正畸中釉质脱矿的控制与治疗研究进展  

Research progress of the control and treatment of enamel white spot lesions in orthodontics

作　　者：买尔旦江·肉孜 胡首杉 曾福磊 周丹 彭怡然 MAIERDANJIANG Rouzi;HU Shoushan;ZENG Fulei;ZHOU Dan;PENG Yiran(State Key Laboratory of Oral Diseases,National Clinical Research Center for Oral Diseases,West China School of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西口腔医学院,口腔疾病研究国家重点实验室,四川成都610041 [2]遵义医科大学附属口腔医院牙体牙髓病科,贵州遵义563100 [3]四川大学华西口腔医院儿童口腔科,口腔疾病研究国家重点实验室,四川成都610041

出　　处：《口腔医学》2020年第9期855-859,共5页Stomatology

基　　金：四川大学大学生创新创业训练计划(201510612579);成都市科技局技术创新研发项目(2019-YF05-00763-SN);四川大学实验技术立项资助项目(SCU203039)。

摘　　要：釉质白色损害即釉质脱矿白斑是固定正畸治疗过程中常见的并发症,发病率在50%~80%之间。早期龋损严重影响牙齿的健康与美观。因此临床上对正畸脱矿白斑的防治提倡早预防、早发现、早治疗。目前,针对正畸脱矿白斑的防治包括清除菌斑、抗菌性粘接剂的使用、局部应用防龋药物、渗透树脂治疗等。研究表明,联合应用多种措施可达到更好的控制菌斑、终止脱矿、促进釉质再矿化的效果。本文将对正畸脱矿白斑的预防、治疗等方面的新进展作一综述,为正畸临床工作提供参考。The formation of enamel white spot lesions(WSLs)is the most common complication of fixed orthodontic treatment,whose prevalence has been reported to be 50%~80%.As an early caries defect,it severely affects the integrity and aesthetics of the teeth.So the early prevention,diagnosis and treatment are very important in preventing WSLs.There are some methods for the treatment of WSLs including plaque removal,usage of antibacterial adhesives,topical application of fluoride and resin infiltration.Studies have shown that the combination of multiple measures can achieve better control of plaque,termination of demineralization,and promotion of enamel remineralization.The purpose of this article is to review the current researches on the prevention and treatment of WSLs,and to provide clinical recommendations for both the orthodontists and the general dentists.

关 键 词：正畸治疗 釉质脱矿 渗透树脂 牙菌斑 

分 类 号：R783.5[医药卫生—口腔医学]