口腔医学研究 ›› 2021, Vol. 37 ›› Issue (4): 288-291.DOI: 10.13701/j.cnki.kqyxyj.2021.04.003

• 综述 • 上一篇    下一篇

正畸釉质脱矿微创治疗的研究进展

郭飞扬1, 花放1,2,3*   

  1. 1.武汉大学口腔医学院口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室 湖北 武汉 430079;
    2.武汉大学口腔医院口腔正畸一科 湖北 武汉 430079;
    3.武汉大学口腔医院循证口腔医学中心 湖北 武汉 430079
  • 收稿日期:2020-04-08 发布日期:2021-04-15
  • 通讯作者: *花放,E-mail: huafang@whu.edu.cn
  • 作者简介:郭飞扬(1996~ ),女,湖北人,八年制在读,主要从事口腔正畸及循证口腔医学相关研究。
  • 基金资助:
    国家自然科学基金(编号:81901044)

Research Progress in Minimally Invasive Treatment for Orthodontically Induced Enamel Demineralization

GUO Feiyang1, HUA Fang1,2,3*   

  1. 1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Department of Orthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    3. Center for Evidence-Based Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2020-04-08 Published:2021-04-15

摘要: 釉质脱矿是正畸治疗的常见并发症之一。由于正畸矫治器的存在会阻碍口腔卫生清洁,菌斑易于在牙面堆积,继而产酸造成釉质脱矿。其主要表现为正畸后残留牙齿表面的白垩斑,不仅影响牙齿美观,降低患者对治疗的满意度,而且有发展为龋齿的可能,危害口腔健康及功能。近年来,越来越多的医生和患者开始关注口腔微创治疗。本文对有关微研磨、渗透树脂、牙齿漂白、激光等微创方法用于正畸釉质脱矿治疗的相关研究进展做一综述,以期为广大临床医师提供最新文献证据,辅助其临床决策。

关键词: 口腔正畸, 釉质脱矿, 微创治疗, 白垩斑

Abstract: The existence of orthodontic appliances can bring difficulty to oral hygiene management, lead to dental plaque accumulation and the resultant enamel demineralization-one of the most common complications of orthodontic treatment. Enamel demineralization mainly presents as white spot lesions remaining on the tooth surface after orthodontic treatment, which not only affects the aesthetic of teeth and the patient's satisfaction with the treatment, but also may develop into dental caries and thereby endanger oral health and function. In recent years, more and more dentists and patients have started to pay attention to oral minimally invasive treatment. The present article reviews the research progress of minimally invasive treatment to orthodontic enamel demineralization including microabrasion, resin infiltration, tooth bleaching, laser, and so on, in order to provide the latest literature evidence and assist clinicians in their decision-making.

Key words: orthodontics, enamel demineralization, minimally invasive treatment, white spot lesions