Rosa Tarrago Gil, Elena Martinez Sanz
Hides Aragon, Spain Complutense University of Madrid, Spain
Title: Treatment protocols in molar incisor hypomineralization: New remineralizing agents and sealants
Biography
Biography: Rosa Tarrago Gil, Elena Martinez Sanz
Abstract
Introduction: Molar Incisor Hypomineralization (MIH) is a pathology whose prevalence has been growing in recent years. These are qualitative defects of the enamel, with different degrees of involvement, which involve at least one of the first permanent first molars. Often, permanent incisors are also affected, although to a lesser extent. The MIH is a great challenge for the dental hygienist.
Objective: The main objective of this workshop is to make practice on the treatment and prevention of MIH all based on the scientific evidence MIH is, emphasizing the remineralization of the affected tissue, following the protocol of the health unit of the care center health seminar (Aragonese health service).
Material & Methods: These protocols have been based on a narrative review, based on a systematic search for information. The PubMed (MEDLINE) and SciELO databases, as well as the Cochrane Library, were consulted. The key words used, in Spanish and English: molar incisor hypomineralization, remineral, fluorine, calcium, arginine, xylitol, hydroxyapatite, cement, resin and sealers. The inclusion criteria were: a) All the methodological designs; b) Publications in English and Spanish; c) Publications between 2007 and 2017. After reviewing the abstract, a total of 80 articles were selected for full-text analysis.
Results & Discussion: Currently the etiology of MIH is unknown. In any case, the differential diagnosis is fundamental to not confuse the lesions with other entities to the MIH and its treatment. Currently, clinical management is oriented towards prevention and minimally invasive methods, consisting of remineralizing agents, to reinforce and protect the existing dental structure. In the mildest and most moderate cases, pit and fissure sealants may be indicated by previous remineralization treatments.