The use of a <i>‘bleach‐etch‐seal’</i> deproteinization technique on MIH affected enamel

Gandhi, Shan; Crawford, P. J. M.; Shellis, Peter

doi:10.1111/j.1365-263x.2011.01212.x

Cited by 24 publications

(31 citation statements)

References 17 publications

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“…It is postulated that etching helps to increase access into the enamel to facilitate protein breakdown by NaOCl, putatively allowing better infiltration of the bonding agent and improved bonding to hypomineralised enamel. A recent study on hypomineralised enamel found a high predictability of obtaining ‘poor’ fissure sealant resin sealant tags and no difference in tag quality when 5% NaOCl was added to pre‐etching and sealing . The use of NaOCl post‐etching rather than pre‐etching and the additional use of a bonding agent prior to sealing could possibly have improved tag quality in this study – further research is warranted …”

Section: Discussionmentioning

confidence: 72%

“…A recent study on hypomineralised enamel found a high predictability of obtaining 'poor' fissure sealant resin sealant tags and no difference in tag quality when 5% NaOCl was added to preetching and sealing. 21 The use of NaOCl postetching rather than pre-etching and the additional use of a bonding agent prior to sealing could possibly have improved tag quality in this studyfurther research is warranted. 21,22 In this study, it was found that the greatest bond strengths to hypomineralised enamel occurred when the enamel was pre-treated with NaOCl followed by resin infiltration.…”

mentioning

confidence: 89%

“…21 The use of NaOCl postetching rather than pre-etching and the additional use of a bonding agent prior to sealing could possibly have improved tag quality in this studyfurther research is warranted. 21,22 In this study, it was found that the greatest bond strengths to hypomineralised enamel occurred when the enamel was pre-treated with NaOCl followed by resin infiltration. Interestingly, although there were more adhesive interfaces in this group (between enamel and infiltrant, infiltrant and bond, bond and composite resin), which may all be susceptible to adhesive failure, bond strength was not adversely affected.…”

mentioning

confidence: 89%

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The effect of resin infiltration and oxidative pre‐treatment on microshear bond strength of resin composite to hypomineralised enamel

Chay

Manton

Palamara

2013

Int J Paed Dentistry

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Section: Discussionmentioning

confidence: 72%

mentioning

confidence: 89%

mentioning

confidence: 89%

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The effect of resin infiltration and oxidative pre‐treatment on microshear bond strength of resin composite to hypomineralised enamel

Chay

Manton

Palamara

2013

Int J Paed Dentistry

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“…The authors reported a statistically significant difference between group II (restoration without deproteinization) and group III, which suggests that in cavities without removal of all hypomineralized enamel sodium hypochlorite may help in achieving better bond strength although preventing major tissue loss. However, further research is required in order to evaluate the clinical efficacy of this technique because just a few studies on this topic have been conducted …”

Section: Discussionmentioning

confidence: 99%

Dental hypomineralization treatment: A systematic review

Coelho

Mata²,

Lino

et al. 2018

J Esthet Restor Dent

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Introduction Defects in the maturation stage of amelogenesis result in a normal volume of enamel but insufficient mineralization, called hypomineralization. Molar‐incisor hypomineralization (MIH), amelogenesis imperfecta and dental fluorosis (DF) are examples of such defects. Objective To evaluate the effectiveness of the treatments applied to the different forms of dental hypomineralization. Materials and Methods PubMed, Scopus, Cochrane Library, Web of Science, and Embase were screened. The research was limited to studies published in English, Spanish, and Portuguese, until May 30, 2018. The research question was formulated following the Population, Intervention, Comparison, Outcome strategy. The quality of the methodology of each article was evaluated employing the Cochrane Handbook for Systematic Reviews. Results From the initial research, 7895 references were obtained, of which 33 were included in the systematic review. The following treatments were reported: desensitizing and remineralizing products, resin infiltration, restorations, fissure sealants, tooth bleaching, enamel microabrasion and calcium, and vitamins supplements. Conclusions Although the results are suggestive, there is a clear need for a greater uniformity of the methodologies, thus allowing for the development of clinical guidelines. Nevertheless, it was possible to identify several effective treatments for teeth with MIH (arginine pastes or fluoride varnishes) and DF (tooth bleaching and/or enamel microabrasion). Clinical Significance Because MIH, amelogenesis imperfecta, and DF are commonly seen in dental daily practice, it is extremely important to analyze the literature regarding its treatment.

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“…One of them uses artificially demineralized enamel and, therefore, it is not going to be taken into consideration at this point. The first study in 2012 by Gandhi et al investigates the tag formation between the conventional technique of 'etch and seal' and the incorporation of 2.5% NaOCl with or without etching 26 . There was no significant difference between the etch-seal and the bleach-etchseal technique and no benefit from using only NaOCl without etching 26 .…”

Section: A) Etching and Pretreatmentmentioning

confidence: 99%

Adhesion to enamel of teeth affected by molar incisor hypomineralization: Literature review

Theocharidou¹,

Arapostathis²

2018

Balkan J Dent Med

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SummaryBackground/Aim: Molar incisor hypomineralization (MIH) is a qualitative defect of systemic origin, affecting permanent first molars and often permanent incisors. The treatment modalities can include, amongst others, fissure sealants for prevention of dental caries and composite restorations. Both require adhesion to tooth structure. The aim of this study was to review the literature on the adhesion to enamel affected by MIH.Material and Methods: A search of PupMed/Medline, ResearchGate and Google Scholar was performed and limited between 2003, when the judgement criteria for MIH were set, and 2016. Thirty-three papers were considered relevant to the subject including five in vivo and six in vitro studies. Studies involving less than ten teeth were excluded.Results: A four-year clinical trial showed that the application of a total-etch 2-step adhesive system prior to sealant placement is superior to the etch-seal technique. Despite the high success rate of composite restorations shown in three clinical longitudinal studies, there are conflicting results over self-etch being superior to total etch adhesive systems. Pretreating the enamel surface, prior to the adhesive system, with fluoride preventive solutions could reduce the mikroleakage under orthodontic brackets. Three in vitro studies provide inconsistent data about NaOCl pretreating potentials to improve adhesion of composite restorations. Resin infiltration, prior to resin restorations, could improve the microhardness of defected enamel, which may lead to increased bond strength, especially in combination with NaOCl pretreatment.Conclusions: Adhesion to enamel affected by molar incisor hypomeralization is inferior compared to normal enamel. Sealants applied with the etch-bond-seal technique have greater retention than with the etch-seal technique. Further research is required to provide evidence of the effectiveness of the adhesive system and pretreatment to achieve optimal bonding to MIH.

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The use of a ‘bleach‐etch‐seal’ deproteinization technique on MIH affected enamel

Cited by 24 publications

References 17 publications

The effect of resin infiltration and oxidative pre‐treatment on microshear bond strength of resin composite to hypomineralised enamel

The effect of resin infiltration and oxidative pre‐treatment on microshear bond strength of resin composite to hypomineralised enamel

Dental hypomineralization treatment: A systematic review

Adhesion to enamel of teeth affected by molar incisor hypomineralization: Literature review

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