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Desensitization treatment in MIH-affected teeth: a systematic review
Ebba Hjertberg1, Adnan Hajdarević2,3, Birgitta Jälevik4
1Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Summary
Treatments like dental mousse, sealing, and crowns effectively reduce tooth hypersensitivity in Molar-Incisor Hypomineralization (MIH). Sealing works for mild MIH, while crowns are better for severe cases.
Area of Science:
- Dentistry
- Pediatric Dentistry
- Dental Materials
Background:
- Molar-Incisor Hypomineralization (MIH) affects tooth enamel, leading to hypersensitivity.
- Effective management of MIH-related hypersensitivity is crucial for children's quality of life.
Purpose of the Study:
- To systematically review and summarize evidence on treatments for hypersensitivity in teeth with MIH.
- To evaluate the efficacy of various treatment modalities for MIH-induced tooth sensitivity.
Main Methods:
- Systematic literature searches in PubMed and Scopus.
- Inclusion of studies on children (6-18 years) with MIH and hypersensitivity.
- Meta-analysis of six studies to assess treatment outcomes and heterogeneity.
Main Results:
- Eight articles met inclusion criteria; six were included in the meta-analysis.
- Dental mousse, sealing, laser therapy, and crown therapy showed significant hypersensitivity reduction (p < 0.05).
Conclusions:
- Sealing (resin composite or glass ionomer) is effective for mild MIH hypersensitivity.
- Crown therapy is recommended for severe MIH cases.
- Study limitations include small sample sizes and short follow-up periods.
