scholarly journals An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review

Author(s):  
C. Somani ◽  
G. D. Taylor ◽  
E. Garot ◽  
P. Rouas ◽  
N. A. Lygidakis ◽  
...  

Abstract Purpose To systematically review the treatment modalities for molar-incisor hypomineralisation for children under the age of 18 years. The research question was, ‘What are the treatment options for teeth in children affected by molar incisor hypomineralisation?’ Methods An electronic search of the following electronic databases was completed MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, LILACS, Google Scholar and Open Grey identifying studies from 1980 to 2020. The PRISMA guidelines were followed. The studies were screened, data extracted and calibration was completed by two independent reviewers. Results Of 6220 potential articles, 34 studies were included. Twenty studies investigated management of molars with fissure sealants, glass ionomer cement, polyacid modified resin composite, composite resin, amalgam, preformed metal crowns, laboratory-manufactured crowns and extractions. In four articles management of incisors with microabrasion, resin-infiltration and a combination of approaches was reported. Eight studies looked at strategies to mineralise MIH-affected teeth and/or reduce hypersensitivity. Two studies investigated patient-centred outcomes following treatment. Due to the heterogeneity between the studies, meta-analysis was not performed. Conclusion The use of resin-based fissure sealants, preformed metal crowns, direct composite resin restorations and laboratory-made restorations can be recommended for MIH-affected molars. There is insufficient evidence to support specific approaches for the management of affected incisors. Products containing CPP-ACP may be beneficial for MIH-affected teeth.

e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Dewi Y. Anang ◽  
Ni Wayan Mariati ◽  
Christy N. Mintjelungan

Abstract: Resin composite has been known since the sixtieth generation and generally it is known as the dentists’ cosmetic restorative material. Amalgam is the oldest restorative material and it is famous due to its mechanical strength, endurance, and less expensive. Glass ionomer cement is an isochromatic tooth dentifrice; its main component is liquid consisted of water and polyacid, and a kind of fluoroaluminosilicate glass powder. This study aimed to obtain the profile of patients using dental restorative composite at the RSGM Manado in 2014. This was a descriptive retrospective study. There were 400 dental samples from the medical record categorized according to gender, age, kinds of treatment, and occupation. The results showed that dental treatment with filling was most frequent among females (65%) compared to males (35%). Most of the subjects (70%) were 21-30 years old. Moreover, most of the subjects (62.5%) used amalgam as the restorative material.Keywords: restorative material, composite resin, amalgam, GICAbstrak: Resin komposit ialah tumpatan pada generasi ke 60-an, dan secara umum dikenal sebagai bahan tumpatan kosmetik dentis. Amalgam merupakan bahan restorasi tertua dan cukup terkenal di masyarakat luas oleh karena kekuatan, daya tahan, dan harganya yang relatif murah. Glass Ionomer Cement ialah bahan tambal sewarna gigi yang komponen utamanya terdiri dari likuid yang merupakan gabungan air dengan polyacid (Asam poliakrilat, maleat, itakonat, tartarat) dan bubuk berupa fluoroaluminosilicate glass. Penelitian ini bertujuan untuk mengetahui gambaran pasien yang menggunakan tumpatan gigi di RSGM Unsrat pada tahun 2014. Jenis penelitian ini deskriptif retrospektif. Jumlah data penelitian yang didapat yaitu 400 sampel data dental dari rekam medik dan dikategorikan sesuai jenis kelamin, usia, jenis perawatan dan pekerjaan. Hasil penelitian menunjukkan perawatan dengan bahan tumpatan lebih sering dilakukan oleh pasien berjenis kelamin perempuan (65%) dibandingkan laki-laki (35%). Distribusi subyek terbanyak pada usia 21-30 tahun (70%). Sebagian besar (62,5%) menggunakan bahan tumpatan amalgam.Kata kunci: tumpatan, resin komposit, amalgam, GIC


e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Michael Sumolang

Gigi yang terserang kariesdapatdirawatdenganmenggunakanbahanrestorasi. Resin komposit dan semen ionomer kacamerupakanbahanyangdigunakanuntukperawatanrestorasi di poli gigi RS Gunung Maria Tomohon.Tujuanpenelitianiniuntukmengetahuigambaranpenggunaanbahanrestorasi resin kompositdan semen ionomerkaca di poligigi RSGunung Maria Tomohontahun 2012. Penelitianinimerupakanpenelitiandeskrpitif, data diambildarirekammedispasienrestorasidenganmetodetotal sampling.Data yang didapatyaitujumlah rekammedis pasien restorasi pada tahun 2012 sebanyak 268 danjumlahgigi yang direstorasisebanyak 387.Gigi yang direstorasimenggunakanbahan resin kompositsebanyak 207 gigi, sedangkangigi yang direstorasimenggunakan semen ionomerkacasebanyak 180 gigi.Hasilpenelitianinidibagiberdasarkanusia, jeniskelamin, elemengigidandiagnosa. Hasilpenelitianmenunjukankategoriusiadewasalebihseringmelakukanperawatanretorasi resin komposit dengan 145 gigi (70%) dan semen ionomerkaca dengan 106 gigi (58,8%) yang direstorasi, pasienperempuanlebihseringmelakukanperawatanrestorasiresin komposit dengan 117 (59,4%) dan semen ionomerkaca dengan 101 (56%) gigi yang direstorasi. Gigi bagian anterior seringdirestorasidengan menggunakan resin komposit dan gigibagian posterior seringdirestorasimenggunakan semen ionomerkaca.Hiperemiapulpamerupakanpenyakit yang paling didiagnosadan paling seringmendapatkanperawatanrestorasi resin komposit dengan 179 kasus (86%)dan semen ionomerkaca 157 kasus (87,3%).Kata Kunci:bahan restorasi, resin komposit, semen ionomerkacaABSTRACT Dental caries infected can be treated with restorative materials. Resin composites and glass ionomer cement is a material used for dental restorative treatment on poly Hospital Gunung Maria Tomohon. The purpose of this study to describe the use of composite resin restorations and glass ionomer cement in the teeth poly Hospital Gunung Maria Tomohon in 2012. This research is deskrpitif , data extracted from medical records of patients with restoration of total sampling.Data method obtained the restoration of the patient's medical record number in 2012 as many as 268 and the number of restored teeth as much as 387. Restored teeth using composite resin materials as much as 207 teeth, whereas the teeth restored with glass ionomer cement as many as 180 teeth. The results are divided based on age, sex, dental and diagnostic elements. The results showed the adult age category more often retorasi care dental resin composite with 145 (70 %) and glass ionomer cement with 106 teeth (58,8 %) were restored, female patients were more frequent maintenance of composite resin restorations with 117 (59,4 %) and glass ionomer cement with 101(56 %) restored teeth. Anterior teeth are restored using gigibagian posterior composite resin and glass ionomer cement seringdirestorasimenggunakan. Pulp hyperemia is the most diagnosed diseases and most often get care composite resin restorations with 179 cases (86 %) and glass ionomer cement 157 cases (87,3%). Keywords : restorative materials, composite resin, glass ionomer cement


2021 ◽  
Author(s):  
RAS Pereira ◽  
PBF Soares ◽  
AA Bicalho ◽  
LM Barcelos ◽  
LRS Oliveira ◽  
...  

SUMMARY Objectives: To analyze the effect of the porosity caused by incremental and bulk resin composite filling techniques using low- and high-viscosity composite resins on the biomechanical performance of root-treated molars. Methods: Forty intact molars received standardized mesio-occlusal-distal (MOD) cavity preparation, were root treated, and randomly divided into four groups with different filling techniques (n=10). The first involved two incremental filling techniques using VIT/Z350XT, a nanofilled composite resin (Filtek Z350XT, 3M ESPE) associated with a resinmodified glass ionomer cement, and resin-modified glass ionomer cement (RMGIC; Vitremer, 3M ESPE) for filling the pulp chamber. The second involved TPH/VIT, a microhybrid composite resin TPH3 Spectrum associated with Vitremer. The third and fourth involved two bulk-fill composite resins: SDR/TPH, a low-viscosity resin composite (Surefill SDR flow, Dentsply) associated with TPH3 Spectrum, and POST, a high-viscosity bulkfill resin composite (Filtek Bulk Fill Posterior, 3M ESPE). The volume of the porosity inside the restoration was calculated by micro-CT. The cusp deformation caused by polymerization shrinkage was calculated using the strain-gauge and micro-CT methods. The cusp deformation was also calculated during 100 N occlusal loading and loading to fracture. The fracture resistance and fracture mode were recorded. Data were analyzed by one-way analysis of variance and Tukey test. The fracture mode was analyzed by the χ2 test. The volume of the porosity was correlated with the cusp deformation, fracture resistance, and fracture mode (α=0.05). Results: Incremental filling techniques associated with RMGIC resulted in a significantly higher porosity than that of both bulk-fill techniques. However, no significant difference was found among the groups for the fracture resistance, fracture mode, and cusp deformation, regardless of the measurement time and method used. No correlation was observed between the volume of the porosity and all tested parameters. Conclusions: The porosity of the restorations had no influence on the cuspal deformation, fracture resistance, or fracture mode. The use of the RMGIC for filling the pulp chamber associated with incremental composite resins resulted in similar biomechanical performance to that of the flowable or regular paste bulk-fill composite resin restorations of root-treated molars.


2015 ◽  
Vol 4 (4) ◽  
pp. 44-45 ◽  
Author(s):  
Lynsey M Millar ◽  
Alison M Cairns ◽  
Lauren Fowler

Preformed metal crowns have a range of uses in paediatric dentistry in both the primary and permanent dentition. This article provides an overview of their use in permanent teeth, including teeth that have been affected by molar incisor hypomineralisation, caries, developmental defects and tooth surface loss. The indications for use are described, along with the clinical technique for placement.


Author(s):  
Chahita Mahesh Lalchandani ◽  
Sandeep Tandon ◽  
Tripti Sharma Rai ◽  
Rinku Mathur ◽  
Anupama Kajal

Brief Background Molar incisor hypomineralisation (MIH) is a common developmental condition resulting in enamel defects in first permanent molars and permanent incisors. Aesthetic treatment of patients suffering from MIH is essential to enhance their self-esteem and promote their psychological development. Current trends for treating the condition have been increasingly shifting towards minimally invasive approaches, especially considering the age of patients. The decision regarding which treatment modality to undertake for the same is complex and depends on several factors, such as the degree of severity of the enamel defect, the patient’s age, social level and expectations. Pertaining to that, the aim of this case report is to present three different aesthetic and conservative treatment approaches to anterior teeth affected by molar incisor hypomineralisation. Key Words Molar incisor hypomineralisation, aesthetic rehabilitation, minimally invasive, resin infiltration, cpp-acp.


2010 ◽  
Vol 04 (03) ◽  
pp. 245-250 ◽  
Author(s):  
Sule Bayrak ◽  
Emine Sen Tunc ◽  
Abdurrahman Aksoy ◽  
Ertan Ertas ◽  
Dilek Guvenc ◽  
...  

Objectives: Fluoride release/recharge properties of fissure sealants are important for their longterm inhibition of caries. This study was conducted to examine the relationship between fluoride release and recharge of pit-and-fissure sealants.Methods: Specimens were prepared from 5 different sealant materials: Fissurit F, a conventional resin; Fuji VII, a glass-ionomer cement (GIC); Fuji II LC, a resin-modified GIC; Ionosit, a polyacidmodified composite resin (PMRC); and Aelite Flo, a flowable composite resin. Specimens stored in a polyethylene test tube containing 5.0 ml ultrapure water. On day 21, specimens were exposed to 1.23% APF gel. Fluoride release was measured using a fluoride-specific ion electrode at 1-7, 14, 21, 22, 28, 35 and 42 days.Results: The glass-ionomer based sealants Fuji VII and Fuji II LC had significantly higher fluoride release than the other materials at all times tested (P<.05). Fluoride release of all materials tested increased following exposure to APF gel (P<.05).Conclusions: Within the limitations of this short-term study, glass ionomer-based sealants were shown to have higher initial fluoride release as well as higher fluoride recharge capacity than other sealants. (Eur J Dent 2010;4:245-250)


2017 ◽  
Vol 20 (4) ◽  
pp. 63 ◽  
Author(s):  
Raphaela Farias Rodrigues ◽  
Suellen Scarcelli Senna ◽  
Ana Flávia Soares ◽  
Rafael Lia Mondelli ◽  
Paulo Silveira Francisconi ◽  
...  

<p><strong>Objective</strong>: To evaluate the marginal adaptation, in enamel (E) and dentin (D), of composite resin (CR) associated with flowable resin composite (flow), bulk fill flowable base (bulk) and resin modified glass ionomer cement (RMGIC) in slot cavities. <strong>Material and Methods</strong>: The study was conducted after approval (Protocol No. 21148413.4.0000.5417) from Ethics Committee. Forty extracted human molar teeth were randomly assigned in eight experimental groups: E-CR, E-BULK, E-FLOW, E-RMGIC, D-CR, D-BULK, D-FLOW, D-RMGIC. The occlusal surface was planned, two slot cavities with standard sizes (depth: 2.0 mm, height: 2.5 mm, width: 2.0 mm) were created on a machine for making cavities. The teeth were restored and after 24h subjected to 2000 cyclic loading and sectioned for analysis of marginal adaptation by scanning electron microscopy (SEM). The micrographs were analyzed with the Image J program to measure the size of marginal gaps. The data were transformed into percentages (%GAPS = LG ÷ LM  × 100) and analyzed by 2-way ANOVA followed by the post hoc Tukey test (α=0.05). <strong>Results</strong>: There was a significant difference between different treatments (<em>p&lt;0.01</em>). The groups E-RMGIC (<em>p=0.001</em>) and D-RMGIC (<em>p=0</em>) had the highest percentage of marginal gap. Others groups showed similar percentage of marginal gap <em>(p&gt;0.05)</em>. <strong>Conclusions</strong>: It was concluded that restorations with flowable composite resin and bulk fill liners exhibit the same behavior, but the RMGIC liner increased marginal gap.</p><p><strong>Keywords: </strong>Composite resins; Dental marginal adaptation; Glass ionomer cements.</p>


2013 ◽  
Vol 833 ◽  
pp. 355-359 ◽  
Author(s):  
Xin Yi Zhao ◽  
Ya Jie Gui ◽  
Shi Bao Li

Objective: To evaluate the fluoride release rates and fluoride recharge capability of a experimental resin composite, a compomer, a giomer and a resin-modified glass ionomer cement. Methods: Ten disc specimens of each material were prepare and polished with abrasive paper, followed by clearing with oil-free compressed air jet. The specimens were placed in a plastic vessel containing 5ml deionized water immediately after fabrication. Each specimen was removed and put to a new a vessel containing deionized water each day, and the sample solution was test for fluoride concentration each day using a compound fluoride ion selective electrode and a conductivity meter. All specimens were removed from container after 28 days and were recharged by immersing in a fluoride foam solution for four minutes. Then fluoride release from these recharged samples was measured daily for 7 days. Recharge was repeated three times. Result: Fuji II LC demonstrated the highest fluoride release ( p <0.01), followed by experimental resin and Compoglass. Both Beautufil and Charisma presented the lowest fluoride release ( p <0.01) during the first two weeks. All materials except Charisma demonstrated a sharp decline of fluoride release, followed by a comparatively stable stage of fluoride release for about twenty days. All materials presented fluoride release increase substantially one day after recharge but declines rapidly almost to the baseline level after 2 days except for Fuji II LC that showed a continual fluoride release for 5 days. Conclusion: The experimental composite resin has a capability of fluoride release and recharge that are comparable to compomers.


2020 ◽  
Vol 7 (1) ◽  
pp. 40
Author(s):  
Clarinda Vinindya ◽  
Cynthia Pratiwi ◽  
Yosi Kusuma Eriwati ◽  
Siti Triaminingsih ◽  
Decky J Indrani

Background: The temperature and salivary pH in a person's mouth are highly dynamic (e.g., before, during, and after eating) and so restorations in a cavity must be resilient to these variable conditions. Temperature and immersion conditions affect the mechanical properties of a restoration. This study aimed to determine the effect of environmental conditions on diametral tensile strength (DTS) and surface microhardness of a resin composite with alkaline fillers or zirconia–reinforced glass ionomer cement (Zr-reinforced GIC). Method: Thirty specimens of a resin composite with alkaline fillers (Cention-N, Ivoclar-Vivadent, Lichtenstein) and 30 specimens with zirconia-reinforced GIC (Zirconomer, Shofu, Japan) were stored at different conditions (23°C and 37°C; with and without immersion in water) for 24 hours. DTS was tested with a Universal Testing Machine (AGS-X series, Shimadzu, Japan) and surface microhardness was tested with a Vickers Microhardness tester (HMV-G Series Micro Vickers Microhardness Tester, Shimadzu, Japan). Data were analyzed statistically using a one-way ANOVA test (and Shapiro-Wilk test. Result: The values of microhardness and DTS increased significantly both for the composite resin alkasite and zirconia-reinforced GIC with increasing temperature in the groups without immersion. However, there was a significant decrease in microhardness and DTS after immersion in distilled water at 37°C for both the composite resin alkasite and zirconia-reinforced GIC. Conclusion: It can be concluded that storage conditions affect the microhardness and DTS of resin composite Alkasite and Zirconia-reinforced GIC


2004 ◽  
Vol 5 (3) ◽  
pp. 51-58 ◽  
Author(s):  
A.R. Daneshkazemi

Abstract The aim of this in vitro study was performed to evaluate the effect of dentin bonding agents and glass ionomer cement beneath composite restorations and its resistance to fracture of endodontically treated teeth. Fifty sound extracted maxillary teeth were selected; ten of them for controls and the remainder were modified with root canal treatment and a mesial occlusal distal (MOD) cavity preparation. The modified teeth were then divided into five groups: Sound teeth Prepared without restorations for control Prepared and restored with Vitrebond (3M, USA), Singlebond (3M, USA), and Z100 (3M, USA) resin composite Prepared and restored with Concise enamel bonding agent (3M, USA) and Z100 resin composite Prepared and restored using Singlebond and Z100 composite resin The modified specimens were subjected to compressive load by an Instron machine until fracture occurred. Group 1 showed the highest resistance to compressive force followed by Groups 5, 3, 4, and 2, respectively. Statistical analysis using analysis of variance (ANOVA) and a t-test indicated significant difference between all groups. Use of a dentin bonding agent and composite resin increased the resistance of endodontically treated teeth to fracture. Citation Daneshkazemi AR. Resistance of Bonded Composite Restorations to Fracture of Endodontically Treated Teeth. J Contemp Dent Pract 2004 August;(5)3:051-058.


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