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氟斑牙的棕黄色着色不但影响美观,并且对患者造成了心理上的负担。有效的去除其表面着色,同时又尽可能地保存牙体组织是氟斑牙治疗方面亟待解决的问题。笔者从1993年～1996年对来我科门诊的氟斑牙病人30例共计95颗牙进行脱色后再矿化的临床观察,现报告如下:1 资料与方法1·1 适应症的选择 患牙为上前牙,有深浅不同的着色,但不伴有组织缺损。牙齿排列及形态无异常。在95颗患牙中,上中切牙60颗,上侧切牙28颗,尖牙7颗。年龄为20～53岁,平均30.5岁。男9例,女21例,以年轻女性为多。1·2 脱色方法 清洗牙面,相应的牙龈涂凡士林保护。隔湿患牙、用棉签蘸脱色液在患牙唇面轻轻涂擦,一次15分钟,每周一次,边涂擦边观察脱色效果,直到着色消失或继续涂药无
The yellow-brown coloring of dental fluorosis not only affects the appearance, but also creates a psychological burden on the patient. Effective removal of the surface coloring, while preserving tooth tissue as much as possible is the dental fluorosis treatment problems to be solved. The author from 1993 to 1996 to come to my clinic outpatient dental fluorosis in 30 patients a total of 95 teeth clinical observation of decolorization remineralization, are as follows: 1 Materials and Methods 1.1 Indications of choice Teeth For the upper teeth, there are different shades of color, but not associated with tissue defects. No abnormal teeth arrangement and morphology. In 95 teeth, 60 upper incisors, 28 upper incisors and 7 canines. Age is 20 ~ 53 years old, average 30.5 years old. 9 males and 21 females, mostly young women. 1.2 decolorization method to clean the tooth surface, the corresponding gums Vaseline protection. Separated wet teeth, with a cotton swab dipped in the decolorizing solution in the affected teeth gently rub the face, a time of 15 minutes once a week, while smear the edge to observe the bleaching effect, until the color disappears or continue to paint