磨牙-切牙矿化不全的临床管理

doi:10.13701/j.cnki.kqyxyj.2022.12.003

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (12): 1115-1118.DOI: 10.13701/j.cnki.kqyxyj.2022.12.003

磨牙-切牙矿化不全的临床管理

刘晏辰¹, 何淼^1,2*

1.武汉大学口腔医学院口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室湖北武汉 430079;
2.武汉大学口腔医院儿童口腔科湖北武汉 430079

收稿日期:2021-08-12 出版日期:2022-12-28 发布日期:2022-12-26
通讯作者: *何淼,E-mail:hemiao@whu.edu.cn
作者简介:刘晏辰(1996~ ),女,北京人,硕士,研究方向:磨牙切牙釉质矿化不全。
基金资助:
国家自然科学基金面上项目(编号:81970904)

Treatment of Molar-incisor Hypomineralization

LIU Yanchen¹, HE Miao^1,2*

1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. Department of Pediatric Dentistry, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2021-08-12 Online:2022-12-28 Published:2022-12-26

摘要/Abstract

摘要： 磨牙-切牙矿化不全(molar-incisor hypomineralization,MIH)是一种釉质发育缺陷性疾病。临床上,MIH多表现为累及单牙面的轻度病损;当累及牙齿数目越多,往往临床表现越重,根据受累牙面数量和牙齿的表现可分为轻、中、重度。MIH的治疗主要以预防为主,对症治疗,并加以定期复查。后牙轻度受损可行再矿化,窝沟封闭;中度受捐推荐使用树脂修复;重度受损可行预成冠,嵌体或拔除后正畸。前牙可行微研磨和渗透树脂,成年之后可行漂白和贴面修复。由于目前尚未有统一的专家共识,本文通过回顾既往文献对这一领域进行综述。

关键词: 磨牙-切牙矿化不全, 第一恒磨牙, 牙齿发育不全

Abstract: Molar-incisor hypomineralization (MIH) is a disease of enamel development defects. Clinically, MIH is mostly manifested as a mild lesion involving a single tooth surface; the more teeth involved, the more severe the clinical manifestations. According to the number of affected tooth surfaces and the performance of the teeth, it can be divided into mild, moderate, and severe. The treatment of MIH mainly focuses on prevention, symptomatic treatment, and regular review. Remineralization and pit and fissure sealant can be used in mildly damaged posterior teeth, resin restoration is recommended for moderate damaged teeth, and crowns, inlays, and orthodontic treatment after extraction can be used for severe cases. Damaged anterior teeth can be treated with microabrasion and resin infiltration. Bleaching and veneer restoration can be done after adulthood. As there is no unified expert consensus, this article reviews the previous literature to review this field.

Key words: molar-incisor hypomineralisation, tooth abnormalities, permanent first molar

刘晏辰, 何淼. 磨牙-切牙矿化不全的临床管理[J]. 口腔医学研究, 2022, 38(12): 1115-1118.

LIU Yanchen, HE Miao. Treatment of Molar-incisor Hypomineralization[J]. Journal of Oral Science Research, 2022, 38(12): 1115-1118.

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磨牙-切牙矿化不全的临床管理

Treatment of Molar-incisor Hypomineralization

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