牙齿内漂白并发症的处理及预防策略  

Management and prevention strategies for complications of internal bleaching

作　　者：王蕾 叶玲 汪成林 Wang Lei;Ye Ling;Wang Chenglin(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Cariology and Endodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室、国家口腔疾病临床医学研究中心、四川大学华西口腔医院牙体牙髓病科,成都610041

出　　处：《国际口腔医学杂志》2023年第3期359-365,共7页International Journal of Stomatology

基　　金：四川省港澳台科技创新合作项目(2021YFH0185);四川大学华西口腔医院探索与研发项目(LCYJ2019-18)。

摘　　要：对于内源性因素引起的牙齿色泽改变,牙齿内漂白可以达到基本无损的治疗效果,但仍然伴有多种并发症如牙颈部外吸收、颜色复发、影响牙本质粘接、影响牙齿组织结构及性能、软组织损伤等。本文根据牙齿内漂白术后可能出现的问题,阐述了各种并发症可能的发生机制,进行有针对性地处理及预防,强调了牙齿内漂白过程中和治疗后的注意事项,旨在提示临床医生在操作过程中及治疗后随访时需要注意的细节,以减少牙齿内漂白后并发症的发生,降低其危害。For changes in tooth shade caused by endogenous factors,internal tooth bleaching can achieve a basically non-destructive treatment effect,but it is still accompanied with several complications such as external cervical resorption,color relapse,affect bond strength to dentin,affect tooth structure and properties,and soft tissue injury,etc..This article describes the possible mechanisms of various complications according to the problems that may occur after internal tooth bleaching,provides targeted treatment and prevention,and emphasizes the precautions to be taken during and after the treatment of internal tooth bleaching process,aiming to suggest details that clinicians need to pay attention to during the operation and follow-up after treatment in order to reduce the occurrence of complications and harm after internal tooth bleaching.

关 键 词：内漂白 过氧化氢 过氧化脲 牙颈部外吸收 颜色复发 

分 类 号：R781.2[医药卫生—口腔医学]