窩溝封填劑的操作及發展現狀

10.6666/ClinMed.201805_81(5).0052

謝春怡

齲齒預防(caries prevention) ； 窩溝封填劑(pit and fissure sealant) ； 含氟的(fluoride-containing) ； 親水性的(hydrophilic)

臨床醫學月刊

81卷5期（2018 / 05 / 25）

286 - 289

繁體中文

窩溝封填劑的使用目前被認為是預防窩溝齲蝕最有效的方法。雖然近年來有推出含氟的、或親水性的樹脂類封劑，希冀能提升預防齲齒的效果或改善疏水性材料使用上的限制，現今使用時的第一選擇仍以疏水性樹脂類封劑為主。在操作方面，酸蝕前的窩溝處理(包括牙釉質成形術、氣動研磨、鉺雅鉛雷射)及延長酸蝕時間的常規必要性，在實驗研究結果看來並不會對封填結果產生影響；而黏著劑的使用則被認為可以增加封劑的長期固持力。最後在安全考量方面，雖然有人提出使用樹脂類窩溝封填劑會產生類女性荷爾蒙的物質而有潛在影響胚胎分化的危險，但目前研究證據皆否決此點的影響性，並認為使用上是安全的。

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