ICON渗透树脂对正畸后脱矿和着色釉质表面的疗效观 察.pdfVIP

目 录 中文摘要············································································································1 英文摘要············································································································4 研究论文 ICON 渗透树脂对正畸后脱矿和着色釉质表面的疗效观察 前言············································································································10 材料与方法································································································12 结果············································································································16 附图············································································································19 附表············································································································21 讨论············································································································24 结论············································································································28 参考文献····································································································29 综述 正畸后白垩斑的防与治32 致谢42 个人简历43 万方数据 中 文 摘 要 ICON 渗透树脂对正畸后脱矿和着色釉质表面的疗效观察 摘 要 目的：临床正畸治疗结束后，粘接托槽牙面的脱矿和染色是影响患者 和医生满意度的主要因素。针对这一问题传统的创伤治疗方法现在已经不 能满足临床需要，近年来渗透树脂微创技术应运而生，它是利用毛细虹吸 作用渗透入脱矿的釉质结构中，充填脱矿的釉质，临床上用来治疗早期釉 质龋、氟斑牙等，但是其对于正畸后牙面脱矿和染色的作用，未见有文献 报道。 本实验采用人工方法建立正畸后釉质脱矿染色模型，通过比较ICON 渗透树脂、Opalecence 美白系统、氟化泡沫三种材料处理正畸后脱矿和着 色釉质表面前后的颜色、显微硬度及脱矿深度的变化，探讨渗透树脂对正 畸后脱矿和着色牙的作用，为临床应用提供理论支持。 方法： 1 牙齿预备：收集112 颗由于正畸原因需要拔除的前磨牙，用抗酸指 甲油均匀地将牙齿除颊面外的各部分覆盖。 2 制备牙齿脱矿和染色模型：将样本牙编号后置于37℃恒温水浴箱 中，用配置好的脱矿液以及染色液分别处理