Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth

The purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48) were restored with glass ionomer cement (GIC) and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown...

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Main Authors: Camila Maria Bullio FRAGELLI, Juliana Feltrin de SOUZA, Fabiano JEREMIAS, Rita de Cássia Loiola CORDEIRO, Lourdes SANTOS-PINTO
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2015-01-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242015000100271&lng=en&tlng=en
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author Camila Maria Bullio FRAGELLI
Juliana Feltrin de SOUZA
Fabiano JEREMIAS
Rita de Cássia Loiola CORDEIRO
Lourdes SANTOS-PINTO
author_facet Camila Maria Bullio FRAGELLI
Juliana Feltrin de SOUZA
Fabiano JEREMIAS
Rita de Cássia Loiola CORDEIRO
Lourdes SANTOS-PINTO
author_sort Camila Maria Bullio FRAGELLI
collection DOAJ
description The purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48) were restored with glass ionomer cement (GIC) and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown, GIC breakdown and caries lesion associations. The data were analyzed using the chi-square test and actuarial survival analysis. The likelihood of a restored tooth remaining unchanged at the end of 12 months was 78%. No statistically significant difference was observed in the association between increased MIH severity and caries at baseline (p > 0.05) for a 6-month period, or between increased MIH severity and previous unsatisfactory treatment at baseline (p > 0.05) for both a 6- and 12-month period. A statistically significant difference was observed in the association between increased MIH severity and extension of the restoration, involving 2 or more surfaces (p < 0.05) at both periods, and between increased MIH severity and caries at baseline (p < 0.05) at a 12-month period. Because the likelihood of maintaining the tooth structures with GIC restorations is high, invasive treatment should be postponed until the child is sufficiently mature to cooperate with the treatment, mainly of teeth affected on just one face.
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spelling doaj.art-dde4e5ac4ed24e6abded0ad1680d0d902022-12-22T03:06:39ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072015-01-012911710.1590/1807-3107BOR-2015.vol29.0076S1806-83242015000100271Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teethCamila Maria Bullio FRAGELLIJuliana Feltrin de SOUZAFabiano JEREMIASRita de Cássia Loiola CORDEIROLourdes SANTOS-PINTOThe purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48) were restored with glass ionomer cement (GIC) and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown, GIC breakdown and caries lesion associations. The data were analyzed using the chi-square test and actuarial survival analysis. The likelihood of a restored tooth remaining unchanged at the end of 12 months was 78%. No statistically significant difference was observed in the association between increased MIH severity and caries at baseline (p > 0.05) for a 6-month period, or between increased MIH severity and previous unsatisfactory treatment at baseline (p > 0.05) for both a 6- and 12-month period. A statistically significant difference was observed in the association between increased MIH severity and extension of the restoration, involving 2 or more surfaces (p < 0.05) at both periods, and between increased MIH severity and caries at baseline (p < 0.05) at a 12-month period. Because the likelihood of maintaining the tooth structures with GIC restorations is high, invasive treatment should be postponed until the child is sufficiently mature to cooperate with the treatment, mainly of teeth affected on just one face.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242015000100271&lng=en&tlng=enTooth DemineralizationChildLongitudinal Studies
spellingShingle Camila Maria Bullio FRAGELLI
Juliana Feltrin de SOUZA
Fabiano JEREMIAS
Rita de Cássia Loiola CORDEIRO
Lourdes SANTOS-PINTO
Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth
Brazilian Oral Research
Tooth Demineralization
Child
Longitudinal Studies
title Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth
title_full Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth
title_fullStr Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth
title_full_unstemmed Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth
title_short Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth
title_sort molar incisor hypomineralization mih conservative treatment management to restore affected teeth
topic Tooth Demineralization
Child
Longitudinal Studies
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242015000100271&lng=en&tlng=en
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AT fabianojeremias molarincisorhypomineralizationmihconservativetreatmentmanagementtorestoreaffectedteeth
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