增龄性变色牙和四环素牙冷光美白的临床效果评价

doi:10.19439/j.sjos.2018.01.015

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (1): 65-67.doi: 10.19439/j.sjos.2018.01.015

增龄性变色牙和四环素牙冷光美白的临床效果评价

程蕙娟, 耿屹, 赵军

上海交通大学医学院附属第九人民医院·口腔医学院口腔修复科, 上海市口腔医学重点实验室,上海市口腔医学研究所,国家口腔疾病临床研究中心,上海 200011

收稿日期:2017-08-27 修回日期:2017-11-13 出版日期:2018-02-25 发布日期:2018-03-05
通讯作者: 赵军,E-mail: zhaojun161@126.com
作者简介:程蕙娟（1974-）,女,博士,副主任医师,E-mail: 1774605@qq.com

Evaluation of the effectiveness of cold-light whitening technique on tetracycline pigmentation teeth and aged extrinsic stain teeth

CHENG Hui-juan, GENG Yi, ZHAO Jun

Department of Prosthodontics, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, National Clinical Research Center of Stomatology. Shanghai 200011, China

Received:2017-08-27 Revised:2017-11-13 Online:2018-02-25 Published:2018-03-05

摘要/Abstract

摘要： 目的: 探讨增龄性变色牙和轻中度四环素牙冷光美白的临床效果。方法: 按着色原因及程度,将152例接受冷光美白的患者分为增龄性变色组、轻度四环素牙组和中度四环素牙组。利用16 色 Vita 比色板视觉比色法和Crystaleye 分光光度比色仪进行美白前、后牙色度对比,采用SPSS17.0软件包对3组美白效果进行统计学分析。结果: 视觉比色法评估显示,冷光美白对于增龄性变色组的有效率显著高于轻度和中度四环素牙组（P<0.05）。比色仪法评估显示中度四环素牙冷光美白后牙颈部、体部和切端的ΔE值均低于增龄性变色牙及轻度四环素牙（P<0.05）,2组四环素牙冷光美白后牙颈部ΔE值显著高于体部和切端（P<0.05）。结论: 冷光美白技术对外源性染色的增龄性变色牙效果优于内源性四环素牙,冷光美白可以改善四环素牙颈部着色更深的问题。

关键词: 冷光美白, 四环素牙, 比色仪, 色度

Abstract: PURPOSE: To evaluate the clinical effectiveness of cold-light whitening technique on tetracycline pigmentation teeth and aged extrinsic stain teeth. METHODS: One hundred and fifty-two cases bleached by cold-light whitening technique were included in this study. The patients' teeth were divided into 3 groups: aged extrinsic stain teeth, mild tetracycline pigmentation teeth and moderate tetracycline pigmentation teeth. Visual determination of shade and Olympus crystaleye spectrophotometer were used to measure the tooth discoloration after bleaching. SPSS17.0 software package was used for statistical analysis. RESULTS: Visual determination showed that the efficiency of aged extrinsic stain teeth was significantly higher than that of mild and moderate tetracycline teeth group (P<0.05). Colorimetric method showed that the △E of moderate tetracycline teeth was significantly lower than aged extrinsic teeth and mild tetracycline teeth (P<0. 05) . The △E of cervix changed more significantly than that of central and incisal edge in both mild and moderate tetracycline teeth group (P<0. 05). CONCLUSIONS: The effect of cold-light whitening technique on aged extrinsic stain teeth is better than that of the tetracycline pigmentation teeth. Cold-light whitening technique can improve pigmentation of tetracycline teeth cervix．

Key words: Cold-light whitening technique, Tetracycline pigmentation teeth, Colorimetry, Chroma

中图分类号:

R783.9

程蕙娟, 耿屹, 赵军. 增龄性变色牙和四环素牙冷光美白的临床效果评价[J]. 上海口腔医学, 2018, 27(1): 65-67.

CHENG Hui-juan, GENG Yi, ZHAO Jun. Evaluation of the effectiveness of cold-light whitening technique on tetracycline pigmentation teeth and aged extrinsic stain teeth[J]. Shanghai Journal of Stomatology, 2018, 27(1): 65-67.

参考文献

[1] Viscio D, Gaffar A, Fakhry-Smith S, et al.Present and future technologies of tooth whitening[J]. Compend Contin Educ Dent Suppl, 2000, (28): S36-S43.
[2] Fiedler RS, Reichl RB.Combined professional and homecare nightguard bleaching of tetracycline-stained teeth[J]. Gen Dent, 2000, 48(3): 257-261.
[3] 郁春华, 浅海馨. 活髓牙冷光美白临床效果评价[J]. 中国实用口腔科杂志, 2016, 9(1): 41-45.
[4] American Dental Association Councilon Dental Therapeutics. Guidelines for the acceptance of peroxide-containing oral hygiene products[J]. J Am Dent Assoc, 1994, 125(8): 1140-1142.
[5] 袁坤, 王辉, 张凌, 等. 3种电脑比色仪比色准确性与可靠性的比较[J]. 临床口腔医学杂志, 2010, 26(3): 177-180.
[6] 徐明明, 刘峰, 张峰, 等. 比色板与电脑比色仪比色准确性的分析[J]. 中华口腔医学杂志, 2008, 43(10): 601-602.
[7] Okubo SR, Kanawati A, Richards MW, et al.Evaluation of visual and instrument shade matching[J]. J Prosthet Dent, 1998, 80(6): 642-648.
[8] 陈怀远, 陈溯, 邓蓉. 自制比色板在四环素牙修复中的应用评价[J]. 北京口腔医学, 2013, 21(5): 290-291.
[9] 钱海馨, 陈玉琴. Crystaleye 电脑比色仪测色可重复性研究[J]. 口腔医学, 2011, 31(8): 456-458.
[10] Joiner A.The bleaching of teeth: a review of the literature[J]. J Dent, 2006, 34(7): 412-419.
[11] 冯绍飞, 庞凤梅. 冷光牙漂白术对不同类型着色牙漂白效果的临床评价[J]. 现代口腔医学杂志, 2007, 21(4): 438-439.
[12] 蔡华雄, 梁立昌, 朱越广, 等. 冷光漂白法治疗四环素牙临床疗效观察[J]. 口腔疾病防治, 2005, 13(4): 290-292.
[13] 张丽辉, 徐英新. 牙冷光漂白疗效评价可靠性研究[J]. 中华口腔医学研究杂志, 2015, 9(2): 157-161.
[14] Tavares M, Stultz J, Newman M, et al.Light augments tooth whitening with peroxide[J]. J Am Dent Assoc, 2003, 134(2): 167-175.
[15] Ontiveros JC, Paravina RD.Colour change of vital teeth exposed to bleaching performed with and without supplementary light[J]. J Dent, 2009, 37(11): 840-847.
[16] Yazici AR, Khanbodaghi A, Kugel G.Effects of an in-office bleaching system (ZOOM) on pulp chamber temperature in vitro[J]. J Contemp Dent Pract, 2007, 8(4): 19-26.

增龄性变色牙和四环素牙冷光美白的临床效果评价

Evaluation of the effectiveness of cold-light whitening technique on tetracycline pigmentation teeth and aged extrinsic stain teeth

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