Comparison of different treatment modalities in hypomineralized primary teeth: An original research

Mukul Joshi; Tundup Dolker; Rahul V C Tiwari; Kona Sowmya; Nitin Agrawal; Shraddha Jaroli

doi:10.53730/ijhs.v6nS5.8824

Authors

Mukul Joshi
vedantmukuljoshi@gmail.com
MDS, (PhD scholar MVGU Jaipur), Assistant professor, Department of Pediatrics and preventive dentistry, D Y Patil Dental School, Lohegaon, Pune, Maharashtra
Tundup Dolker Senior Resident, PGIMER Chandigarh satellite branch, Sangroor, Punjab.
Rahul V C Tiwari Executive MHA Student, IIHMR University, Jaipur, Rajasthan, India
Kona Sowmya Consultant Pedodontist, Pedodontics And Preventive Dentist, Machilipatnam, Krishna, Andhra Pradesh
Nitin Agrawal Senior lecturer, Dept of Periodontics, Modern Dental College & Research Centre Indore, MP.
Shraddha Jaroli Senior Lecturer, Dept of Conservative & Endodontics, Modern Dental College & Research Centre indore, MP.

Keywords:

disturbances in dental development, molar-incisor hypomineralization, restorative dentistry

Abstract

Aim: The purpose of the present research was to evaluate various modalities for treating hypomineralized primary teeth. Methodology: Survival data retrospectively collected from 52 children with MIH, monitored. We evaluated one hundred and twenty unknown, high-quality photographs from occlusal and smooth surfaces, respectively, for the detection of cavitated carious lesions and caries-associated restorations (DMF index) and MIH. Descriptive and explorative analyses were performed, including Kaplan-Meier estimators. Results: The mean patient observation time was 42.9 months (SD = 35.1). The cumulative survival probabilities after 36 months—7.0% (GIC, N = 28), 29.9% (non-invasive composite restoration, N = 126), 76.2% (conventional composite restoration, N = 27) and 100.0% (ceramic restoration, N = 23)—differed significantly in the regression analysis. Conclusion: Conventional restorations were associated with moderate-to-high survival rates in MIH teeth.

Downloads

Download data is not yet available.

References

Li Y, Navia JM, Bian JY. Caries experience in deciduous dentition of rural Chinese children 3–5 years old in relation to the presence or absence of enamel hypoplasia. Caries Res; 1996;30:8-15.

Oliveira AFB, Chaves AMB, Rosenblatt A. The Influence of enamel defects on the development of early childhood caries in a population with Low socioeconomic status: a longitudinal study. Caries Res 2006;40:296-302.

Weerheijm KL, Jälevik B, Alaluusua, S. Molar incisor hypomineralization. Caries Res 2001;35:390-1.

Mahoney EK, Robhanized R, Ismail FSM, Kilpatrick NM, Swain MV. Mechanical properties and microstructures of hypomineralized enamel of permanent teeth. Biomaterials 2004;25:5091-100.

Lygidakis NA, Treatment modalities in children with teeth affected by molar-incisor enamel hypomineralisation (MIH): a systematic review. Eur Arch Paed Dent 2010;11:65-74.

Lygidakis NA, Wong F, Jälevik B, Vierrou AM, Alaluusua S, Espelid I. Best clinical practice guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralization (MIH): an EAPD policy document. Eur Arch Paed Dent 2010;11:75-81.

Weerheijm KL. Molar incisor hypomineralization (MIH). Eur J Paediatric Dent 2003;4:114-20.

Jälevik B. Prevalence and diagnosis of Molar-Incisor-Hypomineralisation (MIH): a systematic review. Eur Arch Paed Dent 2010;11:59-64.

Jälevik B, Klingberg GA. Dental treatment, dental fear and behavior management problems in children with severe enamel hypomineralization of their first molars. Int J Paed Dent 2002;12:24-32.

Mejàre I, Bergman E, Grindefjord M. Hypomineralized molars and incisors of unknown origin: treatment outcome at age 18 years. Int J Paed Dent 2005;15:20-8.

Jälevik B, Klingberg G. Treatment outcomes and dental anxiety in 18-year-olds with MIH, comparisons with healthy controls – a longitudinal study. Int J Paed Dent 2012;22:85-91.

Jälevik B, Norén JG. Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paed Dent 2000;10:278-89.

Fagrell TG, Lingström P, Olsson S, Steiniger F, Nóren JG. Bacterial invasion of dentinal tubules beneath apparently intact but hypomineralized enamel in molar with molar incisor hypomineralization. Int J Paediatr Dent 2008;18:333-40.

Rodd HD, Boissonade FM. Immunocytochemical investigation of immune cells within human primary and permanent tooth pulp. Int J Paediatr Dent 2006;16:2-9.

Rodd HD, Abdul-Karin A, O´Mahony J, Marshman Z. Seeking children´s perspectives in the visible enamel defects. Int J Paediatr Dent 2011;21:89-95.

Costa-Silva CM, Ambrosano GMB, Jeremias F, Souza JF, Mialhe FL. Increase in severity of molar–incisor hypomineralization and its relationship with the colour of enamel opacity: a prospective cohort study. Int J Paediatr Dent 2011:21:333-4.

Leppäniemi A, Lukinmaa PL, Alaluusua A. Nonfluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res 2001;35:36-40.

William V, Messer LB, Burrow MF. Molar incisor hypomineralization: review and recommendations for clinical management. Pediat Dent 2006;23:224-32.

Jälevik B, Möller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molar. Int J Paediatr Dent 2007;17:328-35.

Williams JK, Gowans AJ. Hypomineralised first permanent molars and the orthodontist. Eur J Paediatr Dent 2003;3:129-32.

Baroni C, Marchionni S. MIH supplementation strategies: prospective clinical and laboratory trial. J Dent Res 2011; 90:371-6.