OBJECTIVE: This article describes the esthetic results in a paradigmatic case of hypomineralized enamel correction on both anterior and posterior teeth to establish a minimal intervention protocol for similar cases. Clinical considerations: The subject was initially provided with casein-calcium-phosphate mineral supplementation. Unpublished laboratory images collected as part of a previously published study depict the results of initial calcium-phosphate supplementation on molar incisor hypomineralization (MIH) molar enamel morphology and indicate that this procedure is mandatory in moderate/severe cases. Prior to defect restoration, in-office bleaching of the anterior segment was conducted with bioactivated Opalescence Boost. Filtek Supreme Ultra Universal Restorative was used as a masking agent, and Filtek A2 enamel was applied as the final layer. CONCLUSION: An 8-year follow-up period is necessary in most moderate/severe MIH cases involving orthodontics and bleaching.
Molar incisor hypomineralization: supplementary, restorative, orthodontic, and esthetic long-term treatment / Baroni C.; Mazzoni A.; Breschi L.. - In: QUINTESSENCE INTERNATIONAL. - ISSN 0033-6572. - ELETTRONICO. - 50:5(2019), pp. 412-417. [10.3290/j.qi.a42327]
Molar incisor hypomineralization: supplementary, restorative, orthodontic, and esthetic long-term treatment
Baroni C.
;Mazzoni A.;Breschi L.
2019
Abstract
OBJECTIVE: This article describes the esthetic results in a paradigmatic case of hypomineralized enamel correction on both anterior and posterior teeth to establish a minimal intervention protocol for similar cases. Clinical considerations: The subject was initially provided with casein-calcium-phosphate mineral supplementation. Unpublished laboratory images collected as part of a previously published study depict the results of initial calcium-phosphate supplementation on molar incisor hypomineralization (MIH) molar enamel morphology and indicate that this procedure is mandatory in moderate/severe cases. Prior to defect restoration, in-office bleaching of the anterior segment was conducted with bioactivated Opalescence Boost. Filtek Supreme Ultra Universal Restorative was used as a masking agent, and Filtek A2 enamel was applied as the final layer. CONCLUSION: An 8-year follow-up period is necessary in most moderate/severe MIH cases involving orthodontics and bleaching.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.