Abstract
Mild form of molar-incisor hypomineralization (MIH) on anterior teeth are posing great challenges to dental practitioners as it can have a huge aesthetic impact. In terms of deep MIH-related lesion below the healthy enamel, highly invasive methods for approaching the lesion body and removing the entire hypomineralized enamel using burs could lead to failures including aesthetic problems and even further tooth structure damage to the affected teeth. Case report: To resolve t his issue, we have proposed a modified resin infiltration technique based on the minimally invasive philosophy. In this study, we would like to report three specific cases about the use of the technique, which has the potential to restore the naturally aesthetic appearance for the anterior teeth while maintaining healthy tooth structure. Conclusion: Recovering the natural appearance of anterior teeth requires thorough attention to the aesthetics and integrity of the affected teeth. The proposed modified resin infiltration technique has been illustrated to bring back the natural morphology and maximally protect the healthy structure to ensure a long-term treatment outcome. The technique should be implemented to a significant degree for the long-term improvement in the oral health of pediatric patients in Vietnam and around the world.
References
1. Jälevik B. Prevalence and diagnosis of Molar- Incisor-Hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent. 2010; 11(2):59-64.
2. Silva MJ, Scur rah KJ, Craig JM, Manton DJ, Kilpatrick N. Etiology of molar incisor hypomineralization – A systematic review. Community Dent Oral Epidemiol. 2016; 44(4):342- 53.
3. Lygidakis NA, Garot E, Somani C, Taylor GD, Rouas P, Wong FSL. Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document. Eur Arch Paediatr Dent. 2022; 23(1):3-21.
4. Sundfeld D, da Silva L, Kluppel O, et al. Molar Incisor Hypomineralization: Etiology, clinical aspects, and a restorative treatment case report. Oper Dent. 2020; 45(4):343-51.
5. Cunha Coelho ASE, Mata PCM, Lino CA, et al. Dental hypomineralization treatment: A systematic review. J Esthet Restor Dent. 2019; 31(1):26-39.
6. Lygidakis NA, Wong F, Jälevik B, Vierrou AM, Alaluusua S, Espelid I. Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH). Eur Arch Paediatr Dent. 2010; 11(2):75-81.
7. Ericson D. The concept of minimally invasive dentistry. Dent Update. 2007; 34(1):9-18.
8. Tirlet G, Chabouis HF, Attal JP. Infiltration, a new therapy for masking enamel white spots: A 19-month follow-up case series. Eur J Esthet Dent. 2013; 8(2):180-90.
9. Bulanda S, Ilczuk-Rypuła D, Dybek A, Pietraszewska D, Skucha-Nowak M, Postek- Stefańska L. Management of teeth affected by Molar Incisor Hypomineralization using a resin infiltration technique—A systematic review. Coatings. 2022; 12(7):964.
10. Davila JM, Buonocore MG, Greeley CB, Provenza DV. Adhesive penetration in human artificial and natural white spots. J Dent Res. 1975; 54(5):999- 1008.
11. Meyer-Lueckel H, Paris S, Mueller J, Cölfen H, Kielbassa AM. Influence of the application time on the penetration of different dental adhesives and a fissure sealant into artificial subsurface lesions in bovine enamel. Dent Mater. 2006; 22(1):22-8.
12. Mueller J, Meyer-Lueckel H, Paris S, Hopfenmuller W, Kielbassa AM. Inhibition of lesion progression by the penetration of resins in vitro: influence of the application procedure. Oper Dent. 2006; 31(3):338-45.
13. Paris S, Meyer-Lueckel H, Mueller J, Hummel M, Kielbassa AM. Progression of sealed initial bovine enamel lesions under demineralizing conditions in vitro. Caries Res. 2006; 40(2):124-9.
14. Robinson C, Hallsworth AS, Weatherell JA, Künzel W. Arrest and control of carious lesions: A study based on preliminary experiments with resorcinol-formaldehyde resin. J Dent Res. 1976; 55(5):812-8.
15. ElBaz G, Mahfouz SM. Efficacy of two different treatment modalities on masking white spot lesions in children with molar incisor hypomineralization. Egypt Dent J. 2017; 63(3):2147-54.
16. Bhandari R, Thakur S, Singhal P, Chauhan D, Jayam C, Jain T. Concealment effect of resin infiltration on incisor of Grade I molar incisor hypomineralization patients: An in vivo study. J Conserv Dent. 2018; 21(4):450-4.
17. Kakuguchi W, Ohiro Y, Nakazawa S, Naito R, Moritani Y, Nakamichi Y, Horimukai H, Kitamura T, Tei K. Application of the dredging method in a case of recurrent ameloblastoma that had spread over a large region of the mandible. J Oral Maxillofac Surg Med Pathol. 2020; 32(1):44-8.
18. Welbury RR. A clinical study of a microfilled composite resin for labial veneers. Int J Paediatr Dent. 1991; 1(1):9-15.
19. Marouane O, Chtioui F. Transillumination-aided infiltration: A diagnostic concept for treating enamel opacities. J Esthet Restor Dent. 2020; 32(5):451-6.
20. Marouane O, Manton DJ. The use of transillumination in mapping demarcated enamel opacities in anterior teeth: A cross-sectional study. Int J Paediatr Dent. 2022; 32(1):49-55.
21. Tam CP, Manton DJ. Aesthetic management of molar incisor hypomineralization: Staged strategies for affected incisors. In: Bekes K, editor. Molar Incisor Hypomineralization: A clinical guide to diagnosis and treatment. Springer International Publishing; 2020. pp. 167-86.
22. Zakizade M, Davoudi A, Akhavan A, Shirban F. Effect of resin infiltration technique on improving surface hardness of enamel lesions: A systematic review and meta-analysis. J Evid Based Dent Pract. 2020; 20(2):101405.
23. Chabuk MM, Al-Shamma AM. Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods. Heliyon. 2023; 9(7):e18283.
24. Fagrell TG, Lingström P, Olsson S, Steiniger F, Norén JG. Bacterial invasion of dentinal tubules beneath apparently intact but hypomineralized enamel in molar teeth with molar incisor hypomineralization. Int J Paediatr Dent. 2008; 18(5):333-40.
25. Oniga M, Lupșe I, Muntean A, Bica CI. The power of ICON infiltration in an adolescent patient. Case report. Acta Stomatol Marisiensis J. 2018; 5(1):34- 42.
26. Wray A, Welbury R. Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents. Int J Paediatr Dent. 2001; 11(4):309-15.
27. Denis M, Atlan A, Vennat E, Tirlet G, Attal JP. White defects on enamel: diagnosis and anatomopathology: Two essential factors for proper treatment (part 1). Int Orthod. 2013; 11(2):139-65.
28. Soni NN, Brudevold F. A microradiographic and polarizing microscopic study of sound enamel. J Dent Res. 1959; 38(6):1181-6.
29. Saluja I, Pradeep S, Shetty N. Minimally invasive management of white spot lesion using resin infiltration technique: A case report. Gulhane Med J. 2022; 64(1):120-2.
30. Shawkat ES, Shortall AC, Addison O, Palin WM. Oxygen inhibition and incremental layer bond strengths of resin composites. Dent Mater. 2009; 25(11):1338-46.
31. Park SH, Krejci I, Lutz F. Hardness of celluloid strip-finished or polished composite surfaces with time. J Prosthet Dent. 2000; 83(6):660-3.
32. Bergmann P, Noack MJ, Roulet JF. Marginal adaptation with glass-ceramic inlays adhesively luted with glycerine gel. Quintessence Int. 1991; 22(9):739-44.
33. Park HH, Lee IB. Effect of glycerin on the surface hardness of composites after curing. J Korean Acad Conserv Dent. 2011; 36(6):483-9.
34. Topaloglu-Ak A, Çayırgan D, Uslu M. Evaluation of surface roughness of composite, compomer and carbomer after curing through Mylar strip and glycerin: A comparative study. J Adv Oral Res. 2020; 11(1):12-5.
35. Allen DN, Fine CM, Newton MN, Kabani F, Muzzin KB, Reed KM. Resin Infiltration Therapy: A micro-invasive treatment approach for white spot lesions. J Dent Hyg. 2021; 95(6):31-5.
36. Bourouni S, Dritsas K, Kloukos D, Wierichs RJ. Efficacy of resin infiltration to mask postorthodontic or non-post-orthodontic white spot lesions or fluorosis - A systematic review and meta-analysis. Clin Oral Investig. 2021; 25(8):4711- 9.
37. Kielbassa AM, Ulrich I, Werth VD, Schüller C, Frank W, Schmidl R. External and internal resin infiltration of natural proximal subsurface caries lesions: A valuable enhancement of the internal tunnel restoration. Quintessence Int. 2017; 48(5):357-68.
Recommended Citation
Ngoc, V. T., Huyen, N. P., Anh, L. K., Hang, P. T., Loan, H. K., & Dong, T. T. Minimally Invasive Treatment of Molar Incisor Hypomineralization Without Using Burs: Experiences via A Case Series in Vietnam. J Dent Indones. 2024;31(2): 180-187
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