多托槽固定正畸治疗与牙釉质白垩斑

White spots lesion on teeth in orthodontically treated patients

白垩斑是龋源性因素导致的牙体釉质表面脱矿,表现为牙体表面牛奶样白色不透明病变。由于粘接技术的使用及多托槽矫治器的影响,牙齿表面被酸蚀或是生物聚集产酸,使牙釉质白垩斑成为临床上一个较为普遍的问题,影响美观与健康。菌斑控制是预防牙釉质白垩斑最有效的方法,而渗透树脂是目前治疗多托槽固定正畸治疗导致的牙釉质白垩斑较为流行的手段。现就多托槽固定正畸治疗与牙釉质白垩斑做一综述。

White spot lesions （WSLs） are defined as ＂subsurface enamel porosity from carious demineralization＂ which present as ＂a milky white opacity located on smooth surfaces＂. Since bracket were bonded and introduced, WSLs have become a particular clinical problem that can be attributed to etching of the tooth and prolonged plaque accumulation on surfaces. Plaque control is the most effective preventive measure, while the use of infihrantresin is currently the most popular treatment for WSLs due to the fixed orthodontic treatment with muhi-braekets. This review was about white spots lesions on teeth in orthodontieally treated patients.