邻面去釉后釉质表面患龋风险控制的描述性综述  

Reduction of the risk of caries after interproximal enamel reduction

作　　者：王钢 陈卓[1] Wang Gang;Chen Zhuo(Dept.of Cariology and Endodontics,Stomatology Hospital,School of Stomatology,Zhejiang University School of Medicine,Zhejiang Provincial Clinical Research Center for Oral Diseases,Key Laboratory of Oral Biomedical Research of Zhejiang Pro-vince,Cancer Center of Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属口腔医院牙体牙髓科、浙江大学口腔医学院、浙江省口腔疾病临床医学研究中心、浙江省口腔生物医学研究重点实验室、浙江大学癌症研究院,杭州310006

出　　处：《国际口腔医学杂志》2023年第4期395-400,共6页International Journal of Stomatology

基　　金：浙江省“尖兵”“领雁”研发攻关计划(2022C03164)。

摘　　要：邻面去釉是一项在牙齿邻面去除少量釉质的术式,目的在于解除轻、中度的牙列拥挤或改善牙齿形态。邻面去釉术后,釉质表面的粗糙度升高,矿化程度降低,加之所处的解剖位置隐匿,导致术后的患龋风险较术前明显升高,易发生白垩病变甚至龋病,因此邻面去釉后釉质表面患龋风险的控制至关重要。目前临床上有多种控制邻面去釉术后釉质表面患龋风险的措施,包括合理选择去釉器械,即刻表面抛光,应用氟制剂,渗透树脂修复和再矿化药物修复等。本文对这些措施的研究进展及效果评价进行综述,旨在为邻面去釉后患龋风险的基础研究及临床治疗研究提供依据。Interproximal enamel reduction is a procedure where a small amount of enamel is removed from the adjacent surfaces of the teeth to relieve mild to moderate dental crowding or to improve the shape of the teeth.However,the increased roughness and decreased mineralization of enamel after the procedure and the hidden anatomical location lead to a significantly higher caries risk and a tendency to develop chalky lesions and even caries.Therefore,it is important to control the risk of caries on the enamel surface after interproximal enamel reduction.At present,there are several clinical measures to reduce the risk of caries after interproximal enamel reduction,including reasonable selection of interproximal enamel reduction instruments,immediate surface polishing,application of fluoride products,resin infiltration repair,and remineralization drug repair.This article reviews the latest research and therapeutic effects of these measures,providing a basis and new ideas for clinical treatment and basic research.

关 键 词：邻面去釉 患龋风险 氟制剂 渗透树脂 再矿化 

分 类 号：R783.5[医药卫生—口腔医学]