家庭漂白与诊室漂白疗效匹配时间的临床对比研究  

Comparison of matching time between home bleaching and office bleaching

作　　者：董文亮[1,2] 梁陇宁 马亚伟 杨蓉蓉 杨莹 王海钰 张敬 DONG Wen-liang;LIANG Long-ning;MA Ya-wei;YANG Rong-rong;YANG Ying;WANG Hai-yu;ZHANG Jing(Department of Cariology,Endodontology and Operative Dentistry,Stomatology Hospital,General Hospital of Ningxia Medical University,Yinchuan,750004,China)

机构地区：[1]宁夏医科大学总医院口腔医院牙体牙髓病科,宁夏银川750004 [2]宁夏医科大学口腔医学院口腔内科学系,宁夏银川750004 [3]南京中医药大学连云港附属医院口腔科,江苏连云港222004 [4]北京大学第一医院宁夏妇幼儿童医院口腔科,宁夏银川750004

出　　处：《牙体牙髓牙周病学杂志》2024年第10期580-585,共6页Chinese Journal of Conservative Dentistry

基　　金：宁夏回族自治区卫生健康委科学研究课题项目(2020-NW-014);宁夏自然科学基金项目(2023AAC03644);宁夏医科大学校级科研项目(XZ2023018)。

摘　　要：目的:探究家庭漂白与诊室漂白疗效相匹配所需时间及患者满意度、敏感度。方法:采用Opalescence PF 15%家庭漂白系统及Opalescence Boost 40%诊室漂白系统对随机抽取的50例生理性黄牙进行漂白治疗,使用VITA Easyshade比色仪每天测量家庭漂白牙齿颜色变化至与一次诊室漂白效果一致,并观察1、3、6个月的漂白稳定性,利用VAS和LOS量表评价术后各阶段牙齿敏感度和满意度。结果:家庭漂白治疗第5天与诊室漂白即刻牙面ΔE*值比较差异无统计学意义(P>0.05),两种方法漂白后各观察阶段ΔE*值比较均无统计学差异(P>0.05)。家庭漂白中有28%的研究对象产生了不同程度的牙齿敏感症状,诊室漂白中敏感发生率占58%。两种方法漂白治疗后各观察阶段均无不满意,80%的研究对象对家庭漂白即刻效果非常满意,而诊室漂白即刻非常满意人数占66%。结论:采用15%过氧化脲进行家庭漂白(8 h/d)5 d即可达到一次40%过氧化氢诊室漂白(40 min)的效果,且在6个月观察期内颜色稳定性良好;两种漂白方法中,家庭漂白敏感度更低满意度更优。AIM:To explore the time required to match the efficacy of home bleaching and office bleaching,and to explore the patient's satisfaction and sensitivity.METHODS:Opalescence PF 15%home bleaching system and Opalescence Boost 40%Office bleaching system were used to bleaching 50 cases of physiological yellow teeth randomly selected.A VITA Easyshade colorimeter was used to measure the color change of teeth bleached at home every day until the effect was consistent with that of one in-office bleaching.The bleaching stability of teeth bleached at 1,3,and 6 months was observed.RESULTS:There was no significant difference inΔE*value between the immediate and home bleaching treatment on the fifth day(P>0.05),and there was no significant difference inΔE*value between the two methods at each observation stage after bleaching(P>0.05).In office bleaching,58%of the subjects had different degrees of tooth sensitivity,and the incidence of sensitivity in home bleaching accounted for 28%.Both methods of bleaching treatment were not satisfactory at each observation stage.66%of the subjects were very satisfied with the immediate effect of in-office bleaching,and 80%were very satisfied with the immediate effect of home bleaching.CONCLUSION:15%carbamide peroxide(8 h/d)for 5 days can achieve the effect of 40%hydrogen peroxide(40 min)bleaching in the office,and the color after bleaching is stable good during the 6-month observation period.Of the two bleaching methods,home bleaching has lower sensitivity and better satisfaction.

关 键 词：家庭漂白 诊室漂白 牙齿漂白稳定性 敏感度 满意度 

分 类 号：R781.4[医药卫生—口腔医学]