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儿童磨牙切牙矿化不全的病因及管理现状:一项叙述性综述

Current Knowledge of the Etiology and Management of Molar Incisor Hypomineralization in Children: A Narrative Review.

作者信息

Alrehaili Rawan, Khalil Ahmed, Mergami Jubarah, Koriri Almaha, Yamani Nusaybah, Albayat Shahad, Alqurainiy Ali, Alghamdi Bashayer, Alzaaqi Nouf, Assiry Ali

机构信息

Dentistry, Private Practice, Medina, SAU.

Dentistry, Ministry of Health, Najran, SAU.

出版信息

Cureus. 2024 Nov 29;16(11):e74770. doi: 10.7759/cureus.74770. eCollection 2024 Nov.

DOI:10.7759/cureus.74770
PMID:39735046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11682827/
Abstract

Molar incisor hypomineralization (MIH) is a developmental condition affecting the enamel, primarily targeting one to four permanent first molars, often with the involvement of permanent incisors. The condition is characterized by distinct white-yellow or yellow-brown opacities, with more severe cases exhibiting hypomineralized enamel that is prone to breakdown. Recent data highlights MIH as a widespread dental issue seen across the globe. Despite its prevalence, the exact etiology remains unclear due to the variety of potential contributing factors. Managing MIH is particularly challenging, requiring a holistic approach to address the broad spectrum of symptoms and the heightened sensitivity of the affected teeth. Given the unique challenges of MIH, it is essential to gather updated and thorough knowledge. This understanding is critical for exploring potential preventive measures and enhancing treatment outcomes. This review aimed to examine the underlying causes of MIH, assess various treatment strategies, and offer a thorough understanding of the condition based on the latest research.

摘要

磨牙症伴切牙矿化不全(MIH)是一种影响牙釉质的发育状况,主要累及一至四颗恒牙第一磨牙,常伴有恒牙切牙受累。该病的特征是出现明显的白黄色或黄棕色不透明区,病情较重的病例表现为矿化不全的牙釉质,容易破损。最新数据表明,MIH是全球普遍存在的牙齿问题。尽管其发病率很高,但由于潜在的促成因素多种多样,确切病因仍不清楚。管理MIH极具挑战性,需要采取整体方法来解决广泛的症状以及患牙的高敏感性问题。鉴于MIH的独特挑战,获取最新且全面的知识至关重要。这种理解对于探索潜在的预防措施和提高治疗效果至关重要。本综述旨在研究MIH的潜在病因,评估各种治疗策略,并根据最新研究对该病提供全面的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0559/11682827/141a68545a42/cureus-0016-00000074770-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0559/11682827/d6fced2f238a/cureus-0016-00000074770-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0559/11682827/141a68545a42/cureus-0016-00000074770-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0559/11682827/d6fced2f238a/cureus-0016-00000074770-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0559/11682827/141a68545a42/cureus-0016-00000074770-i02.jpg

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本文引用的文献

1
Perceptions, attitudes, and clinical experiences of Brazilian dental practitioners towards molar incisor hypomineralisation: a cross-sectional study.巴西口腔医师对低龄儿童恒牙前磨牙牙釉质发育不全的认知、态度和临床经验:一项横断面研究。
Eur Arch Paediatr Dent. 2024 Dec;25(6):855-868. doi: 10.1007/s40368-024-00945-z. Epub 2024 Sep 12.
2
The level of dental fear and anxiety is higher in children with both severe Molar-Incisor Hypomineralisation and active dental caries lesions compared to children without these conditions.患有严重磨牙-切牙矿化不全和活动性龋齿病变的儿童的牙齿恐惧和焦虑程度高于没有这些情况的儿童。
Eur Arch Paediatr Dent. 2024 Oct;25(5):655-662. doi: 10.1007/s40368-024-00923-5. Epub 2024 Aug 29.
3
Awareness of Molar Incisor Hypomineralisation (MIH) and Hypomineralised Second Primary Molars (HSPMs) among Northern Italian Dentists: A Questionnaire Survey.
意大利北部牙医对磨牙切牙矿化不全(MIH)和第二乳磨牙矿化不全(HSPM)的认知:一项问卷调查
Dent J (Basel). 2024 Aug 22;12(8):271. doi: 10.3390/dj12080271.
4
Molar-Incisor Hypomineralization Is Associated with the Prevalence of Thinness among Schoolchildren in Communities with Different Fluoride Levels in the Drinking Water.在饮用水氟含量不同的社区中,磨牙-切牙矿化不全与学龄儿童消瘦患病率相关。
Int J Dent. 2024 Jul 12;2024:6212877. doi: 10.1155/2024/6212877. eCollection 2024.
5
Clinical comparison of silver diamine fluoride (SDF) or silver-modified atraumatic restorative technique (SMART) on hypomineralised permanent molars with initial carious lesions: 3-year results of a prospective, randomised trial.临床比较氟化银(SDF)或银改良无创伤性修复技术(SMART)治疗低矿化恒磨牙早期龋损:一项前瞻性、随机试验的 3 年结果。
J Dent. 2024 Aug;147:105098. doi: 10.1016/j.jdent.2024.105098. Epub 2024 May 24.
6
Preventive efficacy of 38% silver diamine fluoride and CPP-ACP fluoride varnish on molars affected by molar incisor hypomineralization in children: A randomized controlled trial.38%氟化亚锡和酪蛋白磷酸肽-无定形磷酸钙含氟 varnish 对儿童磨牙切牙低矿化症患牙的预防效果:一项随机对照试验。
F1000Res. 2024 May 7;12:1052. doi: 10.12688/f1000research.136653.2. eCollection 2023.
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Clinical performance of short fiber reinforced composite and glass hybrid on hypomineralized molars: A 36-month randomized split-mouth study.短纤维增强复合树脂和玻璃混合体在低矿化磨牙中的临床性能:一项 36 个月的随机分口研究。
J Dent. 2024 May;144:104919. doi: 10.1016/j.jdent.2024.104919. Epub 2024 Mar 1.
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[Effect of molar incisor hypomineralization on oral health-related quality of life in children and adolescents: a systematic review].[磨牙症对儿童和青少年口腔健康相关生活质量的影响:一项系统评价]
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Management of permanent incisors affected by Molar-Incisor-Hypomineralisation (MIH) using resin infiltration: a pilot study.使用树脂渗透法治疗受磨牙-切牙矿化不全(MIH)影响的恒切牙:一项试点研究。
Eur Arch Paediatr Dent. 2024 Feb;25(1):105-116. doi: 10.1007/s40368-024-00861-2. Epub 2024 Jan 29.