| 买布拜木·买买提依明,帕尔哈提·阿布肚热合曼,玛衣努尔·艾赛提,刘 洁,陈晓涛.Nd:YAG激光联合Icon渗透树脂治疗氟斑牙患者效果及对美学效果的影响[J].,2024,(12):2274-2278 |
| Nd:YAG激光联合Icon渗透树脂治疗氟斑牙患者效果及对美学效果的影响 |
| The Effect of Nd:YAG Laser Combined with Icon Penetrating Resin on Dental Fluorosis and the Influence on Aesthetics |
| 投稿时间：2023-11-20 修订日期：2023-12-16 |
| DOI：10.13241/j.cnki.pmb.2024.12.013 |
| 中文关键词: Nd:YAG激光 Icon渗透树脂 氟斑牙 美学效果 病损面积比 牙釉质硬度 |
| 英文关键词: Nd:YAG laser Icon penetrant resin Dental fluorosis Aesthetic effect Disease-loss area ratio Enamel hardness |
| 基金项目:新疆维吾尔自治区科技计划项目（2021D01C161） |
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| 中文摘要: |
| 摘要 目的：探讨Nd:YAG激光联合Icon渗透树脂治疗氟斑牙患者效果及对美学效果的影响。方法：选择2018年6月至2023年6月来我院诊治的氟斑牙患者80例，共有486颗患牙，根据随机数字表法将80例患者分为两组，对照组行Nd:YAG激光治疗，观察组行Nd:YAG激光联合Icon渗透树脂治疗。对比两组不同时间点的色阶变化情况、漂白疗效、病损面积比、患牙牙釉质硬度，对比治疗过程中两组患者的牙齿敏感度及患者满意度。结果：治疗后即刻、治疗后12周，两组的色阶降低，且同时间点观察组与对照组相比较低（P<0.05）。治疗后即刻，观察组有效率84.17%明显较对照组76.42%高（P<0.05），治疗后12周，观察组有效94.17%明显较对照组82.93%高（P<0.05）。治疗后即刻、12周两组的病损面积比降低，且同时间点观察组与对照组相比较低（P<0.05）。与治疗前及观察组相比，对照组治疗后即刻、12周时的患牙牙釉质硬度较低（P<0.05）。观察组的牙齿敏感度、满意度明显优于对照组（P<0.05）。结论：Nd:YAG激光联合Icon渗透树脂可提高氟斑牙患牙的疗效，缩小病损面积比、患牙敏感度，提高美学效果，且不影响患牙牙釉质硬度，其是氟斑牙具有潜能的治疗方法。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of Nd:YAG laser combined with Icon penetrating resin on dental fluorosis and the influence on aesthetics. Methods: 486 teeth were selected from 80 patients with dental fluorosis treated in our hospital from June 2018 to June 2023. The 80 patients were divided into two groups according to random number table method. The control group received Nd:YAG laser treatment, and the observation group received Nd:YAG laser treatment combined with Icon penetrant resin treatment. The color scale change, bleaching effect, lesion area ratio, enamel hardness of affected tooth were compared between the two groups at different time points, and tooth sensitivity and patient satisfaction were compared between the two groups during treatment. Results: Immediately after treatment and 12 weeks after treatment, and the observation group was lower compared with the control group (P<0.05). Immediately after treatment, the response rate 84.17% was significantly higher than the 76.42% in the control group (P<0.05), and 12 weeks after treatment, the efficacy rate 94.17% was higher than the 82.93% in the control group(P<0.05). The lesion area ratio decreased in the immediate and 12 weeks after treatment, and the observation group was lower compared with the control group(P<0.05). Lower enamel stiffness in the control group immediately at 12 weeks compared to the pretreatment and observation groups (P<0.05). The tooth sensitivity and satisfaction of the observation group were better than those of the control group(P<0.05). Conclusion: Nd:YAG laser combined with Icon penetrating resin can improve the curative effect of dental fluorosis, reduce the ratio of damaged area, sensitivity of dental fluorosis, improve aesthetic effect, and do not affect the hardness of dental enamel. It is a potential treatment method for dental fluorosis. |
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