Kumar Harleen, Palamara Joseph, Burrow Michael F, Manton David J
Ann R Australas Coll Dent Surg. 2012 Apr;21:120-3.
Molar incisor hypomineralization (MIH) involves enamel hypomineralization of systemic origin affecting one or more first permanent molars (FPM) and is often associated with other teeth, particularly the incisors. A challenging condition for both the clinician and the patient, MIH affected teeth are often subjected to repeated treatments and frequently the decision to extract one or more FPM is made. At present, there are no clinical reports of available restorative materials that are able to provide consistently adequate restorations on hypomineralized teeth. The concept of resin infiltration, which involves occluding incipient enamel carious lesions with low viscosity resins to arrest or slow the development of caries has the potential to be applied to hypomineralized enamel. Successful penetration of resin infiltrant into MIH affected enamel may aid in improving its micromechanical properties.
磨牙切牙矿化不全(MIH)是一种源于全身因素的釉质矿化不全,会影响一颗或多颗第一恒磨牙(FPM),且常累及其他牙齿,尤其是切牙。对于临床医生和患者来说,MIH都是一个具有挑战性的情况,受MIH影响的牙齿常常需要反复治疗,而且经常要做出拔除一颗或多颗FPM的决定。目前,尚无临床报告表明有哪种可用的修复材料能够始终如一地为矿化不全的牙齿提供充分的修复。树脂渗透的概念是用低粘度树脂封闭早期釉质龋损,以阻止或减缓龋齿的发展,这一概念有可能应用于矿化不全的釉质。树脂浸润剂成功渗透到受MIH影响的牙釉质中,可能有助于改善其微观力学性能。