Molar Hypomineralization, Incisor
Conditions
Keywords
CAD-CAM, Indirect restorations, Molar Incisor Hypomineralization, MIH
Brief summary
This study is about the long-term survival success of different, externally prepared fillings (Indirect restoration, CAD-CAM blocks) used in teeth with reduced mineral structure, namely Molar Incisor Hypomineralization (MIH), which is called chalk teeth in children.
Detailed description
The aim of this study was to comparatively evaluate the long-term survival times and clinical success of nano-ceramic hybrid CAD-CAM blocks, Grandio Blocs (R) (VOCO), and glass-ceramic blocks, GC INITIAL LiSi (GC AMERICA INC. USA), according to USPHS criteria, after pulpal treatment in mandibular teeth with bilateral moderate molar incisor hypomineralization.
Interventions
OTHERCAD-CAM, indirect restorations
Indirect restorations that we think will last longer than traditional filling materials in teeth with molar hypomineralization.
Sponsors
Necmettin Erbakan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
In our study, treatment was planned for moderately affected teeth according to the MIH Severity Index. The study was designed as a prospective, randomized, split-mouth trial. Group randomization was performed using the sealed envelope technique. In the same patient, VOCO GrandioBloc (VOCO GmbH, Cuxhaven, Germany) was applied to one tooth, while a GC Initial lithium disilicate block was applied to the symmetrical contralateral tooth.
Eligibility
Sex/Gender
ALL
Age
8 Years to 15 Years
Healthy volunteers
Yes
Inclusion criteria
8-15 years old * Systemically healthy * Cooperative (Frankl 3-4) * Diagnosed with MIH for at least one permanent tooth * Symmetrical mandibular molars that fit the middle MIH classification (teeth with a tooth score of 7-9 in MIHSI) * Teeth without indication for root canal treatment * Teeth without percussion, abscess and fistula formation * Without periapical lesions * With post-eruption enamel fractures in the relevant teeth * Without mobility and pathological gingival pockets * Patients who agreed to participate in the study.
Exclusion criteria
Teeth that are suitable for mild and severe classification * Non-cooperative (Frankl 1 and Frankl 2) * Teeth with extraction indication * Teeth that require root canal treatment * Teeth with periapical lesions, abscesses and fistula formation * Patients with mobility and pathological gingival pockets
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the clinical status of the restorations | up to 6 months after intervention | The restorations were clinically evaluated in the oral cavity using the USPHS index. |
| the status of the periapical tissues | Up to the 6th months | The periapical tissue status was assessed according to the Periapical Index (PAI). |
Countries
Turkey (Türkiye)
Outcome results
None listed