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

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dc.authoridCarikcioglu, Burak/0000-0001-5951-8179
dc.contributor.authorSezer, Berkant
dc.contributor.authorCarikcioglu, Burak
dc.date.accessioned2025-01-27T20:24:31Z
dc.date.available2025-01-27T20:24:31Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractToday, 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.
dc.description.sponsorshipThis article is dedicated to Mustafa Kemal Ataturk, the founder of modern Turkiye, who paved the way for us to pursue science, on the centenary of the foundation of the Republic of Turkiye.
dc.identifier.doi10.3390/oral4010007
dc.identifier.endpage89
dc.identifier.issn2673-6373
dc.identifier.issue1
dc.identifier.startpage74
dc.identifier.urihttps://doi.org/10.3390/oral4010007
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22259
dc.identifier.volume4
dc.identifier.wosWOS:001268734600001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofOral
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectaesthetic treatment
dc.subjectdevelopmental enamel defects
dc.subjecthypomineralization
dc.subjectincisors
dc.subjectMIH
dc.subjectmicroabrasion
dc.subjectmolar incisor hypomineralization
dc.subjectremineralization
dc.subjectresin infiltration
dc.subjecttreatment
dc.titleTreatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review
dc.typeReview Article

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