Modified glass ionomer and orthodontic band: An interim alternative for the treatment of molar incisor hypomineralization. A case report.
Abstract
Introduction: Molar incisor hypomineralization (MIH) is a developmental condition resulting in defects in the enamel characterized by demarcated opacities mainly affecting first permanent molars and occasionally permanent incisors in 1 of every 6 children worldwide. Affected molars have greater susceptibility to post eruptive breakdown, extensive caries and, in severe cases, are difficult to restore. When the MIH-affected molar presents severe crown destruction, it is necessary to perform an intermediate restoration to preserve the remaining dental structure in order to maintain occlusion, proper hygiene and periodontal health. The case of an 11-year-old patient with severe MIH is reported. The patient had extensive crown destruction by caries in tooth 1.6 without clinical or radiographic signs of pulp pathology. After an initial preventive intervention, enamel without dentin support and carious dentin were removed from tooth 1.6. Subsequently, crown restoration was performed with resin-modified glass ionomer, followed by the cementation of an orthodontic band. After 18 months of follow-up, the patient reported no pain or discomfort. The restoration was preserved intact, maintaining occlusal functionality, pulp and gingival health. Conclusion: The interim treatment, cementing an orthodontic band over a tooth restored with glass ionomer seems to favor retention and compressive strength, keeping the MIH-affected molar asymptomatic for at least 18 months. Further studies evaluating this treatment option in similar clinical situations are recommended.Keywords:References
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2. Petrou MA, Giraki M, Bissar AR, Wempe C, Schäfer M, Schiffner U, Beikler T, Schulte AG, Splieth CH. Severity of MIH findings at tooth surface level among German school children. Eur Arch Paediatr Dent. 2015;16(3):271–6.
3. Hussein AS, Faisal M, Haron M, Ghanim AM, Abu-Hassan MI. Distribution of Molar Incisor Hypomineralization in Malaysian Children Attending University Dental Clinic. J Clin Pediatr Dent. 2015;39(3):219–23.
4. Garg N, Jain AK, Saha S, Singh J. Essentiality of early diagnosis of molar incisor hypomineralization in children and review of its clinical presentation, etiology and management. Int J Clin Pediatr Dent. 2012;5(3):190–6.
5. Oyedele TA, Folayan MO, Adekoya-Sofowora CA, Oziegbe EO, Esan TA. Prevalence, pattern and severity of molar incisor hypomineralisation in 8- to 10-year-old school children in Ile-Ife, Nigeria. Eur Arch Paediatr Dent. 2015;16(3):277–82.
6. Bullio Fragelli CM, Jeremias F, Feltrin de Souza J, Paschoal MA, de Cássia Loiola Cordeiro R, Santos-Pinto L. Longitudinal Evaluation of the Structural Integrity of Teeth Affected by Molar Incisor Hypomineralisation. Caries Res. 2015;49(4):378–83.
7. Jälevik B, Klingberg G. Treatment outcomes and dental anxiety in 18-year-olds with MIH, comparisons with healthy controls - a longitudinal study. Int J Paediatr Dent. 2012;22(2):85–91.[PubMed]
8. Mangum JE, Crombie FA, Kilpatrick N, Manton DJ, Hubbard MJ. Surface integrity governs the proteome of hypomineralized enamel. J Dent Res. 2010;89(10):1160–5.
9. Weerheijm K. The European Academy of Paediatric Dentistry and Molar Incisor Hypomineralisation. Eur Arch Paediatr Dent. 2015;16(3):233–4.
10. Kilpatrick N. What is the best management approach for molar incisor hypomineralization? JCDA. 2007;73(6):497–8.
11. William V, Burrow MF, Palamara JE, Messer LB. Microshear bond strength of resin composite to teeth affected by molar hypomineralization using 2 adhesive systems. Pediatr Dent. 2006;28(3):233–41.
12. Crombie FA, Cochrane NJ, Manton DJ, Palamara JE, Reynolds EC. Mineralisation of developmentally hypomineralised human enamel in vitro. Caries Res. 2013;47(3):259–63.
13. Mast P, Rodrigueztapia MY, Daeniker L, Krejci I. Understanding MIH: definition, epidemiology, differential diagnosis and new treatment guidelines. Eur J Paediatr Dent. 2013;14(3):204–8.[PubMed]
14. Fragelli CMB, Souza JF, Jeremias F, Cordeiro RCL, Santos-Pinto L. Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth. Braz Oral Res. 2015;29(1):1–7.
15. Giacaman RA, Bustos IP, Bravo-León V, Mariño RJ. Impact of rurality on the oral health status of 6-year-old children from central Chile: the EpiMaule study. Rural Remote Health. 2015;15(2):3135.
16. Fayle SA. Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent. 2003;4(3):121–6.
17. Innes NP, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Doméjean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona A, Schwendicke F. Managing Carious Lesions: Consensus Recommendations on Terminology. Adv Dent Res. 2016;28(2):49–57.
18. Schwendicke F, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Doméjean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona AF, Innes NP. Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal. Adv Dent Res. 2016;28(2):58–67.
19. Sönmez H, Yıldırım G, Bezgin T. Putative factors associated with molar incisor hypomineralisation: an epidemiological study. Eur Arch Paediatr Dent. 2013;14(6):375–80.[PubMed]
20. Williams JK, Gowans AJ. Hypomineralised first permanent molars and the orthodontist. Eur J Paediatr Dent. 2003;4(3):129–32.
Published
2017-03-20
How to Cite
ORELLANA, Carla; PÉREZ, Vidal.
Modified glass ionomer and orthodontic band: An interim alternative for the treatment of molar incisor hypomineralization. A case report..
Journal of Oral Research, [S.l.], v. 6, n. 3, p. 70-74, mar. 2017.
ISSN 0719-2479.
Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2017.018>. Date accessed: 19 apr. 2024.
doi: https://doi.org/10.17126/joralres.2017.018.
Issue
Section
Cases
Keywords
dental caries; dental enamel; modified glass ionomer; molar; restoration.
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