In vivo comparative evaluation of esthetics after microabrasion and microabrasion followed by casein phosphopeptide–amorphous calcium fluoride phosphate on molar incisor hypomineralization-affected incisors

Bhandari, Ranu; Thakur, Seema; Singhal, Parul; Chauhan, Deepak; Jayam, Cheranjeevi; Jain, Teerthesh

doi:10.4103/ccd.ccd_852_17

Cited by 17 publications

(20 citation statements)

References 33 publications

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“…Similar to the results of MIH-affected molars, the overall success, as defined by the primary outcome measure and study specific details, are outlined in Table 2 . Three studies investigated resin infiltration (Kim et al 2011 ; Elbaz and Mahfouz 2017 ; Bhandari et al 2018 ) and one study investigated two different microabrasion approaches (Bhandari et al 2019 ).…”

Section: Resultsmentioning

confidence: 99%

“…of participants (drop outs) No. of teeth Primary outcome measure Intervention Success Resin Infiltration Kim et al ( 2011 ) South Korea Prospective cohort Mild 0.25 Mean 12.5 12 (0) 20 Complete masking as detected by colour change using photographic evaluation, CIE L*a*b* scoring method Resin infiltration 25% completely masked, 35% partially masked, 40% unchanged Elbaz & Mahfouz ( 2017 ) Egypt Prospective cohort Mild 1 Range 9–14 10 (0) 20 Colour change using photos and image analysing programme, assessment of radiographs G1: Resin infiltration G2: NaF 6% varnish G1: Mean color difference between sound and white spots significantly decreased, improvement in radiodensity G2: no change following treatment Bhandari et al ( 2018 ) India Prospective cohort Mild 6 Range 7–16 NR 22 Colour change using photographic evaluation, CIE L*a*b* scoring method Resin infiltration Overall colour change following treatment Microabrasion Bhandari et al ( 2019 ) India Randomised trial Mild 6 Range 7–16 NR 43 Colour change using photographic evaluation, CIE L*a*b* scoring method G1: microabrasion pumice slurry 37% phosphoric acid G2: microabrasion and CPP-ACP at home for 6...…”

Section: Resultsmentioning

confidence: 99%

“…In addition, three of these included studies had small participant numbers with follow-up periods of less than 6 months (Kim et al 2011;Elbaz and Mahfouz 2017;Bhandari et al 2018). Similar methodological limitations were noted in the one study that used microabrasion (Bhandari et al 2019). As a technique, microabrasion with either 18% hydrochloric acid or 37% phosphoric acid appears to be effective for improving the aesthetic appearance of anterior opacities (Wong and Winter 2002).…”

Section: Management Of Anterior Teethmentioning

confidence: 86%

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An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review

Somani

Garot

et al. 2021

Eur Arch Paediatr Dent

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Purpose To systematically review the treatment modalities for molar-incisor hypomineralisation for children under the age of 18 years. The research question was, ‘What are the treatment options for teeth in children affected by molar incisor hypomineralisation?’ Methods An electronic search of the following electronic databases was completed MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, LILACS, Google Scholar and Open Grey identifying studies from 1980 to 2020. The PRISMA guidelines were followed. The studies were screened, data extracted and calibration was completed by two independent reviewers. Results Of 6220 potential articles, 34 studies were included. Twenty studies investigated management of molars with fissure sealants, glass ionomer cement, polyacid modified resin composite, composite resin, amalgam, preformed metal crowns, laboratory-manufactured crowns and extractions. In four articles management of incisors with microabrasion, resin-infiltration and a combination of approaches was reported. Eight studies looked at strategies to mineralise MIH-affected teeth and/or reduce hypersensitivity. Two studies investigated patient-centred outcomes following treatment. Due to the heterogeneity between the studies, meta-analysis was not performed. Conclusion The use of resin-based fissure sealants, preformed metal crowns, direct composite resin restorations and laboratory-made restorations can be recommended for MIH-affected molars. There is insufficient evidence to support specific approaches for the management of affected incisors. Products containing CPP-ACP may be beneficial for MIH-affected teeth.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Management Of Anterior Teethmentioning

confidence: 86%

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An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review

Somani

Garot

et al. 2021

Eur Arch Paediatr Dent

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“…Microabrasion with either 18% hydrochloric acid or 37% phosphoric acid followed by casein phosphopeptide-amorphous calcium phosphate (CPP‑ACP) remineralizing agent appears to be effective for improving the aesthetic appearance of whitish creamy opacities (Bhandari et al 2019 ). A pumice slurry or silicon carbide abrasive paste may be used.…”

Section: Treatment Approaches For Mih Teethmentioning

confidence: 99%

Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document

Lygidakis

Garot

Somani

et al. 2021

Eur Arch Paediatr Dent

125

192

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Aim To update the existing European Academy of Paediatric Dentistry (EAPD) 2010 policy document on the ‘Best Clinical Practice guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH).’ Methods Experts, assigned the EAPD, worked on two different topics: (A) Aetiological factors involved in MIH, and (B) Treatment options for the clinical management of MIH. The group prepared two detailed systematic reviews of the existing literature relevant to the topics and following a consensus process produced the updated EAPD policy document on the ‘Best Clinical Practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH).’ The GRADE system was used to assess the quality of evidence regarding aetiology and treatment which was judged as HIGH, MODERATE, LOW or VERY LOW, while the GRADE criteria were used to indicate the strength of recommendation regarding treatment options as STRONG or WEAK/CONDITIONAL. Results (A) Regarding aetiology, it is confirmed that MIH has a multifactorial aetiology with the duration, strength and timing of occurrence of the aetiological factors being responsible for the variable clinical characteristics of the defect. Perinatal hypoxia, prematurity and other hypoxia related perinatal problems, including caesarean section, appear to increase the risk of having MIH, while certain infant and childhood illnesses are also linked with MIH. In addition, genetic predisposition and the role of epigenetic influences are becoming clearer following twin studies and genome and single-nucleotide polymorphisms analyses in patients and families. Missing genetic information might be the final key to truly understand MIH aetiology. (B) Regarding treatment options, composite restorations, preformed metal crowns and laboratory indirect restorations provide high success rates for the posterior teeth in appropriate cases, while scheduled extractions provide an established alternative option in severe cases. There is great need for further clinical and laboratory studies evaluating new materials and non-invasive/micro-invasive techniques for anterior teeth, especially when aesthetic and oral health related quality of life (OHRQoL) issues are concerned. Conclusions MIH has been studied more extensively in the last decade. Its aetiology follows the multifactorial model, involving systemic medical and genetic factors. Further focused laboratory research and prospective clinical studies are needed to elucidate any additional factors and refine the model. Successful preventive and treatment options have been studied and established. The appropriate choice depends on the severity of the defects and the age of the patient. EAPD encourages the use of all available treatment options, whilst in severe cases, scheduled extractions should be considered.

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“…Fluoride-rich apatite is deemed FA. FA is a tightly packed apatite crystal that is less susceptible to acidic attack, so it is a very important factor in prevention, pathogenesis, and treatment of dental demineralization [110][111][112][113][114][115][116].…”

Section: Fluorinementioning

confidence: 99%

Pathophysiology of Demineralization, Part I: Attrition, Erosion, Abfraction, and Noncarious Cervical Lesions

Roberts

Mangum

Schneider

2022

Curr Osteoporos Rep

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Purpose of the Review Compare pathophysiology for infectious and noninfectious demineralization disease relative to mineral maintenance, physiologic fluoride levels, and mechanical degradation. Recent Findings Environmental acidity, biomechanics, and intercrystalline percolation of endemic fluoride regulate resistance to demineralization relative to osteopenia, noncarious cervical lesions, and dental caries. Summary Demineralization is the most prevalent chronic disease in the world: osteoporosis (OP) >10%, dental caries ~100%. OP is severely debilitating while caries is potentially fatal. Mineralized tissues have a common physiology: cell-mediated apposition, protein matrix, fluid logistics (blood, saliva), intercrystalline ion percolation, cyclic demineralization/remineralization, and acid-based degradation (microbes, clastic cells). Etiology of demineralization involves fluid percolation, metabolism, homeostasis, biomechanics, mechanical wear (attrition or abrasion), and biofilm-related infections. Bone mineral density measurement assesses skeletal mass. Attrition, abrasion, erosion, and abfraction are diagnosed visually, but invisible subsurface caries <400μm cannot be detected. Controlling demineralization at all levels is an important horizon for cost-effective wellness worldwide.

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In vivo comparative evaluation of esthetics after microabrasion and microabrasion followed by casein phosphopeptide–amorphous calcium fluoride phosphate on molar incisor hypomineralization-affected incisors

Cited by 17 publications

References 33 publications

An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review

An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review

Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document

Pathophysiology of Demineralization, Part I: Attrition, Erosion, Abfraction, and Noncarious Cervical Lesions

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