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Management of permanent incisors affected by Molar-Incisor-Hypomineralisation (MIH) using resin infiltration: a pilot study

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Abstract

Purpose

To compare the aesthetic improvement of Molar-Incisor-Hypomineralisation (MIH) opacities treated by applying Icon-Etch for three cycles with the opacities treated by Icon-Etch for once, in the course of resin infiltration technique.

Methods

Thirty incisors were sorted based on the colour of the opacities and then distributed according to the number of Icon-Etch cycles using a randomisation table into the groups: (1) White/Creamy one cycle, (2) White/Creamy three cycles, (3) Yellow/Brown one cycle, (4) Yellow/Brown three cycles. The primary outcomes of applying the resin infiltration to the opacities were compared amongst groups according to the parents’ satisfaction, the amount of coverage, and the colour matching with the surrounding sound enamel. The stability of the results after 3 months was evaluated using a spectrophotometer.

Results

The colour of the opacity pre-treatment affected the outcomes significantly (p < 0.05), compared according to the method of application (p > 0.05) in terms of parents’ satisfaction. Whilst the multiple applications for Icon-Etch cycles showed more coverage amount in White/Creamy opacities than the application ones (p < 0.05); in colour matching, there was no statistically significant difference between the two methods (p > 0.05). For yellow/brown opacities, some negative results occurred with the single Icon-Etch cycle.

Conclusion

In MIH opacities, it is possible to rely on the resin infiltration as a minimally invasive method to achieve acceptable results, especially with multiple Icon-Etch cycles applications in the white/creamy opacities. The colour stability has not been affected by either the colour of the opacity or the number of cycles.

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Data availability

Data available on request from the corresponding author.

References

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Acknowledgements

The authors want to thank the children and parents who participated in this study and R. Anne Stetler, Assistant Professor of Neurology (University of Pittsburgh) for critical reading of manuscript.

Funding

This study received no grant from any funding agency in the public, commercial, or not for profit sectors.

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Authors and Affiliations

Authors

Contributions

We declare that all authors have made substantial contributions. NR designed the research. SA performed the research. NR and SA analysed the data. SA prepared the manuscript draft with important intellectual input from NR. All authors approved the final manuscript.

Corresponding author

Correspondence to S. Alghawe.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study protocol was approved by the Ethics Committee of the College of Dentistry Research Center at Tishreen University under approval 2654 during session 18 held on May 21–2019, before the initiation of the current study. ISRCTN REGISTRY NUMBER: ISRCTN 88218639. https://www.isrctn.com/ISRCTN88218639

Informed consent

The interventions were only performed after receiving written informed consent from the parents after explaining the work steps and alternative treatments.

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Alghawe, S., Raslan, N. Management of permanent incisors affected by Molar-Incisor-Hypomineralisation (MIH) using resin infiltration: a pilot study. Eur Arch Paediatr Dent 25, 105–116 (2024). https://doi.org/10.1007/s40368-024-00861-2

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  • DOI: https://doi.org/10.1007/s40368-024-00861-2

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