IADR Abstract Archives
Minimal Invasive Treatment of Molar Incisor Hypomineralization: a Case Report
Objectives: Molar incisor hypo-mineralization (MIH) is an enamel defect that causes opacities in incisor and molar teeth. This case explains combined minimal invasive treatment for MIH.
Methods: A 17-year-old woman attended our clinic for treatment of white opacities on anterior teeth. After the clinical and radiographically examination microabrasion, home bleaching and resin infiltration were planned for the treatment. Tooth Mousse Gel (CPP-ACP, GC) was applied on the lesions for two weeks. Under the rubber dam isolation Opalustre (Ultradent) was applied in 3 consecutive cycles using OpalCups (Ultradent). Fluoride varnish (4% NAF, ProShield, President Dental) was applied for 4 minutes following the microabrasion. Home bleaching gel was applied for 5 weeks with custom made bleaching tray using 16%CP (Opalescence PF, Ultradent). 2 weeks after the bleaching procedure, 15% HCL gel (ICON, DMG) was applied in 5 consecutive cycles, followed by application of ethanol and resin infiltrant (ICON, DMG) onto the white lesions. Polishing was completed with polishing discs (TOR VM). Fluorescence device (FluoreCam, Daraza), DIAGNOdent pen (KaVo), spectrofotometer (EasyShade-V, VITA), intra-oral scanner (BIS-1, BenQ) and D Light (GC) were used for diagnosis, color change, control of lesion size and visibility. Patient were recalled for 7-14 days, 1-3-6 months and scored according to the FDI criteria.
Results: Diagnodent scored initially 04 (tooth #11) and 08 (tooth #12). At end of the treatment scores were changed to 02, 05 respectively. FluoreCam showed the lesions as “improved”. Spectrofotometer showed that the shades of incisor teeth were B3 initially and A1 after bleaching. During recalls, RI applied teeth #11-12 were evaluated and scored as 1.
Conclusions: Following application of remineralization gel, combination of microabrasion, bleaching and resin infiltration may be preferred in reducing lesions and eliminating aesthetic concerns seen in MIH. Intraoral-scanner and D Light improves the visibility of white lesions during the diagnosis and treatment stages.
Methods: A 17-year-old woman attended our clinic for treatment of white opacities on anterior teeth. After the clinical and radiographically examination microabrasion, home bleaching and resin infiltration were planned for the treatment. Tooth Mousse Gel (CPP-ACP, GC) was applied on the lesions for two weeks. Under the rubber dam isolation Opalustre (Ultradent) was applied in 3 consecutive cycles using OpalCups (Ultradent). Fluoride varnish (4% NAF, ProShield, President Dental) was applied for 4 minutes following the microabrasion. Home bleaching gel was applied for 5 weeks with custom made bleaching tray using 16%CP (Opalescence PF, Ultradent). 2 weeks after the bleaching procedure, 15% HCL gel (ICON, DMG) was applied in 5 consecutive cycles, followed by application of ethanol and resin infiltrant (ICON, DMG) onto the white lesions. Polishing was completed with polishing discs (TOR VM). Fluorescence device (FluoreCam, Daraza), DIAGNOdent pen (KaVo), spectrofotometer (EasyShade-V, VITA), intra-oral scanner (BIS-1, BenQ) and D Light (GC) were used for diagnosis, color change, control of lesion size and visibility. Patient were recalled for 7-14 days, 1-3-6 months and scored according to the FDI criteria.
Results: Diagnodent scored initially 04 (tooth #11) and 08 (tooth #12). At end of the treatment scores were changed to 02, 05 respectively. FluoreCam showed the lesions as “improved”. Spectrofotometer showed that the shades of incisor teeth were B3 initially and A1 after bleaching. During recalls, RI applied teeth #11-12 were evaluated and scored as 1.
Conclusions: Following application of remineralization gel, combination of microabrasion, bleaching and resin infiltration may be preferred in reducing lesions and eliminating aesthetic concerns seen in MIH. Intraoral-scanner and D Light improves the visibility of white lesions during the diagnosis and treatment stages.