Influence of customized therapy for molar incisor hypomineralization on children's oral hygiene and quality of life

Abstract

Objective The aim of this clinical follow‐up study was to demonstrate the effects of different therapeutic strategies for hypomineralized teeth on patients' oral health. The treatment results were characterized by changes in the extent of hypersensitivity and plaque accumulation, as well as reductions in nutritional restrictions. Material and Methods The impacts of therapy, including the use of fluoride varnish, fissure sealants, fillings, and stainless steel crowns, were evaluated in 78 children (mean age 8.5 years). We followed recommendations according to the Molar Incisor Hypomineralisation Treatment Need Index for customized treatment. The Quigley Hein Index, the Schiff Cold Air Sensitivity Scale, Wong–Baker Faces Scale, and dietary‐limiting parameters were assessed before and after therapy for comparison. Results Plaque accumulation and hypersensitivity decreased after completion of therapy. The improvements were greater for individual teeth (Quigley Hein Index for teeth treated with stainless steel crowns from 4.19 to 2.54) than for those of the whole dentition (high‐severity category from 2.67 to 2.20). Problems with food intake were minimized via therapy, with the greatest influence observed for patients who were also in the high‐severity category. Conclusions Therapy for affected teeth in children has positive effects on oral health and quality of life.

Assessment of Genetical, Pre, Peri and Post Natal Risk Factors of Deciduous Molar Hypomineralization (DMH), Hypomineralized Second Primary Molar (HSPM) and Molar Incisor Hypomineralization (MIH): A Narrative Review

“…The decision on the choice of treatment must be made individually, taking into account the severity of the lesions, the symptomatology of the affected tooth, the age, and the aesthetic expectations of the patient [ 43 ]. The therapy must therefore include prevention, recovery, immediate treatment, and long-term planning; the following points are of particular importance in the prophylaxis program for low mineralized areas: regular professional oral hygiene, use of fluoride preparations (topical fluoride prophylaxis or three/four applications of sodium fluoride or fluoride varnish), and the use of CPP-ACP products and sealings [ 44 , 45 ]; it is also useful to use biomimetic nano-hydroxyapatite for the reduction of enamel hypomineralization. This has the greatest effectiveness if applied daily for a minimum of 2–3 min up to a maximum of 10 min for 10 days a month [ 46 ].…”

Influence of caries and molar incisor hypomineralization on oral health-related quality of life in children

“…Regardless of which disease is more common, both can have a major influence on children's oral health-related quality of life (OHRQoL) [8][9][10]. If either reaches a certain severity, both caries and MIH can cause symptoms such as hypersensitivity or pain, leading to impaired chewing and food intake [11][12][13]. The resulting psychosocial burden is also a side effect that should not be neglected.…”

Incisor Molar Hypomineralization and Quality of Life: A Population-Based Study with Brazilian Schoolchildren

“…MIH is an enamel defect that has been increasingly studied by the dental community [4]. However, literature is still scarce concerning the impact of MIH on patients' oral health quality.…”

“…e literature reports that enamel defects affect the quality of life of individuals with this condition since enamel defects can modify both aesthetics and the function of teeth [1]. Among these changes, incisor molar hypomineralization (MIH) has stood out and received increasing attention from dentists in several countries [4].…”