(2):84-94.
12.Hall C,Sufi F,Constantin P.Efficacy of an experimental3%Potassium nitrate mouthwash in providing long-term relief from dentin hypersensitivity:An 8-week randomized controlled study(Study 2)[J].Am J Dent,2017,30(6):335-342.
13.Sundfeld RH,Sundfeld ND,Machado LS,et al.Dental bleaching with a 10%Hydrogen peroxide product:a six-month clinical observation[J].Indian J Dent Res,2014,25(1):4-8.
14.Kwon SR,Swift EJ.Critical appraisal.In-office tooth whitening:pulpal effects and tooth sensitivity issues[J].J Esthet Restor Dent,2014,26(5):353-358.
15.陈平,邓国川.舒适达治疗牙本质过敏症疗效观察[J].泸州医学院学报,2012,35(2):208-209.
16.Grobler SR,Majeed A,Moola MH.Effect of various tooth-whitening products on enamel microhardness[J].SADJ,2009,64(10):474-479.
17.Polydorou O,Scheitza S,Spraul M,et al.The effect of long-term use of tooth bleaching products on the human enamel surface[J].Odontology,2018,106(1):64-72.
18.Gul P,Harorli OT,Ocal IB,et al.Color recovery effect of different bleaching systems on a discolored composite resin[J].Niger J Clin Pract,2017,20(10):1 226-1 232.
19.Fekrazad R,Alimazandarani S,Kalhori KA,et al.Comparison of laser and power bleaching techniques in tooth color change[J].J Clin Exp Dent,2017,9(4):e511-e515.