Comparative evaluation of quantitative color changes in discolored anterior teeth by bleaching, resin infiltration, and microabrasion: A randomized clinical trial.

Neelam Mittal, Harakh Chand Baranwal, Shubham M Kharat, Aiyman Ayubi, Silviya Samad, Harshitaa Aggarwal
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Abstract

Objective: This study aims to evaluate and compare the effects of bleaching, microabrasion, and resin infiltration (RI) techniques on discolored vital anterior teeth.

Materials and methods: Patients with anterior vital teeth with brown discolorations were selected for this study. The sample size was estimated at 15 teeth per group and assigned according to the treatment done: Group 1 (microabrasion), Group 2 (microabrasion and RI), Group 3 (microabrasion, bleaching, and RI), Group 4 (bleaching and RI), and Group 5 (bleaching). Standardized photographs were taken at the preoperative visit (T1), immediately after treatment (T2), and during the follow-up visit after 1 week (T3), and at 6 months (T4). The photographs were analyzed using (L* a* b*) values with the help of Adobe Photoshop 2021 software to show the assessment of values. Respective values were used to evaluate a quantitative evaluation of color change (ΔE).

Results: The highest value change (ΔE = 20.72 ± 3.06) was seen in Group 3 which was statistically significant, suggesting that microabrasion and bleaching followed by RI offer better results than the other groups.

Conclusion: Combining microabrasion, bleaching, and RI techniques offers the best treatment outcome for tooth discolorations among all groups.

漂白、树脂浸润和微磨蚀对变色前牙定量颜色变化的比较评价:一项随机临床试验。
目的:评价和比较漂白、微磨蚀和树脂浸润(RI)技术对变色前牙的治疗效果。材料与方法:选择有褐色变色的前生牙患者作为研究对象。估计每组15颗牙齿的样本量,并根据所做的治疗进行分配:第1组(微磨损)、第2组(微磨损和RI)、第3组(微磨损、漂白和RI)、第4组(漂白和RI)和第5组(漂白)。术前(T1)、治疗后(T2)、1周后(T3)和6个月后(T4)随访时拍摄标准化照片。在Adobe Photoshop 2021软件的帮助下,使用(L* a* b*)值对照片进行分析,以显示值的评估。使用各自的值对颜色变化进行定量评价(ΔE)。结果:3组的变化值最高(ΔE = 20.72±3.06),差异有统计学意义,说明微磨蚀漂白后再进行RI治疗效果较好。结论:结合微磨蚀、漂白和RI技术治疗牙齿变色在所有组中效果最好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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