Comparative Evaluation of Esthetics after Microabrasion and Microabrasion followed by Casein Phosphopeptide-Amorphous Calcium Fluoride Phosphate on Molar Incisor Hypomineralization-Affected Incisors.

BACKGROUND

Molar incisor hypomineralization (MIH) is an esthetic setback for the patient as well as for the dentist, treatment options for MIH includes minimally invasive techniques like microabrasion which has a limited literature of its effect. Furthermore, the effect of remineralizing such as casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) agent on MIH-affected teeth is minimally studied.

AIM

Comparative evaluation of the esthetic after microabrasion and microabrasion followed by Tooth Mousse Plus on hypomineralized incisors of MIH-affected patients.

SETTINGS AND DESIGN

The study was a randomized clinical trial.

MATERIALS AND METHODS

The study comprised Grade I MIH patients in the age strata of 7-16 years having lesions on incisors. As per inclusion criteria, 46 lesions were divided into two groups of microabrasion and microabrasion followed by CPP-amorphous calcium fluoride phosphate (ACFP). Photographs were obtained before treatment, just after treatment, and 6 months after treatment. The photographic evaluation was done using the CIE Lab* scoring method.

STATISTICAL ANALYSIS USED

ANOVA and Tukey's test were applied to compare the difference in lightness ΔL and total color change ΔE of these two groups.

RESULTS

In microabrasion group, the overall change in ΔL of white tooth discoloration came -0.9 standard deviation (SD) 7.3. In microabrasion followed by CPP-ACFP group, statistically significant difference was found between both these groups with value of ≤ 0.001.

CONCLUSIONS

Microabrasion followed by the remineralizing agent can improve the esthetics of white tooth discoloration with time.