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Does MIH Affects Preoperative and Intraoperative Hypersensitivity?
Betül Memiş Özgül1,2, Didem Sakaryalı3,4, Resmiye Ebru Tirali5
1*Betül Memiş Özgül, DDS PhD, Associate Professor.
The Journal of Clinical Pediatric Dentistry
|July 13, 2022
Summary
Hypersensitivity in carious teeth with molar incisor hypomineralization (MIH) persists even after local anesthesia. Effective behavior management is crucial for treating these hypersensitive teeth, rather than relying solely on anesthetic methods.
Area of Science:
- Dentistry
- Dental Research
- Pediatric Dentistry
Background:
- Hypersensitivity is a significant challenge during dental treatment for hypomineralized teeth.
- Molar incisor hypomineralization (MIH) affects tooth enamel, potentially leading to increased sensitivity.
Purpose of the Study:
- To compare the responses to electrical pulp tests (EPTs) and cold tests in carious teeth with and without MIH.
- To evaluate these responses before and after local anesthesia administration for caries removal.
Main Methods:
- Prospective study design.
- Inclusion of carious teeth with and without MIH.
- Utilized electrical pulp tests (EPTs) and cold tests.
- Assessed responses pre- and post-local anesthesia.
Main Results:
- Anesthetized carious teeth with MIH showed significantly higher cold test responses (p=0.0001).
- Anesthetized carious teeth without MIH had significantly higher EPT results (p=0.011).
- Intraoperative pain was significantly greater in teeth with MIH (p=0.003).
Conclusions:
- Hypersensitivity in carious molars with MIH is a persistent clinical issue, even with adequate local anesthesia.
- The findings suggest that behavior management is paramount for these patients, surpassing reliance on anesthetic techniques alone.
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