Denis R, Marty M, Esclassan R, Noirrit-Esclassan E, Canceill T
Université Toulouse III Paul Sabatier, Faculté de Santé, Département Odontologie, 3 Chemin des Maraîchers, 31062 Toulouse Cedex 9, France.
Service d'Odontologie, Hôpitaux de Toulouse, Toulouse, France.
Eur J Prosthodont Restor Dent. 2025 Feb 28;33(1):113-122. doi: 10.1922/EJPRD_2760Denis10.
Molar-incisor hypomineralization (MIH) is a qualitative defect of the enamel structure affecting at least one of the first permanent molars. Treatment will depend on its severity, the stage of dental development and the cooperation of the young patient. The aim of this study is to compare the different materials used for direct restorations on teeth with MIH.
A systematic review was conducted on May 2024 and is described according to the PRISMA criteria. It was performed on three databases (PubMed, Science Direct, and Google Scholar). Twenty-nine articles were included.
14 studies (48.3%) described the use of glass-ionomer cement (GIC), among which 12 concluded that its use could be recommended as a temporary material in the presence of MIH, protecting the tooth while awaiting a definitive restoration. Composite resins were described in 21 studies (72.4%), in association with both etch-and-rinse and selfetch adhesive systems.
For direct tooth restoration in case of MIH, GIC seem to meet the objective of preserving the child's quality of life by protecting teeth during their eruption with an acceptable survival rate. The use of dental composite resins is more restrictive and will be optimal with complete removal of hypomineralized tissue.
磨牙-切牙矿化不全（MIH）是一种牙釉质结构的质性缺陷，影响至少一颗第一恒磨牙。治疗将取决于其严重程度、牙齿发育阶段以及年轻患者的配合情况。本研究的目的是比较用于MIH牙齿直接修复的不同材料。
于2024年5月进行了一项系统评价，并根据PRISMA标准进行描述。在三个数据库（PubMed、Science Direct和谷歌学术）上进行。纳入了29篇文章。
14项研究（48.3%）描述了玻璃离子水门汀（GIC）的使用，其中12项得出结论，在存在MIH的情况下，其使用可作为临时材料推荐，在等待确定性修复期间保护牙齿。21项研究（72.4%）描述了复合树脂，与酸蚀冲洗和自酸蚀粘结系统相关。
对于MIH情况下的牙齿直接修复，GIC似乎通过在牙齿萌出期间保护牙齿并具有可接受的存留率来满足保护儿童生活质量的目标。牙科复合树脂的使用限制更大，在完全去除矿化不全组织的情况下将是最佳选择。
