Lygidakis N A
Dept of Paediatric Dentistry, Community Dental Centre for Children, Athens, Greece.
Eur Arch Paediatr Dent. 2010 Apr;11(2):65-74. doi: 10.1007/BF03262715.
This was to review the literature concerning the treatment of permanent teeth with molar-incisor hypomineralised enamel (MIH), comment about possible shortcomings and propose areas of future research.
A search of MedLine, Scopus, ResearchGate, Isis and Google Scholar databases was conducted using all terms relevant to the subject. Relevant papers published in English were identified after a review of their titles, abstracts or full reading of the papers.
Of 189 references initially found, 66 papers were included; 34 directly relevant to the subject. From the latter, only 14 concerned laboratory or clinical studies dealing with treatment for MIH. Since 2000 11 reviews evaluated, to a certain extent, treatment options for affected teeth. Analysis of the proposed treatment modalities indicated options for prevention, restorations, and adhesion to hypomineralised enamel, full coronal coverage and extraction followed by orthodontics. Based on these findings, a treatment decision plan is proposed.
Although treatment approaches for MIH have started to be clearer, long-term clinical trials, supported by laboratory studies, should be conducted to further facilitate the clinical management of this dental defect.
本研究旨在回顾有关磨牙-切牙釉质矿化不全（MIH）恒牙治疗的文献，评述可能存在的不足，并提出未来研究方向。
使用与该主题相关的所有术语对MedLine、Scopus、ResearchGate、Isis和谷歌学术数据库进行检索。在对文献标题、摘要进行审查或全文阅读后，确定以英文发表的相关论文。
最初检索到189篇参考文献，纳入66篇论文；其中34篇与主题直接相关。从后者中，仅有14篇涉及MIH治疗的实验室或临床研究。自2000年以来，有11篇综述在一定程度上评估了患牙的治疗选择。对所提出的治疗方式进行分析，结果表明有预防、修复、与矿化不全釉质的粘结、全冠修复以及拔除后正畸治疗等选择。基于这些发现，提出了一个治疗决策方案。
尽管MIH的治疗方法已开始逐渐明晰，但仍应开展由实验室研究支持的长期临床试验，以进一步推动对这种牙体缺损的临床管理。
