
牙齿漂白技术的临床应用策略
张敏, 李继遥
牙齿漂白技术的临床应用策略
Clinical strategies for dental bleaching
牙齿漂白技术是微创治疗牙齿着色的有效方法之一。漂白技术实施简单,但是临床应用中颇具挑战性。术前进行充分的医患沟通和评估,根据病因和难度制定个性化方案,对于治疗中可能出现的问题进行有计划地防控,是治疗取得成功的关键。本文结合文献回顾和笔者的临床体会,对活髓牙漂白技术的临床策略进行探讨,以期为着色牙的漂白治疗提供参考。
Vital tooth bleaching is one of the effective methods for the minimally invasive treatment of discolored tooth. Tooth bleaching techniques is simpler than other dental treatments, but challenges are still encountered in clinical practice. For a successful treatment, some key issues must be addressed through doctor-patient communication before treatment, and personalized treatment plans based on the etiology and difficulty of cases and the planned prevention and management of potential clinical complications during treatment must be considered. This article combines literature review and the author’s clinical experience to discuss clinical strategies for tooth-whitening treatment, aiming to provide a reference for dental bleaching treatment in clinical settings.
dental bleaching / discolored tooth / bleaching planning / sensitivity / colour regression
R781.2
1 | 中华口腔医学会口腔修复学专业委员会. 牙齿漂白治疗技术指南[J]. 中华口腔医学杂志, 2021, 56(12): 1191-1196. |
1 | Prosthetics Professional Committee of Chinese Stomatological Association. Guideline of tooth blea-ching technology[J]. Chin J Stomatol, 2021, 56(12): 1191-1196. |
2 | Kashima-Tanaka M, Tsujimoto Y, Kawamoto K, et al. Generation of free radicals and/or active oxygen by light or laser irradiation of hydrogen peroxide or sodium hypochlorite[J]. J Endod, 2003, 29(2): 141-143. |
3 | Kwon SR, Wertz PW. Review of the mechanism of tooth whitening[J]. J Esthet Restor Dent, 2015, 27(5): 240-257. |
4 | Alkahtani R, Stone S, German M, et al. A review on dental whitening[J]. J Dent, 2020, 100: 103423. |
5 | Haywood VB. Current status and recommendations for dentist-prescribed, at-home tooth whitening[J]. Contemp Esthet Restorative Pract, 1999, 3: 2-9. |
6 | Haywood VB. An examination for nightguard vital bleaching[J]. Esthet Dent Update, 1995, 6(2): 51-52. |
7 | Tay LY, Kose C, Herrera DR, et al. Long-term efficacy of in-office and at-home bleaching: a 2-year double-blind randomized clinical trial[J]. Am J Dent, 2012, 25(4): 199-204. |
8 | Matis BA, Cochran MA, Wang G, et al. A clinical evaluation of two in-office bleaching regimens with and without tray bleaching[J]. Oper Dent, 2009, 34(2): 142-149. |
9 | Rodríguez-Martínez J, Valiente M, Sánchez-Martín MJ. Tooth whitening: from the established treatments to novel approaches to prevent side effects[J]. J Esthet Restor Dent, 2019, 31(5): 431-440. |
10 | Zekonis R, Matis BA, Cochran MA, et al. Clinical evaluation of in-office and at-home bleaching treatments[J]. Oper Dent, 2003, 28(2): 114-121. |
11 | Matis BA, Cochran MA, Eckert G, et al. The efficacy and safety of a 10% carbamide peroxide blea-ching gel[J]. Quintessence Int, 1998, 29(9): 555-563. |
12 | Matis BA, Cochran MA, Eckert G. Review of the effectiveness of various tooth whitening systems[J]. Oper Dent, 2009, 34(2): 230-235. |
13 | de Geus JL, Wambier LM, Boing TF, et al. At-home bleaching with 10% vs more concentrated car-bamide peroxide gels: a systematic review and meta-analysis[J]. Oper Dent, 2018, 43(4): E210-E222. |
14 | Zhong BJ, Yang S, Hong DW, et al. The efficacy of at-home, in-office, and combined bleaching regimens: a randomized controlled clinical trial[J]. Oper Dent, 2023, 48(3): E71-E80. |
15 | de Geus JL, Wambier LM, Kossatz S, et al. At-home vs in-office bleaching: a systematic review and meta-analysis[J]. Oper Dent, 2016, 41(4): 341-356. |
16 | Bowles WH, Ugwuneri Z. Pulp chamber penetration by hydrogen peroxide following vital bleaching procedures[J]. J Endod, 1987, 13(8): 375-377. |
17 | Carneiro TS, Favoreto MW, Mena-Serrano A, et al. In vitro evaluation of the effect of different blea-ching varnishes: hydrogen peroxide penetration into the pulp chamber and color change[J]. J Esthet Restor Dent, 2024, 36(2): 402-409. |
18 | Fugaro JO, Nordahl I, Fugaro OJ, et al. Pulp reaction to vital bleaching[J]. Oper Dent, 2004, 29(4): 363-368. |
19 | 薛舒尹, 叶玲. 活髓牙漂白引起牙齿敏感的研究进展[J]. 国际口腔医学杂志, 2017, 44(5): 602-607. |
19 | Xue SY, Ye L. Etiology and preventions of blea-ching sensitivity in vital tooth[J]. Int J Stomatol, 2017, 44(5): 602-607. |
20 | Li Y, Greenwall L. Safety issues of tooth whitening using peroxide-based materials[J]. Br Dent J, 2013, 215(1): 29-34. |
21 | do Amaral FL, Sasaki RT, da Silva TC, et al. The effects of home-use and in-office bleaching treatments on calcium and phosphorus concentrations in tooth enamel: an in vivo study[J]. J Am Dent Assoc, 2012, 143(6): 580-586. |
22 | Wang YN, Gao JX, Jiang T, et al. Evaluation of the efficacy of potassium nitrate and sodium fluoride as desensitizing agents during tooth bleaching treatment-a systematic review and meta-analysis[J]. J Dent, 2015, 43(8): 913-923. |
23 | Krishnakumar K, Tandale A, Mehta V, et al. Post-ope-rative sensitivity and color change due to in-office bleaching with the prior use of different desensiti-zing agents: a systematic review[J]. Cureus, 2022, 14(4): e24028. |
24 | Martini EC, Favoreto MW, Rezende M, et al. Topical application of a desensitizing agent containing potassium nitrate before dental bleaching: a syste-matic review and meta-analysis[J]. Clin Oral Investig, 2021, 25(7): 4311-4327. |
25 | Markowitz K, Strickland M. The use of anti-inflammatory drugs to prevent bleaching-induced tooth sensitivity is ineffective and unnecessary[J]. Evid Based Dent, 2020, 21(4): 130-131. |
26 | Paula E, Kossatz S, Fernandes D, et al. The effect of perioperative ibuprofen use on tooth sensitivity caused by in-office bleaching[J]. Oper Dent, 2013, 38(6): 601-608. |
27 | Al Shethri S, Matis BA, Cochran MA, et al. A clinical evaluation of two in-office bleaching products[J]. Oper Dent, 2003, 28(5): 488-495. |
28 | Matis BA, Cochran MA, Franco M, et al. Eight in-office tooth whitening systems evaluated in vivo: a pilot study[J]. Oper Dent, 2007, 32(4): 322-327. |
29 | Moghadam FV, Majidinia S, Chasteen J, et al. The degree of color change, rebound effect and sensitivity of bleached teeth associated with at-home and power bleaching techniques: a randomized clinical trial[J]. Eur J Dent, 2013, 7(4): 405-411. |
30 | Tay LY, Kose C, Herrera DR, et al. Long-term efficacy of in-office and at-home bleaching: a 2-year double-blind randomized clinical trial[J]. Am J Dent, 2012, 25(4): 199-204. |
31 | Al-Tarakemah Y, Darvell BW. On the permanence of tooth bleaching[J]. Dent Mater, 2016, 32(10): 1281-1288. |
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