牙釉质白垩斑的非手术治疗方法研究进展

Research advances in non-surgery treatment of tooth enamel opaque spots

牙釉质白垩斑是由于牙釉质去矿化形成的白垩色点或斑,若未进行及时控制将继续发展形成龋洞。儿童龋病具有发病率高、发病早的特点,其中牙釉质白垩斑是常见特征,且随着儿童早期矫治干预及正畸治疗的增加,牙釉质更易出现去矿化,牙釉质白垩斑发生增多。目前临床上一般采取非手术治疗,使其病变终止或消除。氟制剂是经典的再矿化治疗手段,无定形磷酸钙及衍生物能够模仿生理牙釉质矿化的过程,除此之外,生物活性玻璃和自组装肽P11-4也能促进去矿化牙釉质的再矿化,渗透树脂及微研磨能获得及时且美观的牙釉质白垩斑治疗效果。现对牙釉质再矿化系统及非手术治疗研究进展作一综述,为龋病的控制及牙釉质白垩斑的治疗提供参考。

Tooth enamel opaque spots is a chalky spot or spot formed by enamel demineralization,if not controlled in time,it will continue to develop and form cavities.Dental caries in children has the characteristics of high incidence and early onset,among which tooth enamel opaque spots is a common feature.With the increase of early treatment and orthodontic treatment in children,enamel demineralization,and tooth enamel opaque spots are more likely to occur.At present,non-surgical treatment is generally adopted in clinical practice to terminate or eliminate the lesion.Fluoride is a classic remineralization therapy.Amorphous calcium phosphate and its derivatives can mimic the physiological enamel mineralization process.In addition,bioactive glass and self-assembling peptide P11-4 can also promote the remineralization of demineralized enamel.Resin penetration and micro-grinding can obtain timely and beautiful treatment effect of tooth enamel opaque spots.This article reviews the research progress of enamel remineralization system and non-surgical treatment,so as to provide reference for the control of caries and the treatment of tooth enamel opaque spots.