Orthodontic treatment of children with class II division 1 with severe MIH involving first permanent molars extractions: A case report

Moulis, Estelle; Barthelemi, Stéphane; Delsol, Laurent

doi:10.1016/j.ortho.2020.09.008

Cited by 1 publication

(2 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Different approaches have been used to treat permanent first molars affected by MIH. Although various caries removal techniques and restorative materials have been the subject of many studies, tooth extraction followed by orthodontic treatment is also an option [30][31][32][33][34][35]. The process of deciding on treatment is quite complex.…”

Section: Introductionmentioning

confidence: 99%

“…It depends on the tooth, the oral cavity, the occlusion, the expectations of the patient and their parents, the cooperation of the patient, and many other factors. Hypersensitivity-relieving applications, fissure-sealing applications, restorative materials, such as glass ionomers, composite resins, stainless steel crowns, and prosthetic crowns, and restorative techniques, such as selective caries removal, chemomechanical caries removal, stepwise caries removal, and the Hall technique, have been tried on molars [30][31][32][33][34][35]. On the other hand, the number of studies evaluating treatment modalities in affected incisors in patients with MIH is very limited [8,31].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Sezer,

Çarıkçıoğlu

2024

Oral

View full text Add to dashboard Cite

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.

show abstract