Vieira Apm, Emerenciano N G, Moda M D, Silva Úae, Fagundes T C, Danelon M, Cunha R F
Ana Paula Miranda Vieira, DDS, MS, PhD student, Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil.
Nayara Gonçalves Emerenciano, DDS, MS, PhD, Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil.
Oper Dent. 2023 Mar 1;48(2):121b-129. doi: 10.2341/21-150-S.
The purpose of this case report was to describe an 11-year follow-up of a patient presenting with molar-incisor hypomineralization (MIH) having yellowish and porous permanent incisors and molars. Clinical examination revealed demarcated brown opacities on one upper and one lower central incisor and three first permanent molars. Initially, treatment involved oral hygiene and periodic fluoride varnish application. Subsequently, the occlusal surfaces of the affected molars were restored or sealed with glass ionomer cement. At-home dental bleaching was also performed. Areas of unsatisfactory esthetics on the incisors were replaced by composite resins. This report discussed the patient's needs and expectations, the difficulties of prolonged treatment for patients with MIH, and the restorative protocol involving at-home dental bleaching and composite resins.
本病例报告的目的是描述一名患有磨牙-切牙矿化不全（MIH）的患者长达11年的随访情况，该患者的恒牙切牙和磨牙呈淡黄色且多孔。临床检查发现，一颗上颌中切牙、一颗下颌中切牙以及三颗第一恒磨牙上有界限分明的褐色混浊区域。最初的治疗包括口腔卫生指导和定期涂抹氟化物 varnish。随后，用玻璃离子水门汀修复或封闭了患牙的咬合面。还进行了家庭牙齿漂白。用复合树脂替换了切牙上美学效果不佳的区域。本报告讨论了患者的需求和期望、MIH患者长期治疗的困难，以及涉及家庭牙齿漂白和复合树脂的修复方案。
