Clinical protocols in Molar-Incisor Hypomineralization (MIH): an integrative literature review
DOI:
https://doi.org/10.33448/rsd-v10i13.21605Keywords:
Dental enamel; Pediatric dentistry; Dentistry.Abstract
Molar-incisor hypomineralization (MIH) is defined as a qualitative enamel defect characterized by the appearance of opaque white, yellow or brown lesions that vary in size and show rapid progression of caries lesions and hypersensitivity, affecting molars and incisors. Treatment modalities for teeth affected with this condition are extensive, varying according to the degree and location of MIH making it a challenge for dental surgeons. The aim of this study is to describe the clinical protocols and care plans for people with molar-incisor hypomineralization. An integrative literature review was carried out using the search keys "Molar incisor hypomineralization" "Clinical Protocols" "Children" "Treatment", with the Boolean operator "and", through which 10 articles were selected from the eligibility criteria proposed in the PRISMA ScR strategy for qualitative analysis, in the SciELO, Pubmed and BVs databases. It was realized that treatment modalities for teeth affected by MIH vary widely, depending on the severity, and the presence of complicating factors, such as hypersensitivity, oral hygiene, and patient cooperation. It is therefore concluded that there is currently no consensus on the superiority of treatment of teeth affected by molar-incisor hypomineralization (MIH), since there is the challenge of post-eruptive fractures, dentin hypersensitivity and the difficulty of dentin adhesion. More studies are needed so that this common problem in contemporary clinical dentistry may have an effective way to be solved.
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