Molar Incisor Hypomineralization
Conditions
Keywords
MIH
Brief summary
The aim of this study is to compare clinical outcome of using direct esthetic composite restorations in managing MIH cases and the use of preformed metal crowns.
Detailed description
Molar incisor hypomineralization can represent a serious and challenging clinical management problem. Children with MIH require higher levels of treatment needs and demonstrate considerable management problems. For most severely affected MIH molars, direct esthetic restorative materials or preformed metal crowns will be the treatments to choose between. A number of aspects which could support decision-making, however, are not clearly demarcated. First and foremost, it is not clear if both treatments are similarly acceptable for patients and providers.
Interventions
Covering the affected molar with preformed metal crown cemented by glass ionomer lutting cement
Sponsors
Study design
Masking description
Quadruple ( Participant, Care Provider, Investigator, Outcomes Assessor ) Blinding to the child participants and legal guardian of each participating child, operator, outcome assessor and statistician.
Intervention model description
Parallel groups
Eligibility
Inclusion criteria
1. Children with MIH in one fully erupted molar or more. 2. Age ranging from 7-12 years. 3. cooperative children 4. Good general health.
Exclusion criteria
1. patients participating in other experiments. 2. Patients with parents planning to move away within the following year. 3. Patients with only mildly affected MIH molars that do not require extensive restorative treatment. 4. MIH-affected molars that have a very poor prognosis and require extraction. 5. First permanent molars that are affected with other developmental defects, such as hypoplasia, dental fluorosis or amelogenesis imperfecta.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain after the restoration Binary (yes or no ) | 12 month | Questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of the treatment Binary (yes or no ) | 12 month | Questionnaire |
| Restoration quality score index | 12 month | (FDI criteria: criterion marginal adaptation |
| Health-related quality of life changes by the therapies | 12 month | Measured as difference in child perceptions Questionnaire CPQ 8-10/11-14) |
Countries
Egypt