渗透树脂治疗正畸后白垩斑美学效果临床研究.docVIP

渗透树脂治疗正畸后白垩斑美学效果临床研究 　　[摘要] 目的 探讨正畸后白垩斑采用渗透树脂治疗的疗效。 方法 选取2014年8月～2015年8月期间我院接收的正畸后白垩斑患者24例，将入选者随机分为涂氟处理组（n=12，共45颗牙齿）与渗透树脂组（n=12，共45颗牙齿），涂氟处理组采取涂氟处理治疗，渗透树脂组采取渗透树脂治疗，观察两组的美学效果。 结果 两组治疗后1周、治疗后3个月时的R值较治疗前均显著减小（P0.05），不同时间点R值比较，渗透树脂组显著低于涂氟处理组（P0.05），在不同时间点渗透树脂组的SR值较涂氟处理组显著要高（P0.05）。 结论 渗透性树脂治疗正畸后白垩斑，相对于涂氟处理，可更大程度地减少病损面积，使牙外观改善，且短期内效果稳定，具有推广价值。 　　[关键词] 正畸；渗透树脂；白垩斑；美学效果 　　[中图分类号] R783.5 [文献标识码] B [文章编号] 1673-9701（2017）12-0080-04 　　[Abstract] Objective To investigate the effect of penetrating resin in the treatment of chalk spot after orthodontic treatment. Methods A total of 24 patients with post-orthodontic chalk spot admitted in our hospital from August 2014 to August 2015 were randomly divided into group A（n=12， with 45 teeth） and penetrating resin group（n=12， with 45 teeth）. The fluoride treatment group was given fluoride treatment， and the penetrating resin group was given the penetration resin treatment. The aesthetic effect between the two groups was observed. Results The R values in the two groups at one week and 3 months after treatment were significantly lower than those before treatment（P0.05）. R values at different time points were compared， and the R value of the penetrating resin group was significantly lower than that of the fluoride treatment group（P0.05）. The SR value of the penetrating resin group was significantly higher than that of the fluoride treatment group at different time points（P0.05）. Conclusion Penetrating resin in the treatment of chalk spot after orthodontics can reduce the lesion area to a greater extent compared with fluoride treatment， and can improve the appearance of teeth， with stable short-term effect and promotion value. 　　[Key words] Orthodontics； Penetrating resin； Chalk spot； Aesthetic effect 　　釉?|白垩斑是由各种病因导致的釉质脱矿，其内部形成大量的微孔样结构，牙齿表面呈白垩色，是口腔临床常见的釉质表面病损。研究显示，正畸患者治疗后白垩斑的发生率为46.5%，其中前牙白垩斑的发生率为23.4%。在正畸过程中，由于带环、托槽、弓丝等矫治器的存在，使牙齿清洁的难度大大增加，再加上正畸患者多为青少年，对口腔卫生重视度不够，常导致牙面白垩斑的出现[1-2]。若不治疗，其可进一步发展为釉质龋。涂氟处理与渗透性树脂是临床治疗正畸后白垩斑的主要手段，但究竟哪个疗效