釉质白垩斑治疗方法的研究进展  

Research progress on treatments of enamel white spot lesions

作　　者：王启秋 支清惠[1] Wang Qiqiu;Zhi Qinghui(Dept.of Preventive Dentistry,Hospital of Stomatology,Sun Yat-sen University&Guangdong Provincial Key Laboratory of Stomatology&Guangdong Key Laboratory for Dental Disease Prevention and Control,Guangzhou 510055,China)

机构地区：[1]中山大学附属口腔医院预防科广东省口腔医学重点实验室广东省牙病预防控制重点实验室,广州510055

出　　处：《国际口腔医学杂志》2022年第6期717-723,共7页International Journal of Stomatology

基　　金：广东省一流医院临床试验项目(103007-6-2019-GSP-D)。

摘　　要：白垩斑是口腔正畸治疗中常见的并发症,因牙齿釉质脱矿使得牙齿表面失去光泽呈现出白垩色而得名。白垩斑通常可在牙齿表面出现单独分散的白点,也可有多个白色斑块并连成片。白垩斑严重影响牙齿的美观,给患者造成心理压力,同时降低了患者进行正畸的满意度,也增加了患龋的风险,危害牙齿健康。及时对白垩斑进行干预治疗具有重要的临床意义。白垩斑的治疗有多种方法,包括口腔卫生指导,氟化物、酪蛋白磷酸肽钙磷复合体等再矿化方法的应用,以及树脂渗透技术、釉质微研磨技术、有创牙体修复技术等美学修复治疗方法。本文对白垩斑的各种治疗方法进行综述,为其进一步研究提供参考。White spot lesions are a common complication of orthodontic treatment.They are named for the enamel demineralization that causes the tooth surface to lose luster and exhibit a chalky color.Usually,separate white spots or multiple white plaques merged into one lesion may be present on the tooth surface.These lesions seriously affect the appearance of teeth,exert psychological pressure on patients,reduce the satisfaction of patients with orthodontics,increase the risk of dental caries,and endanger dental health.The timely treatment of white spot lesions has important clinical significance.The treatment methods for white spot lesions include oral hygiene guidance;remineralization methods,such as the fluoride and casein phosphopeptide-amorphic calcium phosphate method;and aesthetic restoration treatment methods,such as infiltration resin,microabrasion,and invasive dental restoration technologies.This article reviews these treatment methods to provide a reference for the research and development of treatment methods for white spot lesions in the future.

关 键 词：白垩斑 正畸治疗 再矿化 渗透树脂 微研磨 

分 类 号：R781.1[医药卫生—口腔医学]