氟斑牙正畸托槽粘接表面处理方法的研究进展

doi:10.12016/j.issn.2096-1456.2021.01.012

口腔疾病防治 ›› 2021, Vol. 29 ›› Issue (1): 69-72.DOI: 10.12016/j.issn.2096-1456.2021.01.012

• 综述 • 上一篇

氟斑牙正畸托槽粘接表面处理方法的研究进展

孙雨虹¹(),李康²,杨宏宇¹,白雪芹¹()

1.北京大学深圳医院口腔医学中心,广东深圳（518036）
2.香港大学牙学院,中国香港特别行政区（999077）

收稿日期:2020-04-22 修回日期:2020-05-15 出版日期:2021-01-20 发布日期:2020-11-18
通讯作者: 白雪芹
作者简介:孙雨虹,医师,硕士,Email: sunyuhong1024@whu.edu.cn
基金资助:
广东省自然科学基金(2019A1515011911)

Research progress on bracket bonding for dental fluorosis

SUN Yuhong¹(),LI Kang²,YANG Hongyu¹,BAI Xueqin¹()

1. Stomatology Center of Peking University Shenzhen Hospital, Shenzhen 518036, China
2. Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China

Received:2020-04-22 Revised:2020-05-15 Online:2021-01-20 Published:2020-11-18
Contact: Xueqin BAI
Supported by:
Natural Science Foundation of Guangdong Province(2019A1515011911)

摘要/Abstract

摘要：

氟斑牙正畸托槽粘接一直是困扰临床医生的难题。目前临床上可采用延长酸蚀时间、釉质微打磨、微预备、粘接促进剂和激光酸蚀等方法促进氟斑牙粘接,延长酸蚀时间适用于轻中度氟斑牙,操作简便,但过度酸蚀会造成釉质破坏;微打磨适用于轻度氟斑牙,需橡皮障保护,促进粘接的同时可去除表面色素沉着;微预备可显著提升各类氟斑牙粘接强度,但需磨除表层釉质;粘接促进剂可能提升中重度氟斑牙粘接强度,但现有研究结果仍存争议,需后续大样本临床研究验证;最新的激光处理无明显改善粘接强度,但能有效去除色素,无牙齿损伤,还需后续进一步研究改良。

关键词: 氟斑牙, 正畸治疗, 托槽粘接, 酸蚀, 微打磨, 微预备, 粘接促进剂, 激光

Abstract:

Bonding of brackets to dental fluorosis has always been a difficult problem for clinicians. At present, clinical research has adopted several methods to facilitate bracket bonding, including prolonging etching time, enamel microabrasion, enamel ground, using adhesion promoter and laser etching. Prolonging etching time is suitable for mild-to-moderate dental fluorosis with easy chair-side operation; however, over-etching may cause severe tooth damage. Microabrasion can be applied to mild dental fluorosis while removing pigment deposition simultaneously; however, rubber dam protection is needed. Enamel ground can improve the bond strength to all kinds of dental fluorosis at the price of removing a relatively large amount of superficial enamel. Adhesion promoters might improve the bond strength of moderate to severe dental fluorosis; however, the current results conflict with one another. This needs further verification using larger-sample clinical trials. Laser etching has no effect on improving bond strength; however, it can remove pigment without destroying tooth enamel, which is worth further modification and enhancement.

Key words: dental fluorosis, orthodontics, bracket bonding, acid etching, microabrasion, micropreparation, adhesion promoter, laser

中图分类号:

孙雨虹,李康,杨宏宇,白雪芹. 氟斑牙正畸托槽粘接表面处理方法的研究进展[J]. 口腔疾病防治, 2021, 29(1): 69-72.

SUN Yuhong,LI Kang,YANG Hongyu,BAI Xueqin. Research progress on bracket bonding for dental fluorosis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(1): 69-72.

参考文献 26

[1]	Denbesten PK, Giambro NJ. Dental enamel formation to destruction[M]. Florida: CRC Press, 2017: 245-264.
[2]	Martinez-Mier EA, Shone DB, Buckley CM , et al. Relationship between enamel fluorosis severity and fluoride content[J]. J Dent, 2016,46:42-46. doi: 10.1016/j.jdent.2016.01.007. DOI URL PMID
[3]	Siqueira FSF, Armas-Vega A, Izquierdo-Bucheli A , et al. Does the conditioning mode and duration of universal adhesives affect the bonding effectiveness to fluorotic enamel?[J]. J Adhes Dent, 2019,21(6):525-536. doi: 10.1016/j.jdent.2016.01.007. DOI URL PMID
[4]	Cavalheiro JP, Girotto BD, Restrepo M , et al. Clinical aspects of dental fluorosis according to histological features: a Thylstrup Fejerskov index review[J]. CES Odontol, 2017,30(1):41-50. doi: 10.21615/cesodon.30.1.4. DOI URL
[5]	吴佳奇, 孙传玺, 陈露祎 , 等. 正畸间接粘接技术的研究进展[J]. 口腔疾病防治, 2019,27(3):194-197. doi: 10.12016/j.issn.2096-1456.2019.03.010.
	Wu JQ, Sun CX, Chen LY , et al. Research progress of orthodontic indirect bonding technology[J]. J Prev Treat Stomatol Dis, 2019,27(3):194-197. doi: 10.12016/j.issn.2096-1456.2019.03.010.
[6]	Ibrahim AI, Thompson VP, Deb S . A Novel etchant system for orthodontic Bracket Bonding[J]. Sci Rep, 2019,9(1):1-15. doi: 10.1038/s41598-019-45980-9. DOI URL PMID
[7]	Wilson SM, Lien W, Lee DP , et al. Confocal microscope analysis of depth of etch between self-limiting and traditional etchant systems[J]. Angle Orthod, 2017,87(5):766-773. doi: 10.2319/120816-880.1. DOI URL PMID
[8]	Torres-Gallegos I, Zavala-Alonso V, Patiño-Marín N , et al. Enamel roughness and depth profile after phosphoric acid etching of healthy and fluorotic enamel[J]. Aust Dent J, 2012,57(2):151-156. doi: 10.1111/j.1834-7819.2012.01677.x. DOI URL
[9]	Najafi HZ, Moshkelgosha V, Khanchemehr A , et al. The effect of four surface treatment methods on the shear bond strength of metallic brackets to the fluorosed enamel[J]. J Dent, 2015,16(3 Suppl):251-259.
[10]	DeVito-Moraes AG, Francci C, Vidal CMP , et al. Phosphoric acid concentration affects dentinal MMPs activity[J]. J Dent, 2016,53:30-37. doi: 10.1016/j.jdent.2016.06.002. DOI URL PMID
[11]	Romero MF, Babb CS, Delash J , et al. Minimally invasive esthetic improvement in a patient with dental fluorosis by using microabrasion and bleaching: a clinical report[J]. J Prosthet Dent, 2018,120(3):323-326. doi: 10.1016/j.prosdent.2017.12.024. DOI URL PMID
[12]	Akpata ES . Occurrence and management of dental fluorosis[J]. Int Dent J, 2001,51(5):325-333. doi: 10.1002/j.1875-595x.2001.tb00845.x. DOI URL PMID
[13]	Bassir MM, Rezvani MB, Ghomsheh ET , et al. Effect of different surface treatments on microtensile bond strength of composite resin to normal and fluorotic enamel after microabrasion[J]. J Dent (Tehran), 2016,13(6):431-437.
[14]	Sundfeld D, Pavani CC, Pini N , et al. Enamel microabrasion and dental bleaching on teeth presenting severe-pitted enamel fluorosis: a case report[J]. Oper Dent, 2019,44(6):566-573. doi: 10.2341/18-116-T. DOI URL PMID
[15]	Duan Y, Chen X, Wu J . Clinical comparison of bond failures using different enamel preparations of severely fluorotic teeth[J]. J Clin Orthod, 2006, 40(3):152-154; quiz 159. URL PMID
[16]	Ermis RB, De Munck J, Cardoso MV , et al. Bonding to ground versus unground enamel in fluorosed teeth[J]. Dent Mater, 2007,23(10):1250-1255. doi: 10.1016/j.dental.2006.11.005. DOI URL
[17]	Di Giovanni T, Eliades T, Papageorgiou SN . Interventions for dental fluorosis: a systematic review[J]. J Esthet Restor Dent, 2018,30(6):502-508. doi: 10.1111/jerd.12408. DOI URL PMID
[18]	Jhalani A, Sidhu MS, Grover S , et al. Effects of two adhesion boosters on depth of penetration of orthodontic adhesive on fluorosed and normal enamel: a confocal microscopic study[J]. J Indian Orthod Soc, 2017,51(1):22-27. doi: 10.4103/0301-5742.199244. DOI URL
[19]	Tauscher S, Angermann J, Catel Y , et al. Evaluation of alternative monomers to HEMA for dental applications[J]. Dent Mater, 2017,33(7):857-865. doi: 10.1016/j.dental.2017.04.023. DOI URL PMID
[20]	Gaur A, Maheshwari S, Verma SK , et al. Effects of adhesion promoter on orthodontic bonding in fluorosed teeth: A scanning electron microscopy study[J]. J Orthod Sci, 2016,5(3):87-91. doi: 10.4103/2278-0203.186165. DOI URL PMID
[21]	Noble J, Karaiskos NE, Wiltshire WA . In vivo bonding of orthodontic brackets to fluorosed enamel using an adhesion promotor[J]. Angle Orthod, 2008,78(2):357-360. doi: 10.2319/020207-53.1. DOI URL PMID
[22]	Marure PS, Mahamuni A, Ambekar AS , et al. Orthodontic bracket bonding challenge for fluorosed teeth[J]. J Int Oral Health, 2016,8(4):476-480. doi: 10.2047/jioh-08-04-13.
[23]	Baherimoghadam T, Akbarian S, Rasouli R , et al. Evaluation of enamel damages following orthodontic bracket debonding in fluorosed teeth bonded with adhesion promoter[J]. Eur J Dent, 2016,10(02):193-198. doi: 10.4103/1305-7456.178296. DOI URL
[24]	Gulec L, Koshi F, Karakaya İ , et al. Micro-shear bond strength of resin cements to Er, Cr: YSGG laser and/or acid etched enamel [J]. Laser Phys, 2018,28(10):105601. doi: 10.1088/1555-6611/aad0e9. DOI URL
[25]	Nalcaci R, Temel B, Türkkahraman H , et al. Effects of laser etching on shear bond strengths of brackets bonded to fluorosed enamel[J]. Niger J Clin Pract, 2017,20(5):545-551. doi: 10.4103/1119-3077.183245. DOI URL PMID
[26]	Shafiei F, Jowkar Z, Fekrazad R , et al. Micromorphology analysis and bond strength of two adhesives to Er, Cr: YSGG laser-prepared vs. Bur-prepared fluorosed enamel[J]. Microsc Res Tech, 2014,77(10):779-784. doi: 10.1002/jemt.22399. DOI URL PMID

氟斑牙正畸托槽粘接表面处理方法的研究进展

Research progress on bracket bonding for dental fluorosis

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 26

相关文章 15

编辑推荐

Metrics

[1]	高也,吕学超,高雪峰,刘宇昊,刘英群. 两种止血剂对乳牙牙本质全酸蚀及自酸蚀粘接效果的影响[J]. 口腔疾病防治, 2021, 29(9): 591-595.
[2]	陈静,陈文川. 瓷表面处理用氢氟酸替代物四丁基双氟氢氟化铵研究进展[J]. 口腔疾病防治, 2021, 29(9): 629-633.
[3]	吴补领,罗奕菲,徐稳安,童忠春. 恒牙牙髓炎的活髓保存治疗[J]. 口腔疾病防治, 2021, 29(7): 433-441.
[4]	赖展文,胡子洋,潘笑,郝燕清,林梓桐. 前牙开牙合患者颞下颌关节间隙及髁突形态的锥形束CT评价[J]. 口腔疾病防治, 2021, 29(7): 468-473.
[5]	邢小宇,李艳萍,张琳,何丽娜,刘会梅,牛玉梅. 根管超声冲洗的计算流体动力学分析[J]. 口腔疾病防治, 2021, 29(6): 377-382.
[6]	周美西,朱琳虹. 影响牙齿美白效果的因素[J]. 口腔疾病防治, 2021, 29(6): 428-432.
[7]	杨雪莲,刘夏青,杨琪,冯帆,李雅丹,李英. Er: YAG激光应用于牙齿漂白的研究进展[J]. 口腔疾病防治, 2021, 29(5): 351-355.
[8]	马超群,刘猛,仇珺,廖紫璇,周唯,陈吉华. 牙体组织粘接界面观察分析方法的研究进展[J]. 口腔疾病防治, 2021, 29(5): 356-360.
[9]	陈泽策,龙茜,管晓燕,刘建国. MicroRNA-21调控破骨和成骨分化作用在正畸治疗中的研究进展[J]. 口腔疾病防治, 2021, 29(3): 211-216.
[10]	陈爽,薛欣,金星爱,刘英群. 牙本质表面处理对树脂改性玻璃离子水门汀粘接强度的影响[J]. 口腔疾病防治, 2021, 29(2): 130-134.
[11]	黄湘雅,蔡艳玲,韦曦. 显微根尖手术的全周期管理[J]. 口腔疾病防治, 2021, 29(10): 649-655.
[12]	周敏,许来俊. 新型消毒方式对根管内粪肠球菌清除作用的研究进展[J]. 口腔疾病防治, 2020, 28(9): 607-612.
[13]	张雯,谢文强,郑美华,孔祥波. 激光选区熔化钛合金可摘局部义齿支架的临床应用[J]. 口腔疾病防治, 2020, 28(4): 231-235.
[14]	陈造,陈露,刘琦,吴补领. 四种自酸蚀粘接剂在老化玻璃纤维增强树脂中的渗透比较[J]. 口腔疾病防治, 2020, 28(3): 158-162.
[15]	苗倩,彭朋,董晓曦,马遥,张锡忠. 低能量激光对大鼠牙移动后保持过程中破骨细胞和胶原纤维改建的影响[J]. 口腔疾病防治, 2020, 28(12): 776-780.