AVALIAÇÃO DA EFICÁCIA DE DIFERENTES ABORDAGENS RESTAURADORAS EM PACIENTE COM HIPOMINERALIZAÇÃO MOLAR INCISIVO: UM ACOMPANHAMENTO DE DOZE MESES
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Publicado:
Jun 26, 2024
Palavras-chave:
HMI; Resina composta; Esmalte dentário; Defeitos do desenvolvimento do esmalte dentário; Hipomineralização do esmalte dentário
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Resumo
A Hipomineralização Molar Incisivo (HMI) é um defeito do desenvolvimento do esmalte, de origem sistêmica, que se caracteriza pela presença de manchas no esmalte afetando um ou mais primeiros molares permanentes, com ou sem envolvimento de um ou de mais incisivos. O maior desafo no tratamento restaurador está relacionado à adesão dos sistemas adesivos ao substrato dentário afetado pela HMI. O objetivo deste estudo é relatar as diferentes abordagens de tratamentos restauradores que podem ser adotadas para dentes afetados pela HMI. Paciente jovem, com queixa de sensibilidade dentária e estética, apresentando os dentes 11, 26 e 36 com manchas opacas extensas, de cor branca, bege e marrom, sendo os dentes 26 e 36 previamente restaurados, e o dente 26 infiltrado por cárie. A rápida progressão desse quadro motivou a substituição das restaurações, reforçando a importância do monitoramento contínuo. Restaurações em resina composta direta, de forma conservadora, com bordas em esmalte sadio, como a do dente 11, mostraram-se eficientes após 12 meses de acompanhamento. Cavidades onde a lesão por HMI não foi totalmente removida da margem, tiveram restaurações malsucedidas e necessitaram reintervenção, com a realização da troca das restaurações deficientes dos dentes 26 e 36, após remoção do esmalte afetado. Este caso demonstrou a importância do conhecimento clínico e do diagnóstico correto das lesões por HMI.
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Como Citar
Débora Teresa Griebeler Carvalho Drebel, Amanda Falcão, Eduardo Victor Maroun, Cristiane Soares Mota, Márcio A Paraizo Borges, & Patrícia Alves Scheid Jordan. (2024). AVALIAÇÃO DA EFICÁCIA DE DIFERENTES ABORDAGENS RESTAURADORAS EM PACIENTE COM HIPOMINERALIZAÇÃO MOLAR INCISIVO: UM ACOMPANHAMENTO DE DOZE MESES. Revista Naval De Odontologia, 51(1), 23-34. https://doi.org/10.69909/1983-7550-avaliacao-da-eficacia-de-diferentes-abordagens-restauradoras-em-paciente-com-hipomineralizacao-molar-incisivo-um-acompanhamento-de-doze-meses
Seção
Relatos de caso
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Referências
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2.Weerheijm KL, Jälevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001 Sep-Oct;35(5):390-1.
3.Somani C, Taylor GD, Garot E, Rouas P, Lygidakis NA, Wong FSL. An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2022 Feb;23(1):39-64.
4.Lopes LB, Machado V, Mascarenhas P, Mendes JJ, Botelho J. The prevalence of molar-incisor hypomineralization: a systematic review and meta-analysis. Sci Rep. 2021 Nov 17;11(1):22405.
5.Americano GC, Jacobsen PE, Soviero VM, Haubek D. A systematic review on the association between molar incisor hypomineralization and dental caries. Int J Paediatr Dent. 2017 Jan;27(1):11-21.
6.Teixeira TPS, Pereira PSA, Carvalho FAR, Soviero VM. Influence of genetics on the occurrence of enamel hypomineralization affecting permanent and primary teeth: A scoping review. Int J Paediatr Dent. 2023 Oct 23.
7.Garot E, Rouas P, Somani C, Taylor GD, Wong F, Lygidakis NA. An update of the aetiological factors involved in molar incisor hypomineralisation (MIH): a systematic review and meta-analysis. Eur Arch Paediatr Dent. 2022 Feb;23(1):23-38. doi: 10.1007/s40368-021-00646-x.
8.Jeremias F, Pierri RA, Souza JF, Fragelli CM, Restrepo M, Finoti LS, Bussaneli DG, Cordeiro RC, Secolin R, Maurer-Morelli CV, Scarel-Caminaga RM, Santos-Pinto L. Family-Based Genetic Association for Molar-Incisor Hypomineralization. Caries Res. 2016;50(3):310-8. doi: 10.1159/000445726.
9.Jeremias F, Bussaneli DG, Restrepo M, Pierri RAG, Souza JF, Fragelli CMB, Secolin R, Maurer-Morelli CV, Cordeiro RCL, Scarel-Caminaga RM, Santos-Pinto L. Inheritance pattern of molar-incisor hypomineralization. Braz Oral Res. 2021 Mar 22;35:e035. doi: 10.1590/1807-3107bor-2021.vol35.0035.
10.Alhowaish, L.; Baidas, L.; Aldhubaiban, M.; Bello, L.L.; Al-Hammad, N. Etiology of Molar-Incisor Hypomineralization (MIH): A Cross-Sectional Study of Saudi Children. Children 2021, 8, 466.
11.Alzahrani AY, Alamoudi NMH, El Meligy OAES. Contemporary Understanding of the Etiology and Management of Molar Incisor Hypomineralization: A Literature Review. Dent J (Basel). 2023 Jun 23;11(7):157.
12.Sundfeld D, da Silva L, Kluppel OJ, Santin GC, de Oliveira R, Pacheco RR, Pini N. Molar Incisor Hypomineralization: Etiology, Clinical Aspects, and a Restorative Treatment Case Report. Oper Dent. 2020 Jul 1;45(4):343-351.
13.da Cunha Coelho ASE, Mata PCM, Lino CA, Macho VMP, Areias CMFGP, Norton APMAP, Augusto APCM. Dental hypomineralization treatment: A systematic review. J Esthet Restor Dent. 2019 Jan;31(1):26-39.
14.Nogueira VKC, Mendes Soares IP, Fragelli CMB, Boldieri T, Manton DJ, Bussaneli DG, Cordeiro RCL. Structural integrity of MIH-affected teeth after treatment with fluoride varnish or resin infiltration: An 18-Month randomized clinical trial. J Dent. 2021 Feb;105:103570.
15.Rodd HD, Graham A, Tajmehr N, Timms L, Hasmun N. Molar Incisor Hypomineralisation: Current Knowledge and Practice. Int Dent J. 2021 Aug;71(4):285-291. doi: 10.1111/idj.12624. Epub 2021 Jan 27. PMID: 34286697; PMCID: PMC9275314
16.Durmus B, Sezer B, Tugcu N, Caliskan C, Bekiroglu N, Kargul B. Two-Year Survival of High-Viscosity Glass Ionomer in Children with Molar Incisor Hypomineralization. Med Princ Pract. 2021;30(1):73-79. doi: 10.1159/000508676.
17.Neves AB, Soares DV, Soviero VM. Hipomineralização de molares e incisivos: uma revisão de literatura. Rev Nav Odontol. 2016, 43(1):38-42.
18.Amaechi BT, Farah R, Liu JA, Phillips TS, Perozo BI, Kataoka Y, Meyer F, Enax J. Remineralization of molar incisor hypomineralization (MIH) with a hydroxyapatite toothpaste: an in-situ study. BDJ Open. 2022 Dec 10;8(1):33.
19.Krämer N, Bui Khac NN, Lücker S, Stachniss V, Frankenberger R. Bonding strategies for MIH-affected enamel and dentin. Dent Mater. 2018 Feb;34(2):331-340.
20.Elhennawy K, Manton DJ, Crombie F, Zaslansky P, Radlanski RJ, Jost-Brinkmann PG, Schwendicke F. Structural, mechanical and chemical evaluation of molar-incisor hypomineralization-affected enamel: A systematic review. Arch Oral Biol. 2017 Nov;83:272-281
21.Bozal CB, Kaplan A, Ortolani A, Cortese SG, Biondi AM. Ultrastructure of the surface of dental enamel with molar incisor hypomineralization (MIH) with and without acid etching. Acta Odontol Latinoam. 2015;28(2):192-8
22.Fragelli CM, Souza JF, Jeremias F, Cordeiro Rde C, Santos-Pinto L. Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth. Braz Oral Res. 2015;29:S1806-83242015000100271.
23.Weber KR, Wierichs RJ, Meyer-Lueckel H, Flury S. Restoration of teeth affected by molar-incisor hypomineralisation: a systematic review. Swiss Dent J. 2021 Dec 6;131(12):988-997.
24.Sekundo C, Jung M, Muscholl C, Frese C. Qualidade de vida relacionada à saúde bucal e análise de sobrevida após tratamento preventivo e restaurador da hipomineralização molar-incisivo. Sci Rep. 2024 8 de janeiro; 14(1):777. DOI: 10.1038/s41598-024-51223-3.
25.Ritto FP, Tiwana KR, Schmitz TA, Dacus ZL, Borges MAP, Canellas JV. A qualitative analysis of treatment patterns for mild and severe molar hypomineralization in permanent teeth: A systematic review. Pediatr Dent 2023;45(4):281-91.
26.Jorge RC, Dos Papoula GorniReis P, Marañón-Vásquez GA, Masterson D, Cople Maia L, Mendes Soviero V. Are yellow-brownish opacities in hypomineralized teeth more prone to breakage than white-creamy ones? A systematic review. Clin Oral Investig. 2022 Sep;26(9):5795-5808.
27.Cabral RN, Nyvad B, Soviero VLVM, Freitas E, Leal SC. Reliability and validity of a new classification of MIH based on severity. Clin Oral Investig. 2020 Feb;24(2):727-734.
28.Mazur M, Westland S, Guerra F, Corridore D, Vichi M, Maruotti A, Nardi GM, Ottolenghi L. Objective and subjective aesthetic performance of icon® treatment for enamel hypomineralization lesions in young adolescents: A retrospective single center study. J Dent. 2018 Jan;68:104-108.
29.Nogueira VKC, Mendes Soares IP, Fragelli CMB, Boldieri T, Manton DJ, Bussaneli DG, Cordeiro RCL. Structural integrity of MIH-affected teeth after treatment with fluoride varnish or resin infiltration: An 18-Month randomized clinical trial. J Dent. 2021 Feb;105:103570.
30.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 Sep;18(5):333-40.
31.Özgül BM, Sakaryalı D, Tirali RE, Çehreli SB. Does MIH Affects Preoperative and Intraoperative Hypersensitivity? J Clin Pediatr Dent. 2022 May 1;46(3):204-210.
32.Ebel M, Bekes K, Klode C, Hirsch C. The severity and degree of hypomineralisation in teeth and its influence on oral hygiene and caries prevalence in children. Int J Paediatr Dent. 2018 Nov;28(6):648-657.
33.Sara Mistry N, Muwaquet Rodriguez S. Comparison of aesthetic treatments for molar-incisor hypomineralisation: Systematic review and meta-analysis. Saudi Dent J. 2024 Feb;36(2):222-227.
34.Altan H, Yilmaz RE. Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces. BMC Oral Health. 2023 Jul 3;23(1):444.
35.Brescia AV, Montesani L, Fusaroli D, Docimo R, Di Gennaro G. Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study. Children (Basel). 2022 Sep 8;9(9):1365. doi: 10.3390/children9091365.
36.Pessôa CP, Pion L, Reyes A, Matos R, Alencar CF, Novaes TF, Braga MM. Conservative approach for molar-incisor hypomineralization: a case report and 7-year follow-up. Gen Dent. 2018 May-Jun;66(3):e1-e4.
37.Lagarde M, Vennat E, Attal JP, Dursun E. Strategies to optimize bonding of adhesive materials to molar-incisor hypomineralization-affected enamel: A systematic review. Int J Paediatr Dent. 2020 Jul;30(4):405-420. doi: 10.1111/ipd.12621. Epub 2020 Feb 12. PMID: 31990108.
38.Baroni C, Mazzoni A, Breschi L. Molar incisor hypomineralization: supplementary, restorative, orthodontic, and esthetic long-term treatment. Quintessence Int. 2019;50(5):412-417. doi: 10.3290/j.qi.a42327. PMID: 30957114.
2.Weerheijm KL, Jälevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001 Sep-Oct;35(5):390-1.
3.Somani C, Taylor GD, Garot E, Rouas P, Lygidakis NA, Wong FSL. An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2022 Feb;23(1):39-64.
4.Lopes LB, Machado V, Mascarenhas P, Mendes JJ, Botelho J. The prevalence of molar-incisor hypomineralization: a systematic review and meta-analysis. Sci Rep. 2021 Nov 17;11(1):22405.
5.Americano GC, Jacobsen PE, Soviero VM, Haubek D. A systematic review on the association between molar incisor hypomineralization and dental caries. Int J Paediatr Dent. 2017 Jan;27(1):11-21.
6.Teixeira TPS, Pereira PSA, Carvalho FAR, Soviero VM. Influence of genetics on the occurrence of enamel hypomineralization affecting permanent and primary teeth: A scoping review. Int J Paediatr Dent. 2023 Oct 23.
7.Garot E, Rouas P, Somani C, Taylor GD, Wong F, Lygidakis NA. An update of the aetiological factors involved in molar incisor hypomineralisation (MIH): a systematic review and meta-analysis. Eur Arch Paediatr Dent. 2022 Feb;23(1):23-38. doi: 10.1007/s40368-021-00646-x.
8.Jeremias F, Pierri RA, Souza JF, Fragelli CM, Restrepo M, Finoti LS, Bussaneli DG, Cordeiro RC, Secolin R, Maurer-Morelli CV, Scarel-Caminaga RM, Santos-Pinto L. Family-Based Genetic Association for Molar-Incisor Hypomineralization. Caries Res. 2016;50(3):310-8. doi: 10.1159/000445726.
9.Jeremias F, Bussaneli DG, Restrepo M, Pierri RAG, Souza JF, Fragelli CMB, Secolin R, Maurer-Morelli CV, Cordeiro RCL, Scarel-Caminaga RM, Santos-Pinto L. Inheritance pattern of molar-incisor hypomineralization. Braz Oral Res. 2021 Mar 22;35:e035. doi: 10.1590/1807-3107bor-2021.vol35.0035.
10.Alhowaish, L.; Baidas, L.; Aldhubaiban, M.; Bello, L.L.; Al-Hammad, N. Etiology of Molar-Incisor Hypomineralization (MIH): A Cross-Sectional Study of Saudi Children. Children 2021, 8, 466.
11.Alzahrani AY, Alamoudi NMH, El Meligy OAES. Contemporary Understanding of the Etiology and Management of Molar Incisor Hypomineralization: A Literature Review. Dent J (Basel). 2023 Jun 23;11(7):157.
12.Sundfeld D, da Silva L, Kluppel OJ, Santin GC, de Oliveira R, Pacheco RR, Pini N. Molar Incisor Hypomineralization: Etiology, Clinical Aspects, and a Restorative Treatment Case Report. Oper Dent. 2020 Jul 1;45(4):343-351.
13.da Cunha Coelho ASE, Mata PCM, Lino CA, Macho VMP, Areias CMFGP, Norton APMAP, Augusto APCM. Dental hypomineralization treatment: A systematic review. J Esthet Restor Dent. 2019 Jan;31(1):26-39.
14.Nogueira VKC, Mendes Soares IP, Fragelli CMB, Boldieri T, Manton DJ, Bussaneli DG, Cordeiro RCL. Structural integrity of MIH-affected teeth after treatment with fluoride varnish or resin infiltration: An 18-Month randomized clinical trial. J Dent. 2021 Feb;105:103570.
15.Rodd HD, Graham A, Tajmehr N, Timms L, Hasmun N. Molar Incisor Hypomineralisation: Current Knowledge and Practice. Int Dent J. 2021 Aug;71(4):285-291. doi: 10.1111/idj.12624. Epub 2021 Jan 27. PMID: 34286697; PMCID: PMC9275314
16.Durmus B, Sezer B, Tugcu N, Caliskan C, Bekiroglu N, Kargul B. Two-Year Survival of High-Viscosity Glass Ionomer in Children with Molar Incisor Hypomineralization. Med Princ Pract. 2021;30(1):73-79. doi: 10.1159/000508676.
17.Neves AB, Soares DV, Soviero VM. Hipomineralização de molares e incisivos: uma revisão de literatura. Rev Nav Odontol. 2016, 43(1):38-42.
18.Amaechi BT, Farah R, Liu JA, Phillips TS, Perozo BI, Kataoka Y, Meyer F, Enax J. Remineralization of molar incisor hypomineralization (MIH) with a hydroxyapatite toothpaste: an in-situ study. BDJ Open. 2022 Dec 10;8(1):33.
19.Krämer N, Bui Khac NN, Lücker S, Stachniss V, Frankenberger R. Bonding strategies for MIH-affected enamel and dentin. Dent Mater. 2018 Feb;34(2):331-340.
20.Elhennawy K, Manton DJ, Crombie F, Zaslansky P, Radlanski RJ, Jost-Brinkmann PG, Schwendicke F. Structural, mechanical and chemical evaluation of molar-incisor hypomineralization-affected enamel: A systematic review. Arch Oral Biol. 2017 Nov;83:272-281
21.Bozal CB, Kaplan A, Ortolani A, Cortese SG, Biondi AM. Ultrastructure of the surface of dental enamel with molar incisor hypomineralization (MIH) with and without acid etching. Acta Odontol Latinoam. 2015;28(2):192-8
22.Fragelli CM, Souza JF, Jeremias F, Cordeiro Rde C, Santos-Pinto L. Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth. Braz Oral Res. 2015;29:S1806-83242015000100271.
23.Weber KR, Wierichs RJ, Meyer-Lueckel H, Flury S. Restoration of teeth affected by molar-incisor hypomineralisation: a systematic review. Swiss Dent J. 2021 Dec 6;131(12):988-997.
24.Sekundo C, Jung M, Muscholl C, Frese C. Qualidade de vida relacionada à saúde bucal e análise de sobrevida após tratamento preventivo e restaurador da hipomineralização molar-incisivo. Sci Rep. 2024 8 de janeiro; 14(1):777. DOI: 10.1038/s41598-024-51223-3.
25.Ritto FP, Tiwana KR, Schmitz TA, Dacus ZL, Borges MAP, Canellas JV. A qualitative analysis of treatment patterns for mild and severe molar hypomineralization in permanent teeth: A systematic review. Pediatr Dent 2023;45(4):281-91.
26.Jorge RC, Dos Papoula GorniReis P, Marañón-Vásquez GA, Masterson D, Cople Maia L, Mendes Soviero V. Are yellow-brownish opacities in hypomineralized teeth more prone to breakage than white-creamy ones? A systematic review. Clin Oral Investig. 2022 Sep;26(9):5795-5808.
27.Cabral RN, Nyvad B, Soviero VLVM, Freitas E, Leal SC. Reliability and validity of a new classification of MIH based on severity. Clin Oral Investig. 2020 Feb;24(2):727-734.
28.Mazur M, Westland S, Guerra F, Corridore D, Vichi M, Maruotti A, Nardi GM, Ottolenghi L. Objective and subjective aesthetic performance of icon® treatment for enamel hypomineralization lesions in young adolescents: A retrospective single center study. J Dent. 2018 Jan;68:104-108.
29.Nogueira VKC, Mendes Soares IP, Fragelli CMB, Boldieri T, Manton DJ, Bussaneli DG, Cordeiro RCL. Structural integrity of MIH-affected teeth after treatment with fluoride varnish or resin infiltration: An 18-Month randomized clinical trial. J Dent. 2021 Feb;105:103570.
30.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 Sep;18(5):333-40.
31.Özgül BM, Sakaryalı D, Tirali RE, Çehreli SB. Does MIH Affects Preoperative and Intraoperative Hypersensitivity? J Clin Pediatr Dent. 2022 May 1;46(3):204-210.
32.Ebel M, Bekes K, Klode C, Hirsch C. The severity and degree of hypomineralisation in teeth and its influence on oral hygiene and caries prevalence in children. Int J Paediatr Dent. 2018 Nov;28(6):648-657.
33.Sara Mistry N, Muwaquet Rodriguez S. Comparison of aesthetic treatments for molar-incisor hypomineralisation: Systematic review and meta-analysis. Saudi Dent J. 2024 Feb;36(2):222-227.
34.Altan H, Yilmaz RE. Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces. BMC Oral Health. 2023 Jul 3;23(1):444.
35.Brescia AV, Montesani L, Fusaroli D, Docimo R, Di Gennaro G. Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study. Children (Basel). 2022 Sep 8;9(9):1365. doi: 10.3390/children9091365.
36.Pessôa CP, Pion L, Reyes A, Matos R, Alencar CF, Novaes TF, Braga MM. Conservative approach for molar-incisor hypomineralization: a case report and 7-year follow-up. Gen Dent. 2018 May-Jun;66(3):e1-e4.
37.Lagarde M, Vennat E, Attal JP, Dursun E. Strategies to optimize bonding of adhesive materials to molar-incisor hypomineralization-affected enamel: A systematic review. Int J Paediatr Dent. 2020 Jul;30(4):405-420. doi: 10.1111/ipd.12621. Epub 2020 Feb 12. PMID: 31990108.
38.Baroni C, Mazzoni A, Breschi L. Molar incisor hypomineralization: supplementary, restorative, orthodontic, and esthetic long-term treatment. Quintessence Int. 2019;50(5):412-417. doi: 10.3290/j.qi.a42327. PMID: 30957114.