Hjertberg Ebba, Hajdarević Adnan, Jälevik Birgitta
Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Pediatric Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Eur Arch Paediatr Dent. 2025 Feb;26(1):17-29. doi: 10.1007/s40368-024-00934-2. Epub 2024 Aug 13.
The present systematic review aims to summarize the current evidence regarding various treatment modalities and their results when dealing with hypersensitivity in teeth with Molar-Incisor Hypomineralization (MIH).
Systematic searches were conducted in PubMed and Scopus using the search terms "MIH AND Hypersensitivity AND treatment." Studies involving children aged 6-18 years diagnosed with MIH and exhibiting hypersensitivity were considered for inclusion. The outcomes examined included clinical, behavioral, and psychosocial treatment options for reducing hypersensitivity. A meta-analysis was performed for six of the included articles, and the I value was calculated to determine heterogeneity.
A total of eight articles met the inclusion criteria for this review, with six eligible for the meta-analysis. Various treatment modalities, such as dental mousse, sealing, laser therapy, and crown therapy, demonstrated significant reductions in hypersensitivity individually (p < 0.05).
The treatment methods that offer the most effective reduction in hypersensitivity are sealing with resin composite or glass ionomer cement for mild cases of MIH, while crown therapy is more effective for severe cases of MIH. However, the small number of participants and short follow-up times limit the strength of these conclusions.
本系统评价旨在总结目前有关处理患有磨牙-切牙矿化不全（MIH）的牙齿过敏时各种治疗方式及其效果的证据。
在PubMed和Scopus中进行系统检索，检索词为“MIH与过敏及治疗”。纳入的研究对象为年龄在6至18岁、被诊断为MIH且表现出过敏症状的儿童。所考察的结果包括减轻过敏的临床、行为和心理社会治疗选择。对纳入的6篇文章进行荟萃分析，并计算I值以确定异质性。
共有8篇文章符合本评价的纳入标准，其中6篇符合荟萃分析的条件。各种治疗方式，如牙用泡沫、封闭、激光治疗和冠修复治疗，各自均显示出过敏症状有显著减轻（p < 0.05）。
对于轻度MIH病例，用树脂复合材料或玻璃离子水门汀进行封闭是减轻过敏最有效的治疗方法，而对于重度MIH病例，冠修复治疗更有效。然而，参与研究的人数较少且随访时间较短，限制了这些结论的可信度。
