Desensitization treatment in MIH-affected teeth: a systematic review.

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE European Archives of Paediatric Dentistry Pub Date : 2024-08-13 DOI:10.1007/s40368-024-00934-2

Ebba Hjertberg, Adnan Hajdarević, Birgitta Jälevik

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Abstract

Purpose: The present systematic review aims to summarize the current evidence regarding various treatment modalities and their results when dealing with hypersensitivity in teeth with Molar-Incisor Hypomineralization (MIH).

Methods: Systematic searches were conducted in PubMed and Scopus using the search terms "MIH AND Hypersensitivity AND treatment." Studies involving children aged 6-18 years diagnosed with MIH and exhibiting hypersensitivity were considered for inclusion. The outcomes examined included clinical, behavioral, and psychosocial treatment options for reducing hypersensitivity. A meta-analysis was performed for six of the included articles, and the I² value was calculated to determine heterogeneity.

Results: A total of eight articles met the inclusion criteria for this review, with six eligible for the meta-analysis. Various treatment modalities, such as dental mousse, sealing, laser therapy, and crown therapy, demonstrated significant reductions in hypersensitivity individually (p < 0.05).

Conclusion: The treatment methods that offer the most effective reduction in hypersensitivity are sealing with resin composite or glass ionomer cement for mild cases of MIH, while crown therapy is more effective for severe cases of MIH. However, the small number of participants and short follow-up times limit the strength of these conclusions.

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受 MIH 影响的牙齿的脱敏治疗：系统综述。

目的：本系统性综述旨在总结在处理臼齿嵌合体低矿化（MIH）牙齿过敏症时各种治疗方法及其效果的现有证据：方法：在 PubMed 和 Scopus 中使用 "MIH、过敏、治疗 "进行系统检索。涉及 6-18 岁确诊为 MIH 并表现出过敏症的儿童的研究均被考虑纳入。研究结果包括降低过敏性的临床、行为和社会心理治疗方案。对纳入的六篇文章进行了荟萃分析，并计算了 I2 值以确定异质性：共有八篇文章符合本综述的纳入标准，其中六篇符合荟萃分析的条件。各种治疗方法，如牙科摩丝、封闭、激光治疗和牙冠治疗，都能显著降低单个患者的超敏反应（p 结论：最能有效降低过敏性的治疗方法是用树脂复合材料或玻璃离子粘结剂封闭轻度 MIH 病例，而牙冠疗法对重度 MIH 病例更有效。然而，由于参与人数少、随访时间短，这些结论的力度受到限制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.40

自引率

9.10%

发文量

期刊介绍： The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.