Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review
Abstract
:1. Introduction
2. Search Strategy
3. Treatment Strategies for Incisors Affected by Molar Incisor Hypomineralization
3.1. Restorative and Aesthetic Approaches
3.2. Approaches to Increasing Mineral Content
3.3. Approaches to Relieving Hypersensitivity
Study Number | Authors | Publication Year | Study Type | Sample Size | Technique/Intervention | Outcome |
---|---|---|---|---|---|---|
1 [49] | Attal et al. | 2014 | Case series | 5 patients/10 incisors | Resin infiltration | It is aesthetically promising, but caution is warranted due to the lack of long-term follow-up. |
2 [50] | Mazur et al. | 2018 | Retrospective study | 76 incisors | Resin infiltration | Enhances enamel aesthetics; visual and objective correlation observed. |
3 [51] | Brescia et al. | 2022 | Retrospective study | 33 patients/114 incisors (including fluorosis and trauma) | Resin infiltration | It is an effective treatment for mild MIH. |
4 [52] | Bhandari et al. | 2018 | Clinical trial | 22 incisors | Resin infiltration | Swift aesthetics for Grade I MIH; alternative before invasive procedures. |
5 [53] | Farias et al. | 2022 | Case report | 1 patient/1 incisor | Resin infiltration | Masks superficial white demarcated opacities; conservative, aesthetically effective treatment. |
6 [54] | Mabrouk et al. | 2020 | Case report | 1 patient/4 incisors | Resin infiltration | Minimally invasive technique eradicates white opacities effectively. |
7 [55] | Kim et al. | 2011 | Clinical trial | 12 patients/20 incisors | Resin infiltration | While the masking effect was effective in some, it was inadequate in others. |
8 [56] | Marouane and Chtioui | 2020 | Case report | 1 patient/2 incisors | Resin infiltration | Transillumination aids enamel infiltration treatment by assessing, confirming, and monitoring lesions. |
9 [57] | Giannetti et al. | 2018 | Case report | 1 patient/2 incisors | Resin infiltration | Deep infiltration can be performed to reach the limit of the lesion. |
10 [58] | Giannetti et al. | 2018 | Clinical trial | 17 patients/38 incisors | Resin infiltration | Superficial infiltration did not produce effective treatment in all cases. |
11 [38] | Warner et al. | 2022 | Clinical trial | 23 patients/29 incisors | Resin infiltration/microabrasion | Minimally invasive treatment is effective in reducing incisor opacities in children. |
12 [59] | Nogueira et al. | 2021 | Clinical trial | 51 patients/100 incisors | Resin infiltration with or without fluoride varnish and acid etching | Positively affected the structural integrity of the affected teeth by reducing the risk of enamel breakdown. |
13 [60] | Altan and Yilmaz | 2023 | Clinical trial | 37 patients/58 incisors | Resin infiltration | Micro-invasively effective treatment. |
14 [61] | Marouane and Manton | 2021 | Clinical trial | 17 patients/32 incisors | Resin infiltration | MIH lesion type and ethanol test predict time for infiltrating anterior teeth. |
15 [62] | Hasmun et al. | 2020 | Longitudinal interventional study | 103 patients | Resin infiltration/microabrasion/dental bleaching/composite resin restoration | Minimally invasive treatments can provide good clinical and psychosocial outcomes in children. |
16 [63] | ElBaz and Mahfouz | 2017 | Clinical trial | 20 patients/40 incisors | Resin infiltration/fluoride varnish | Resin infiltration is more successful at masking white opacities than fluoride varnish. |
17 [64] | Baroni et al. | 2019 | Case report | 1 patient/2 incisors | CPP-ACP/fluoride toothpaste/dental bleaching/composite resin restoration | Calcium phosphate may improve etching and bonding; bleaching reduces incisor defects pre-restoration. |
18 [65] | Mastroberardino et al. | 2012 | Case report | 1 patient/4 incisors | CPP-ACP/dental bleaching | The combined use of CPP-ACP and hydrogen peroxide is successful in treating white opacities without the need for invasive treatment. |
19 [66] | Vieira et al. | 2023 | Case report | 1 patient/2 incisors | Dental bleaching/microabrasion/composite resin restoration | The initial use of minimally invasive techniques contributes to the final treatment being as conservative as possible. |
20 [67] | Pessôa et al. | 2018 | Case report | 1 patient/4 incisors | Microabrasion/composite veneers | Adequate aesthetics were achieved after the conservative approach. |
21 [69] | Prud’homme et al. | 2017 | Case series | 3 patients/9 incisors | Microabrasion/resin infiltration/etch–bleach–seal technique | A non-invasive approach to the treatment of anterior yellow-brown opacities, but definitive aesthetic success may not be achieved. |
22 [70] | Bhandari et al. | 2019 | Clinical trial | 43 incisors | Microabrasion/CPP-ACP | Microabrasion and remineralizing agent enhance aesthetics of white opacities over time. |
23 [71] | Costa et al. | 2021 | Case report | 1 patient/4 incisors | Microabrasion/dental bleaching | A minimally invasive combination—microabrasion and low-concentration gel with light—enhanced aesthetics. |
24 [72] | Hasmun et al. | 2018 | Retrospective study | 93 children | Microabrasion with or without composite resin restoration | Minimally invasive dental treatment to reduce the visibility of enamel opacities in MIH can have a positive impact on children’s wellbeing. |
25 [75] | Sezer and Kargül | 2022 | Clinical trial | 53 patients/401 incisors | CaGP/CPP-ACFP/fluoride toothpaste | The use of two mineral-containing agents also improved lesions in hypomineralized anterior teeth with demarcated opacities. |
26 [76] | Sezer et al. | 2022 | Clinical trial | 22 patients/167 incisors | CaGP/CPP-ACFP | CPP-ACFP and CaGP had a positive effect on decreasing hypomineralization in MIH-affected enamel for a three-month period. |
27 [77] | Restrepo et al. | 2016 | Clinical trial | 51 patients/51 incisors | Fluoride varnish/home care | Fluoride varnish application was not effective in remineralization of the lesions. |
28 [78] | Singh et al. | 2021 | Clinical trial | 30 patients | CPP-ACP/fluoride varnish | Both agents are equally effective in providing remineralization. |
29 [79] | Singh et al. | 2021 | Clinical trial | 10 incisors | Self-assembling peptide | The agent may be an alternative, viable, preventive treatment option for remineralization of hypomineralized lesions. |
30 [80] | Biondi et al. | 2017 | Clinical trial | 55 patients/92 incisors | Fluoride varnish with or without tricalcium phosphate or CPP-ACP | Success in the treatment of lesions increases by adding remineralization agents to fluoride varnish. |
31 [81] | Solinas et al. | 2021 | Case report | 1 patient/4 incisors | Hydroxyapatite-based paste | The agent improves aesthetics and also eliminates hypersensitivity. |
32 [86] | Muniz et al. | 2020 | Clinical trial | 66 patients/99 incisors | Laser/fluoride varnish | Low-level laser therapy desensitizes teeth with MIH, and its combination with fluoride increases its effectiveness. |
33 [87] | Ozgül et al. | 2013 | Clinical trial | 33 patients/92 incisors | Ozone/fluoride varnish/CPP-ACP/CPP-ACFP | CPP-ACP paste was found to be more effective, and ozone therapy prolonged the effect of CPP-ACP paste. |
34 [88] | da Silva et al. | 2022 | Case report | 1 patient/5 incisors | Low-level laser therapy | Low-level laser therapy is indicated for the treatment of hypersensitivity and improving oral-health-related quality of life. |
35 [89] | Paschoal et al. | 2021 | Case report | 1 patient/3 incisors | Diode laser/fluoride varnish | Diode laser and fluoride varnish reduce hypersensitivity and increase oral-health-related quality of life. |
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Sezer, B.; Çarıkçıoğlu, B. Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review. Oral 2024, 4, 74-89. https://doi.org/10.3390/oral4010007
Sezer B, Çarıkçıoğlu B. Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review. Oral. 2024; 4(1):74-89. https://doi.org/10.3390/oral4010007
Chicago/Turabian StyleSezer, Berkant, and Burak Çarıkçıoğlu. 2024. "Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review" Oral 4, no. 1: 74-89. https://doi.org/10.3390/oral4010007