渗透树脂对正畸后牙齿白垩斑疗效及牙面微硬度和颜色稳定性影响.docVIP

渗透树脂对正畸后牙齿白垩斑疗效及牙面微硬度和颜色稳定性影响 　　[摘要]目的：探?渗透树脂对正畸后牙齿白垩斑及牙面微硬度、颜色稳定性的影响。方法：选择2016年1月至2016年12月笔者医院就诊的牙齿正畸患者64例，每人取1颗因正畸治疗需拔掉的牙齿为研究对象，共64颗。按随机数表法分为观察组和对照组，每组32颗。将所有牙齿人工制造脱矿病损面模拟正畸后牙齿发生白垩斑，给予观察组ICON渗透树脂治疗，对照组采用多乐氟进行治疗。治疗1个月后，比较两组牙齿治疗前后的病损面积比、治疗有效率、患牙表面显微硬度（surface microhardness， SMH）、L*值及患牙白垩斑评分。结果：经治疗，观察组病损面积比低于对照组，有效率明显高于对照组[（5.79±9.62）% vs（14.65±10.28）%，（85.77±18.76）% vs（58.56±21.48）%]（P0.05）；观察组患牙表面显微硬度及L*值均明显高于对照组[（198.44±31.42）vs（130.28±22.47），（82.04±3.37）vs（78.79±4.06）] （P0.05）；观察组计算机软件评分及专业医师评分均高于对照组[（44.89±1.42）分 vs（39.57±1.76）分，（45.36±1.78）分 vs（40.04±2.06）分]（P0.05）。结论：正畸后牙齿白垩斑采用ICON渗透树脂治疗，可有效减少病损面积，提高牙釉质表面的显微硬度，同时还可改善正畸后白垩斑病损的美观效果。 　　[关键词]渗透树脂；正畸；白垩斑；显微硬度；颜色 　　[中图分类号]R783.5 [文献标志码]B [文章编号]1008-6455（2018）03-0087-04 　　The Effect of Penetration Resin on the Cretaceous Teeth and Its Effect on the Micro Hardness and Color Stability of the Tooth Surface 　　ZOU Yi-jun，LUO Qin，ZHANG Jing-jiang，YANG Zhi-yong 　　（Department of Stomatology，the First Hospital of Changsha City，Changsha 410000，Hunan，China） 　　Abstract： Objective To study The effect of penetration resin on the Cretaceous teeth and its effect on the micro hardness and color stability of the tooth surface. Methods 64 orthodontic patients treated by orthodontic treatment in our hospital were selected， and each tooth was taken as the research object， a total of 64 64 teeth. Randomly divided into observation group and control group of 32 cases. All the teeth were made of demineralized lesion surface to simulate the occurrence of chalky spots in the anterior teeth after orthodontic treatment. The observation group was treated with ICON resin infiltration treatment， the control group were treated with Toro fluorine. After 1 months， the lesion area ratio， the treatment efficiency， the surface microhardness， the L* value and the chalky spot score of the two groups were compared before and after treatment. Results After treatment， the lesion area ratio of the observation group was lower than that of the control gr