口腔疾病防治 ›› 2018, Vol. 26 ›› Issue (2): 104–108.doi: 10.12016/j.issn.2096-1456.2018.02.007

• 临床研究 • 上一篇    下一篇

两种牙漂白方案的临床评价

宗丽1(), 赵克2()   

  1. 1. 佛山市口腔医院·佛山科学技术学院附属口腔医院修复科, 广东 佛山 (528000)
    2. 中山大学光华口腔医学院·附属口腔医院修复科,广东 广州(510055)
  • 收稿日期:2017-04-20 修回日期:2017-08-10 出版日期:2018-02-20 发布日期:2018-08-31
  • 作者简介:

    【作者简介】 宗丽,主治医师,硕士, Email: 68144949@qq.com

  • 基金资助:
    国家自然科学基金项目(81470767)

Clinical evaluation of two dental bleaching techniques

Li ZONG1(), Ke ZHAO2()   

  1. 1. Department of Prosthodontics, Foshan Stomatology Hospital, School of Stomatology and Medicine, Foshan University, Foshan 528000, China
    2. Department of Prosthodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
  • Received:2017-04-20 Revised:2017-08-10 Online:2018-02-20 Published:2018-08-31

摘要:

目的 比较深层漂白方案与联合漂白方案3个月的漂白效果、牙齿复色程度及牙齿敏感状况。方法 将30名符合纳入标准的患者随机分为2组,第1组上前牙左侧行联合漂白方案,右侧行深层漂白方案,而第2组上前牙左侧行深层漂白方案,右侧行联合漂白方案。漂白治疗前,治疗结束后1 d、7 d、30 d和90 d复诊,使用Olympus Crystaleye 电脑比色仪比色,评价漂白效果及牙齿复色情况。分别于漂白治疗前,治疗结束后1 d和7 d,采用Loe & Sillness 牙龈指数评价牙龈健康状况,视觉模拟疼痛量表(VAS疼痛评分)评价牙齿和牙龈敏感情况。结果 深层漂白方案漂白效果优于联合漂白方案,但更易发生牙齿敏感,其差异有统计学意义(P < 0.05)。两种漂白方案在相同时间内牙齿复色差异无统计学意义(P > 0.05)。结论 深层漂白方案与联合漂白方案均可获得明显的漂白效果,两者在相同时间内牙齿复色程度相当。深层漂白方案比联合漂白方案漂白效果更好,但更易引起牙齿敏感。

关键词: 牙漂白, 联合漂白方案, 深层漂白方案, 牙齿复色, 牙齿敏感

Abstract:

Objective To clinically evaluate the bleaching effect, tooth sensitivity and rebound effect (3-month follow-up) of combined bleaching technique and deep bleaching technique. Methods 30 Patients were recruited according to inclusion and exclusion criteria. Both two dental bleaching techniques, included in-office bleaching followed by at-home bleaching, and at-home bleaching followed by in-office bleaching and at-home bleaching, which were called combined bleaching technique and deep bleaching technique, respectively, were performed in the same mouth in each subject. All subjects received at-home bleaching with 6% hydrogen peroxide (HP) for 1 h/d within 7 days on one side of the dental arch (15 on the left side and the other on the right side), and followed by three 8-minute in-office bleaching treatments in succession with 35% HP on the maxillary anterior teeth, and finally with identical at-home bleaching on the maxillary anterior teeth. Tooth color was objectively evaluated using Olympus Crystaleye Spectrophotometer at the baseline appointment, and 1st, 7th, 30th and 90th day after treatment. The soft tissues and sensitivity of gingival and hard tooth tissues were evaluated using Loe and Silness Gingival Index and Visual Analog Scale (VAS) at baseline, 1st and 7th day after treatment. Results Significantly less prominent color change and tooth sensitivity were observed in teeth received combined bleaching technique, compared with those received deep bleaching technique (P < 0.05). There was no significant difference in color rebound effect between the two bleaching techniques (P > 0.05). Conclusions Both combined bleaching technique and deep bleaching technique show satisfactory effects and the same rebound effect during the same periods of follow-up. Deep bleaching technique is a more effective method of bleaching, however, with high frequency of tooth sensitivity.

Key words: Tooth bleaching, Combined bleaching technique, Deep bleaching technique, Tooth color rebound, Tooth sensitivity

中图分类号: 

  • R783

图1

漂白治疗前 a:右上尖牙; b:右上侧切牙; c:右上中切牙; d:左上中切牙; e:左上侧切牙; f:左上尖牙。"

图2

CBT(右)和DBT(左)处理后 a: 右上尖牙; b: 右上侧切牙; c: 右上中切牙; d: 左上中切牙; e: 左上侧切牙; f: 左上尖牙。"

图3

漂白前后正面微笑照 a:漂白前; b: CBT(右)和DBT(左)处理后。"

表1

CBT与DBT的ΔSG比较"

组别 治疗后时间
1 d 7 d 30 d 90 d
CBT -5.09 ± 2.59 -4.84 ± 2.88 -4.50 ± 2.78 -3.98 ± 2.88
DBT -6.53 ± 2.89 -6.32 ± 2.89 -5.85 ± 3.19 -5.26 ± 3.20
Z -3.447 -3.230 -3.078 -2.744
P 0.001 0.001 0.002 0.006

表2

CBT与DBT的ΔE比较"

组别 治疗后时间
1 d 7 d 30 d 90 d
CBT 6.22 ± 2.56 5.97 ± 2.49 5.47 ± 2.63 5.13 ± 2.56
DBT 8.20 ± 2.90 7.78 ± 2.84 7.20 ± 2.90 6.69 ± 2.78
t -12.360 -12.080 -11.756 -11.620
P < 0.001 < 0.001 < 0.001 < 0.001

表3

CBT和DBT比较漂白完成后各时间段ΔE的统计结果"

组别 1 ~ 7 d 1 ~ 30 d 1 ~ 90 d 7 ~ 30 d 7 ~ 90 d 30 ~ 90 d
CBT 1.29 ± 0.94 1.40 ± 1.01 1.86 ± 1.43 1.29 ± 0.75 1.58 ± 1.23 1.38 ± 1.19
DBT 1.40 ± 1.03 1.52 ± 0.90 2.14 ± 1.58 1.21 ± 0.95 1.81 ± 1.29 1.37 ± 1.20
t -0.871 -1.068 -2.031 0.683 -1.875 0.041
P 0.386 0.288 0.510 0.496 0.670 0.967
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