Erosion Infiltration in the Management of Molar-Incisor Hypomineralization (MIH) Defects

Mabrouk, Rym; Yahia, Souha; Oueslati, Afef Elloumi; Frih, Nadia

doi:10.1155/2020/8888256

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…If a white spot lesion extends beyond these depths, it might still be visible. Hence, careful consideration in selecting cases is necessary [11,12].…”

Section: Discussionmentioning

confidence: 99%

Management of Turner's Hypoplasia Using Resin Infiltration: A Case Report

Solanki,

Fulzele,

Thosar

et al. 2023

Cureus

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The causes of enamel discoloration can vary, leading to aesthetic concerns for patients. Injuries to primary teeth can lead to developmental issues in permanent successors, with enamel hypoplasia, commonly referred to as Turner's tooth. Diverse methods are available for addressing tooth discoloration. A case of an 11-year-old pediatric patient with a brown patch on the upper left central incisor was reported to the Pediatric Dentistry Department. A well-demarcated, yellowish-brown lesion was present on the labial surface of 21 and was diagnosed as Turner's hypoplasia. Resin infiltration was done using the Icon Smooth Surface (DMG America Company, Englewood, NJ) resin infiltration kit. The resin infiltration technique provides an approach to meet aesthetic requirements. In this case, the resin infiltration technique was successfully utilized to address the discoloration of the left maxillary central incisor, which was affected by Turner's hypoplasia.

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“…If a white spot lesion extends beyond these depths, it might still be visible. Hence, careful consideration in selecting cases is necessary [11,12].…”

Section: Discussionmentioning

confidence: 99%

Management of Turner's Hypoplasia Using Resin Infiltration: A Case Report

Solanki,

Fulzele,

Thosar

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…With the resin infiltration technique, the lesion was masked and treated aesthetically without the need for mechanical abrasion of the tooth. In a case report [54], the resin infiltration technique was applied to a female patient who was diagnosed with hypomineralization due to MIH in her upper central and lateral incisors. Following the resin infiltration procedure applied to the hypomineralized areas, the lesions were masked in a minimally invasive way, and an aesthetic improvement was achieved.…”

Section: Restorative and Aesthetic Approachesmentioning

confidence: 99%

Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review

Sezer,

Çarıkçıoğlu

2024

Oral

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Today, molar incisor hypomineralization (MIH), which affects approximately one in seven children, is defined as a hypomineralized developmental enamel defect that often impacts at least one permanent first molar and frequently affects permanent incisors as well. Symptoms and signs include demarcated opacities of various colors, post-eruptive enamel deterioration, atypical caries and restorations, hypersensitivity, tooth loss due to MIH, and difficulty in achieving anesthesia. A detailed review of the scientific literature shows that there are many studies evaluating different treatment approaches for permanent first molars affected by MIH. On the other hand, there are very few scientific studies evaluating treatment approaches for affected incisors in patients with MIH. Most of these studies consist of case reports or series. White/creamy and/or yellow/brown demarcated opacities are commonly observed in affected incisors in patients with MIH. While these opacities increase the susceptibility of enamel to deterioration and dental caries, they also cause aesthetic problems and related psychosocial consequences. Treatment methods, such as resin infiltration, microabrasion, and/or dental bleaching, have been proposed for aesthetic and restorative purposes in affected incisors in patients with MIH. Additionally, various approaches to increase mineral content and relieve hypersensitivity have been recommended. The number of randomized controlled and prospective studies is quite low, but many case reports and case series have been encountered. The purpose of this review was to provide a comprehensive overview of the different treatment management modalities for permanent incisors affected by MIH. As a result, while resin infiltration, dental bleaching, microabrasion, and/or etch–bleach–seal techniques are preferred for aesthetic and restorative purposes in these teeth, it has been observed that agents containing casein phosphopeptide amorphous calcium phosphate, casein phosphopeptide amorphous calcium fluoride phosphate, fluoride, and calcium glycerophosphate increase the mineral content. Additionally, studies have reported that ozone and low-level laser therapy, in addition to these remineralizing agents, reduce hypersensitivity in these teeth. Although the findings of this review indicate that the level of evidence for current approaches is not high, clinicians may prefer one or more of the treatment approaches mentioned in this article based on experience and patient expectations.

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“…The liquid composite is applied to the lesion and light cured. The last stage is the polishing of the porous surface with rubber discs [9].…”

Section: Iconmentioning

confidence: 99%

Management of Teeth Affected by Molar Incisor Hypomineralization Using a Resin Infiltration Technique—A Systematic Review

et al. 2022

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In recent years, an increase in children diagnosed with molar incisor hypomineralization (MIH) has been observed. Children with MIH show a high failure rate with conservative treatment. The ICON® system (DMG, Hamburg, Germany), which is an infiltration of decalcified lesions with resin, may strengthen the tooth structure, improve its aesthetics, and cure hypersensitivity. The following article is a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Scientific articles in the PubMed and Google Scholar databases describing the use of the ICON system in the treatment of MIH published in the years 2012–2022 were analyzed. Two independent study authors selected publications that show that the ICON system can be used during the treatment of children with MIH. So far, in the literature, there are no standardized protocols for the dental treatment of patients with hypomineralization of the incisors using the ICON system. Therefore, clinicians rarely use this method of treatment. The ICON system may be successfully used to infiltrate tooth decalcification in children with MIH. However, the depth of infiltration and the achievement of enamel hardness after such therapy are not precisely defined.

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Erosion Infiltration in the Management of Molar-Incisor Hypomineralization (MIH) Defects

Cited by 4 publications

References 17 publications

Management of Turner's Hypoplasia Using Resin Infiltration: A Case Report

Management of Turner's Hypoplasia Using Resin Infiltration: A Case Report

Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review

Management of Teeth Affected by Molar Incisor Hypomineralization Using a Resin Infiltration Technique—A Systematic Review

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