Indirect Restoration Approaches for MIH-Affected Teeth

Bekes, Katrin

doi:10.1007/978-3-030-31601-3_13

Cited by 5 publications

(7 citation statements)

References 19 publications

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“…A more recent Swedish study reported unsatisfactory space closure in 26% of the cases (Jalevik, Moller 2007). Some dentists are reluctant to extract permanent teeth and advocate restorative and endodontic treatment and it is nearly always possible to save an FPM when the root is not affected (Linner et al 2020;Bekes 2020). However, our main argument to extract is the lifetime burden of cost and effort for the individual that has to be considered when treatment decisions are made.…”

Section: Discussionmentioning

confidence: 99%

Extraction of first permanent molars severely affected by molar incisor hypomineralisation: a retrospective audit

Brusevold

Kleivene

Grimsøen

et al. 2021

Eur Arch Paediatr Dent

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Aim The aim of this study was to evaluate possible spontaneous space closure after extraction of first permanent molars in children and their eventual need for orthodontic treatment. Methods Twenty-seven children with at least one first permanent molar planned for extraction were enrolled in the study. The children were referred to the Department of Paediatric Dentistry, University of Oslo, between 2009 and 2017. All extracted teeth were severely affected by Molar Incisor Hypomineralisation and/or caries. The children and their parents had consented to extraction and follow-up. Data were analysed with SPSS 26. Results The age of the children was between 5.5 and 12.1 years (mean 8.7) at extraction. The mean follow-up time was 3.2 years (range 1.1–6.3). Sixteen children (59.3%) had all four molars extracted, five (18.5%) had three, five had two and one had one molar extracted. In the maxilla, the second permanent molar had erupted in the place of the first molar in all the children, and none of them needed orthodontic space closure. In the mandible, eight children (29.6%) needed orthodontic treatment to close the spaces after extraction. In three children, the second molar was not yet erupted and treatment need was not settled. Conclusion Extraction of severely affected first permanent molars before the eruption of the second molar is a treatment option causing little additional treatment in the majority of cases.

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Section: Discussionmentioning

confidence: 99%

Extraction of first permanent molars severely affected by molar incisor hypomineralisation: a retrospective audit

Brusevold

Kleivene

Grimsøen

et al. 2021

Eur Arch Paediatr Dent

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“…A reduction in the production of bicarbonates by the ameloblasts has been identified as an additional factor in the development of MIH. Similarly, it has also been found that the failed transportation of calcium by the ameloblast can lead to a decrease in the density of minerals inside the enamel, which result in MIH lesions [10].…”

Section: Amelogenesis Abnormalities In Mihmentioning

confidence: 98%

“…Both genetic and environmental factors can trigger the formation of abnormal enamel found in MIH. A single factor or a combination of the following can result in MIH: altered secretion of protein by ameloblasts, insufficient proteinases, underdeveloped tight junctions in ameloblasts, programmed cell death of the ameloblasts, reduced bicarbonate formation by ameloblasts, and impaired calcium transportation by the ameloblast [10].…”

Section: Amelogenesis Abnormalities In Mihmentioning

confidence: 99%

“…Epigenetics is affected by environmental factors, such as the methylation of DNA [16]. The role of epigenetics may explain why the lesion of MIH only affect the occlusal 2/3 of the crown, as epigenetics can cause site-specific lesions by impairing the formation of the enamel at certain stages and sites [10].…”

Section: Role Of Epigenetics In the Development Of Mihmentioning

confidence: 99%

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Contemporary Understanding of the Etiology and Management of Molar Incisor Hypomineralization: A Literature Review

2023

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Molar incisor hypomineralization (MIH) is a significant health problem that can affect the child’s quality of life by negatively affecting their esthetics and function. This review aimed to summarize the etiology and pathogenesis of MIH. It also aimed to summarize the recent studies on MIH in children and adolescents, focusing on diagnosis, prevention, and clinical management. An electronic search on the PubMed, Cochrane Database of Systematic Reviews, MEDLINE, MedlinePlus, WHO reports, and Google Scholar databases was performed. The volume of research on the etiology, presentation, and clinical management of MIH is still expanding. The creation and validation of indices for the diagnosis and management of MIH, as well as any potential genetic aspects appear to be the main areas of current research. Notably, MIH was linked to childhood illnesses, the use of antibiotics, and early childhood fever. Although many studies discuss the different options for managing MIH lesions, evidence-based studies that address the long-term outcomes of MIH are still lacking. Indeed, future clinical studies should be directed to evaluate the impact of each systemic etiological factor and its different types of management on normal amelogenesis. Regarding the diagnosis, future research should focus on the pre-eruption diagnosis and early approaches to prevent the post-eruption breakdown and caries. Regarding the treatment of MIH, future investigations should emphasize further improvements in adhesion and the use of new materials and techniques, such as digital dentistry.

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“…7 Ketebalan minimal gigi posterior non-vital yaitu 3 mm, pada kasus ini operator lebih memilih penggunaan overlay indirect resin komposit dibandingkan direct resin komposit dengan pertimbangan penutupan cusp gigi dapat mencegah fleksi cusps yang ekstrim dan menyeimbangkan gaya oklusal, pada gigi posterior lebih rentan terkena gaya aksial, pembentukan kontur proksimal dan titik kontak lebih mudah, dapat menurunkan shrinkage polimerisasi dan mendapatkan adaptasi marginal yang baik sehingga mencapai sealing lebih baik untuk mencegah void. 7,11,12,13,14,15…”

Section: Pembahasanunclassified

<p>Perawatan saluran akar pada gigi molar pertama kanan mandibula dengan pulpitis ireversibel simtomatik</p><p>Root canal treatment of mandibular right first molar with symptomatic irreversible pulpitis</p>

Wibisono

Dharsono

2021

J Ked Gi Unpad

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Pendahuluan: Pulpitis ireversibel simtomatik ditandai dengan hipersensitivitas terhadap stimulus termal, yang menyebabkan nyeri spontan atau rasa sakit yang bertahan 30 detik atau lebih setelah stimulus dihilangkan, nyeri yang parah, persisten, dan sulit dilokalisir, dapat menjalar ke telinga, pelipis, mata atau leher. Kondisi pulpa yang terinflamasi tidak dapat kembali pulih dan perawatan saluran akar merupakan pilihan perawatan. Tujuan laporan kasus ini membahas mengenai perawatan saluran akar dengan pulpitis ireversibel simtomatik untuk menghentikan inflamasi pulpa dan mempertahan gigi. Laporan kasus: Pasien laki-laki berusia 35 tahun datang ke klinik dengan keluhan gigi belakang kanan bawah terasa sakit berdenyut sejak 1 minggu yang lalu. Gigi tersebut pernah dilakukan penambalan sementara 4 bulan sebelumnya dan tambalan tersebut patah serta nyeri spontan. Pemeriksaan radiologis gigi 46 menunjukkan gambaran radiolusen pada bagian mahkota hingga mencapai tanduk pulpa, terdapat 2 akar, dengan akar mesial dilaserasi ke arah distal dan akar distal lurus, serta saluran akar yang menghilang pada 2/3 dan 1/3 saluran akar distal dan mesial, tidak terdapat pelebaran membran periodontal, lamina dura normal dan tidak terdapat kelainan periapikal. Gigi 46 dilakukan anestesi lokal, dilanjutkan pembukaan akses dan ekstirpasi pulpa, kemudian preparasi saluran akar menggunakan nikel titanium rotary ProTaper Next® (Maillefer, Switzerland) dengan teknik crown down dan pengisian saluran akar. Restorasi follow up overlay komposit indirek pada gigi 46. Simpulan: Pulpitis ireversibel simtomatik pada gigi molar dengan akar dilaserasi terbukti dapat ditangani dengan perawatan saluran akar yang adekuat, ditandai dengan hilangnya keluhan pada pasien dalam kasus ini.Kata kunci: Pulpitis ireversibel simtomatik, perawatan saluran akar, teknik crown down. ABSTRACTIntroduction: Symptomatic irreversible pulpitis is characterised by hypersensitivity to the thermal stimuli, which causes spontaneous pain that lasts 30 seconds or more after the stimulus removed, severe, persistent and difficult to localise, can radiate to the ears, temples, eyes, or neck. The inflamed pulp does not recover; thus, root canal treatment is the treatment option. This case report was aimed to discuss the root canal treatment for symptomatic irreversible pulpitis to stop the pulp inflammation and preserve the teeth. Case report: A 35-year-old male patient came to the clinic with complaints of pulsating pain in the mandibular right molar since one week prior. The tooth had a temporary filling four months earlier, and the filling was fractured, and the pain was spontaneous. Radiological examination of tooth 46 showed radiolucent images on the crown until the pulp horn, there were found two roots, with mesial roots dilated distally and straight distal roots, and root canals that disappeared in the two-third and one-third of the distal and mesial root canals, no dilation of the periodontal membrane, normal lamina dura and no periapical abnormalities. Tooth 46 was subjected to local anaesthesia, followed by access opening and pulp extirpation, then the root canal preparation was performed using the ProTaper Next® rotary nickel-titanium (Maillefer, Switzerland) with the crown-down technique and root canal filling. Indirect composite overlay follow-up restoration was conducted of tooth 46. Conclusion: Symptomatic irreversible pulpitis in molars with dilacerated roots proved to be manageable with adequate root canal treatment, marked by the loss of the patients’ complaints.Keywords: Symptomatic irreversible pulpitis, root canal treatment, crown-down technique.

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Indirect Restoration Approaches for MIH-Affected Teeth

Cited by 5 publications

References 19 publications

Extraction of first permanent molars severely affected by molar incisor hypomineralisation: a retrospective audit

Extraction of first permanent molars severely affected by molar incisor hypomineralisation: a retrospective audit

Contemporary Understanding of the Etiology and Management of Molar Incisor Hypomineralization: A Literature Review

<p>Perawatan saluran akar pada gigi molar pertama kanan mandibula dengan pulpitis ireversibel simtomatik</p><p>Root canal treatment of mandibular right first molar with symptomatic irreversible pulpitis</p>

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