Treatment of Molar-incisor Hypomineralization

doi:10.13701/j.cnki.kqyxyj.2022.12.003

Abstract

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

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

References

[1] Weerheijm KL, Duggal M, Mejàre I, et al. Judgement criteria for molar incisor hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003[J]. Eur J Paediatr Dent, 2003, 4(3):110-113.
[2] Bezamat M, Souza JF, Silva F, et al. Gene-environment interaction in molar-incisor hypomineralization[J]. PLoS One, 2021,16(1):e241898.
[3] Głódkowska N, Emerich K. The impact of environmental air pollution on the prevalence of molar incisor hypomineralization in schoolchildren: A cross-sectional study[J]. Adv Clin Exp Med, 2020, 29(12):1469-1477.
[4] Serna Muñoz C, Ortiz Ruiz AJ, Pérez Silva A, et al. Second primary molar hypomineralisation and drugs used during pregnancy and infancy. A systematic review[J]. Clin Oral Investig, 2020, 24(3):1287-1297.
[5] Zhao D, Dong B, Yu D, et al. The prevalence of molar incisor hypomineralization: evidence from 70 studies[J]. Int J Paediatr Dent, 2018, 28(2):170-179.
[6] Soxman JA. Handbook of clinical techniques in pediatric dentistry[M]. 2015.
[7] Elzein R, Chouery E, Abdel-Sater F, et al. Molar incisor hypomineralisation in Lebanon: prevalence and clinical characteristics[J]. Eur Arch Paediatr Dent, 2020, 21(5):609-616.
[8] Ghanim AM, Manton DJ, Morgan MV, et al. Trends of oral health care and dental treatment needs in relation to molar incisor hypomineralisation defects: a study amongst a group of Iraqi schoolchildren[J]. Eur Arch Paediatr Dent, 2012, 13(4):171-178.
[9] Hasmun N, Vettore MV, Lawson JA, et al. Determinants of children's oral health-related quality of life following aesthetic treatment of enamel opacities[J]. J Dent, 2020, 98:103372.
[10] Giuca MR, Lardani L, Pasini M, et al. State-of-the-art on MIH. Part. 1 Definition and aepidemiology[J]. Eur J Paediatr Dent, 2020, 21(1):80-82.
[11] William V, Messer L, Burrow M. Molar incisor hypomineralization: review and recommendations for clinical management[J]. Pediatr Dent, 2006, 28(3):224-232.
[12] Lygidakis NA, Wong F, Jälevik B, et al. Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): An EAPD policy document[J]. Eur Arch Paediatr Dent, 2010, 11(2):75-81.
[13] Schraverus MS, Olegário IC, Bonifácio CC, et al. Glass ionomer sealants can prevent dental caries but cannot prevent posteruptive breakdown on molars affected by molar incisor hypomineralization: One-year results of a randomized clinical trial[J]. Caries Res, 2021, 55(4):301-309.
[14] Bekes K, Amend S, Priller J, et al. Hypersensitivity relief of MIH-affected molars using two sealing techniques: a 12-week follow-up[J]. Clin Oral Investig, 2022, 26(2):1879-1888.
[15] Bakkal M, Abbasoglu Z, Kargul B. The effect of casein phosphopeptide-amorphous calcium phosphate on molar-incisor hypomineralisation: A pilot study[J]. Oral Health Prev Dent, 2017, 15(2):163-167.
[16] Kono Y, Tamura M, Cueno ME, et al. S-PRG filler eluate induces oxidative stress in oral microorganism: Suppression of growth and pathogenicity, and possible clinical application[J]. Antibiotics (Basel), 2021, 10(7):816.
[17] ThanNaing S, Abdou A, Sayed M, et al. Dentin anti-demineralization potential of surface reaction-type pre-reacted glass-ionomer filler containing self-adhesive resin cement[J]. Clin Oral Investig, 2022, 26(2):1333-1342.
[18] Machado AC, Maximiano V, Eduardo CP, et al. Associative protocol for dentin hypersensitivity using Nd:YAG laser and desensitizing agent in teeth with molar-incisor hypomineralization[J]. Photobiomodul Photomed Laser Surg, 2019, 37(4):262-266.
[19] Muniz RSC, Carvalho CN, Aranha ACC, et al. Efficacy of low-level laser therapy associated with fluoride therapy for the desensitisation of molar-incisor hypomineralisation: Randomised clinical trial[J]. Int J Paediatr Dent, 2020, 30(3):323-333.
[20] Vieira L, Paschoal M, de Barros Motta P, et al. Antimicrobial photodynamic therapy on teeth with molar incisor hypomineralization-controlled clinical trial[J]. Medicine, 2019, 98(39):e17355.
[21] Ghanim A, Silva MJ, Elfrink M, et al. Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice[J]. Eur Arch Paediatr Dent, 2017, 18(4):225-242.
[22] Fütterer J, Ebel M, Bekes K, et al. Influence of customized therapy for molar incisor hypomineralization on children's oral hygiene and quality of life[J]. Clin Exp Dent Res, 2020, 6(1):33-43.
[23] de Farias AL, Rojas-Gualdrón DF, Mejía JD, et al. Survival of stainless-steel crowns and composite resin restorations in molars affected by molar-incisor hypomineralization (MIH)[J]. Int J Paediatr Dent, 2022, 32(2):240-250.
[24] Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management of first permanent molars in children with Molar-Incisor Hypomineralisation[J]. Eur J Paediatr Dent, 2005, 6(4):179-184.
[25] Linner T, Khazaei Y, Bücher K, et al. Comparison of four different treatment strategies in teeth with molar-incisor hypomineralization-related enamel breakdown-A retrospective cohort study[J]. Int J Paediatr Dent, 2020, 30(5):597-606.
[26] Dhareula A, Goyal A, Gauba K, et al. A clinical and radiographic investigation comparing the efficacy of cast metal and indirect resin onlays in rehabilitation of permanent first molars affected with severe molar incisor hypomineralisation (MIH): a 36-month randomised controlled clinical trial[J]. Eur Arch Paediatr Dent, 2019, 20(5):489-500.
[27] Gaardmand E, Poulsen S, Haubek D. Pilot study of minimally invasive cast adhesive copings for early restoration of hypomineralised first permanent molars with post-eruptive breakdown[J]. Eur Arch Paediatr Dent, 2013, 14(1):35-39.
[28] Elzein R, Chouery E, Abdel-Sater F, et al. Molar-incisor hypomineralisation in Lebanon: association with prenatal, natal and postnatal factors[J]. Eur Arch Paediatr Dent, 2021, 22(2):283-290.
[29] Hasmun N, Vettore MV, Lawson JA, et al. Determinants of children's oral health-related quality of life following aesthetic treatment of enamel opacities[J]. J Dent, 2020, 98:103372.
[30] Greenwall-Cohen J, Greenwall L, Haywood V, et al. Tooth whitening for the under-18-year-old patient[J]. Br Dent J, 2018, 225(1):19-26.