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中华口腔医学研究杂志(电子版) ›› 2019, Vol. 13 ›› Issue (01) : 1 -6. doi: 10.3877/cma.j.issn.1674-1366.2019.01.001

所属专题： 指南与规范； 文献； 指南共识；

指南与共识

复合树脂直接粘接修复中光固化灯使用及操作规范的专家共识
中华口腔医学会牙体牙髓病学专业委员会   
  • 收稿日期:2019-01-03 出版日期:2019-02-01

Consensus recommendations from Chinese experts on the standard operation procedure of curing light in direct composite resin adhesive restorations

Society of Cariology and Endodontology, Chinese Stomatological Association   

  • Received:2019-01-03 Published:2019-02-01
  • About author:
    Corresponding author: Liang Jingping (Department of Endodontics and Operative Dentistry, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center of Stomatology, Shanghai 200011, China) , Email:
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中华口腔医学会牙体牙髓病学专业委员会. 复合树脂直接粘接修复中光固化灯使用及操作规范的专家共识[J]. 中华口腔医学研究杂志(电子版), 2019, 13(01): 1-6.

Society of Cariology and Endodontology, Chinese Stomatological Association. Consensus recommendations from Chinese experts on the standard operation procedure of curing light in direct composite resin adhesive restorations[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2019, 13(01): 1-6.

The curing light in direct composite resin adhesive restorations is a common technique and treatment method in oral clinic. It has many advantages, such as matching the color of the teeth, less removing the hard tissues of the teeth, resistance to abrasion, good masticatory performance and so on. It has almost replaced the traditional amalgam filling in the clinical dentistry repair. However, in clinical practice, improper use of the technique can also lead to increased loss of restorations and postoperative sensitivity. The reason is related not only to the physical and chemical properties of the material itself, but also the operator's lack of understanding and mastering the properties of the light cured material, especially the use rules of the light curing lamp. To this end, in September 2017, the vice chairman of Society of Cariology and Endodontology, Chinese Stomatological Association, professor Liang Jingping, organized a part of professional experts in this field, and invited the chief expert in 3M company, Dr. Joe Oxman, held a meeting about the use principle, operation mode and specification symposium of light curing lamp. Experts at the meeting had a very heated discussion, forming the following consensus.

图1 成形片放置位置示意图[32]
图2 光固化灯照射角度示意图[32]　A：正确的光照角度；B：错误的光照角度；C：光固化范围应覆盖整个修复体
图3 邻面洞在去除成形片后可从颊侧和舌侧增加光固化[32]
图4 大块复合树脂光固化厚度不宜大于4 mm[32]
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