scholarly journals CPP-ACP complexe as an alternative to treatment of incisor molar hypomineralization: case report

2019 ◽  
Vol 67 ◽  
Author(s):  
Micaela CARDOSO ◽  
Kelly Maria Silva MOREIRA ◽  
Andréia Alves CARDOSO ◽  
Regina Maria Puppin RONTANI
Keyword(s):  
Glass Ionomer Cement ◽  
Relative Sensitivity ◽  
Pain Scale ◽  
Fluoride Varnish ◽  
Thermal Stimulus ◽  
Tooth Structure ◽  
Mi Paste Plus ◽  
Molar Incisor Hypomineralization ◽  
Mi Paste ◽  
Brazilian Child

ABSTRACT The objective of this study was to report the clinical treatment of a child with Incisor Molar Hipomineralization. A 5-year-old Brazilian child, male gender, was diagnosed with Molar Incisor Hypomineralization, reporting high teeth sensitivity. After anamnesis and clinical examination, treatment was conducted with three weekly applications of fluoride varnish containing 5% CPP-ACP complex. Also, it was advice to the patient for using a toothpaste containing fluoride and CPP-ACP (MI Paste Plus). After that, molars with great tooth structure loss were restored with resin modified glass ionomer cement. Prior to the first topical application of varnish with CPP-ACP and fluoride toothpaste containing CPP-ACP, a sensitivity test was conducted using thermal stimulus and facial pain scale. It was observed relative sensitivity decrease between sessions, reporting no sensitivity at the last session before the restoration. The treatment of Molar Incisor Hypomineralization teeth with CPP-ACP complex associated with fluoride varnish can be an alternative to reduce sensivity.

Sensitivity treatments for teeth with Molar-Incisor Hypomineralization (MIH): Protocol for a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Daniela Rios
Keyword(s):  
Clinical Trials ◽  
Sodium Fluoride ◽  
Pain Scale ◽  
Fluoride Varnish ◽  
Titanium Tetrafluoride ◽  
Group I ◽  
Molar Incisor Hypomineralization ◽  
Barrier Coat ◽  
Experimental Group

BACKGROUND The sensitivity of teeth with MIH (Molar Incisor Hypomineralization) can affect children’s quality of life and is a challenging problem for dentists. Remineralizing agents such as sodium fluoride varnish seem to reduce sensitivity of teeth with MIH, but long-term clinical trials with large samples are still needed for more consistent results about its effectiveness as a desensitizing agent before its clinical recommendation. OBJECTIVE This randomized clinical trial aims to compare three treatment interventions for teeth with MIH and hypersensitivity. METHODS : 60 children aged 6-10 years presenting with at least one first permanent molar with sensitivity and no loss of enamel will be randomly assigned to three groups: Control group - sodium fluoride varnish (Duraphat®, Colgate); Experimental group I - 4% titanium tetrafluoride varnish (TiF4); and Experimental group II - coating resin containing S-PRG filler (Surface Pre-Reacted Glass ionomer) (SPRG Barrier Coat®, Shofu). The sodium fluoride varnish and 4% titanium tetrafluoride varnish will be applied once a week for 4 consecutive weeks and the S-PRG-Barrier Coat resin will be applied in the first session and the application will be simulated in the following 3 weeks to guarantee the blinding of the study. The primary outcome will be sensitivity level measured in different moments: before each material application, immediately after application or simulation, and 1, 2, 4, and 6 months after the last application/simulation by one examiner using Wong-Baker Facial Scale (WBFS), Schiff's Cold Air Sensitivity Scale (SCASS), and FLACC Pain Scale (Face, Legs, Activity, Cry, Consolability pain scale). As secondary outcomes, the parental satisfaction and child self-reported discomfort after the treatment will be measured with a questionnaire prepared by the researcher. The data will undergo statistical analysis and the significance level will be set at 5%. RESULTS The project was funded in 2018, and enrollment was completed in November 2019. The recruitment of participants is currently under way and the first results are expected to be submitted for publication in 2022. CONCLUSIONS If found effective in reducing the patient’s sensitivity with long-term effects, these agents can be considered a treatment choice, and the findings will contribute with the development of a treatment protocol for teeth with sensitivity due to MIH. CLINICALTRIAL Brazilian Registry of Clinical Trials Universal Trial Number: U1111-1237-6720; http://www.ensaiosclinicos.gov.br/rg/?q=RBR-4BHXPB

scholarly journals Advances in glass-ionomer cements

2006 ◽  
Vol 14 (spe) ◽  
pp. 3-9 ◽  
Author(s):  
Carel Leon Davidson
Keyword(s):  
Glass Ionomer Cement ◽  
Minimal Invasive ◽  
Composite Resins ◽  
Restorative Material ◽  
Glass Ionomer Cements ◽  
Glass Ionomer ◽  
Tooth Structure ◽  
Ionomer Cement

This article describes the properties, advances and shortcomings of glass-ionomer cement as a restorative material. The adhesion of glass-ionomer to tooth structure is less technique sensitive than composite resins and its quality increases with time. Therefore glass-ionomer might turn out to the more reliable restorative material in minimal invasive dentistry based on adhesive techniques.

scholarly journals Biological restorations as a treatment option for primary molars with extensive coronal destruction: report of two cases

2007 ◽  
Vol 18 (3) ◽  
pp. 248-252 ◽  
Author(s):  
Karina Sanches ◽  
Fabrício Kitazono de Carvalho ◽  
Paulo Nelson-Filho ◽  
Sada Assed ◽  
Francisco Wanderley Garcia de Paula e Silva ◽  
...  
Keyword(s):  
Glass Ionomer Cement ◽  
Adhesive System ◽  
Tooth Surface ◽  
Primary Molars ◽  
Glass Ionomer ◽  
Technical Aspects ◽  
Tooth Structure ◽  
Occlusal Adjustment ◽  
Carious Lesions ◽  
Ionomer Cement

This article reports the cases of two young children aged 4 and 5 years, in whom biological restorations using tooth fragments were placed in primary molars with severely damaged crowns due to extensive carious lesions. After radiographic and clinical evaluation, tooth fragments obtained from extracted teeth in stock were autoclaved, adjusted to the prepared cavity and bonded to the remaining tooth structure with either adhesive system (Case 1) or dual-cure resin-based cement (Case 2) over a calcium hydroxide layer and a glass ionomer cement base. Occlusal adjustment was performed and topical sodium fluoride was applied to tooth surface. Periodical clinical and radiographic controls were carried out and the restored teeth were followed up for 4 and 3 years, respectively, until exfoliation. In these two reports, the technical aspects are described and the benefits and disadvantages of biological restorations as an alternative treatment for rehabilitation of severely destroyed primary molars are discussed.

scholarly journals Adhesion to Enamel of Teeth Affected by Molar Incisor Hypomineralization: Literature Review

2018 ◽  
Vol 22 (2) ◽  
pp. 57-63
Author(s):  
Apostolina Theocharidou ◽  
Konstantinos Arapostathis
Keyword(s):  
Adhesive System ◽  
In Vitro Studies ◽  
Treatment Modalities ◽  
Tooth Structure ◽  
Resin Infiltration ◽  
Composite Restorations ◽  
Molar Incisor Hypomineralization ◽  
Self Etch

SummaryBackground/Aim: Molar incisor hypomineralization (MIH) is a qualitative defect of systemic origin, affecting permanent first molars and often permanent incisors. The treatment modalities can include, amongst others, fissure sealants for prevention of dental caries and composite restorations. Both require adhesion to tooth structure. The aim of this study was to review the literature on the adhesion to enamel affected by MIH.Material and Methods: A search of PupMed/Medline, ResearchGate and Google Scholar was performed and limited between 2003, when the judgement criteria for MIH were set, and 2016. Thirty-three papers were considered relevant to the subject including five in vivo and six in vitro studies. Studies involving less than ten teeth were excluded.Results: A four-year clinical trial showed that the application of a total-etch 2-step adhesive system prior to sealant placement is superior to the etch-seal technique. Despite the high success rate of composite restorations shown in three clinical longitudinal studies, there are conflicting results over self-etch being superior to total etch adhesive systems. Pretreating the enamel surface, prior to the adhesive system, with fluoride preventive solutions could reduce the mikroleakage under orthodontic brackets. Three in vitro studies provide inconsistent data about NaOCl pretreating potentials to improve adhesion of composite restorations. Resin infiltration, prior to resin restorations, could improve the microhardness of defected enamel, which may lead to increased bond strength, especially in combination with NaOCl pretreatment.Conclusions: Adhesion to enamel affected by molar incisor hypomeralization is inferior compared to normal enamel. Sealants applied with the etch-bond-seal technique have greater retention than with the etch-seal technique. Further research is required to provide evidence of the effectiveness of the adhesive system and pretreatment to achieve optimal bonding to MIH.

scholarly journals Effect of Er,Cr:YSGG on Remineralization Using CPP - ACPF (MI - Paste Plus) after Enamel Erosion Caused by Carbonated Soft Drink in Primary Teeth: In-Vitro Study

2019 ◽  
Vol 7 (7) ◽  
pp. 1184-1192 ◽  
Author(s):  
Ghada Ezzeldin Elwardani ◽  
Tarek Abdel Hamid Harhash ◽  
Ahmed Abbas Zaky
Keyword(s):  
Primary Teeth ◽  
Artificial Saliva ◽  
Soft Drink ◽  
Combined Treatment ◽  
Laser Application ◽  
Mi Paste Plus ◽  
Group I ◽  
Significant Difference ◽  
Mi Paste

BACKGROUND: Erosion is a widespread phenomenon with higher predilection in primary dentition. AIM: The aim of the present study is to assess the remineralising effect of Er,Cr:YSGG laser application combined with CPP-ACPF after erosive demineralisation by Coca-Cola in primary teeth. METHODS: Fifty teeth (n = 10) were divided into; Group I: Artificial saliva, (Saliva natural, Medac, UK), Group II: CPP-ACPF (MI Paste Plus, GC Corp, USA), Group III: Er,Cr:YSGG (Waterlase iPlus, USA), Group IV: CPP-ACPF + Er,Cr:YSGG, Group V: Er,Cr:YSGG + CPP-ACPF. Teeth were immersed in Coca-Cola for 10 min, 5 times/day for 5 days. DIAGNOdent (DD) measurements were taken before and after the experiment. RESULTS: There was a significant increase in DD readings after erosive-treatment cycles in all test groups. The highest reading was in samples immersed in artificial saliva, and the lowest was in those subjected to combined CPP-ACPF and Er,Cr:YSGG laser application, regardless of the sequence used. There was no significant difference between samples immersed in artificial saliva, and after CPP-ACPF application. Similarly, there was no significant difference between samples treated by combined treatment of CPP-ACPF and Er,Cr:YSGG application. However, there was a significant difference between samples immersed in artificial saliva or treated with CPP-ACPF application and those subjected to combined treatment CPP-ACPF along with Er,Cr:YSGG. CONCLUSION: Combining Er,Cr:YSGG laser and CPP-ACPF paste significantly increased enamel remineralisation, regardless of the sequence implemented. Saliva naturally and CPP-ACPF application had a comparable effect on remineralisation.

Effect of Glass Ionomer Cement and Fluoride Varnish on the Remineralization of Artificial Proximal Caries in Situ.

2009 ◽  
Vol 34 (2) ◽  
pp. 131-134 ◽  
Author(s):  
C Trairatvorakul ◽  
P Techalertpaisarn ◽  
S Siwawut ◽  
A Ingprapankorn
Keyword(s):  
Glass Ionomer Cement ◽  
Control Area ◽  
Fluoride Varnish ◽  
Carious Lesion ◽  
Glass Ionomer ◽  
Lesion Area ◽  
Posterior Teeth ◽  
Proximal Caries ◽  
Ionomer Cement

Objective: To compare the effect of glass ionomer cement (GIC) and fluoride varnish (F-varnish) on artificial proximal caries in situ. Study design: Two 1×3 mm2 enamel slabs, divided into three 1×1 mm2 windows,were prepared from each proximal surface of 18 premolars. Each slab was distributed into a control area,an intact enamel area and a test area. Artificial lesions were created on the control and test areas by immersing in demineralizing solution for 24 hours. The test windows were either applied with GIC or F-varnish and the full slabs inserted into orthodontic brackets as carriers, which were then bonded to the buccal surfaces of the 6 upper posterior teeth of 6 volunteers using non-fluoride dentifrice for 30 days. There was a 1-week washout period in this crossover study. The middle specimens of the three windows were cross-sectioned to analyze the carious lesion area by a polarized light microscope and calculated with Image-Pro plus® software.Results: The average carious lesion area under GIC was significantly less than that under F-varnish(p<0.05). Conclusion: GIC promotes more remineralization of artificial carious lesions on proximal surfaces than F-varnish.

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