Effects of different remineralization agents on MIH defects: a randomized clinical study

Olgen I. C., Sonmez H., BEZGİN T.

CLINICAL ORAL INVESTIGATIONS, cilt.26, sa.3, ss.3227-3238, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1007/s00784-021-04305-9
  • Dergi Adı: CLINICAL ORAL INVESTIGATIONS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.3227-3238
  • Anahtar Kelimeler: CPP-ACP, Fluoride, Laser fluorescence, Molar incisor hypomineralization, Remineralization, MOLAR-INCISOR-HYPOMINERALISATION, AMORPHOUS CALCIUM-PHOSPHATE, LASER FLUORESCENCE SYSTEM, CASEIN PHOSPHOPEPTIDE, CARIES EXPERIENCE, FLUORIDE VARNISH, MECHANICAL-PROPERTIES, DENTAL-CARIES, CPP-ACP, ENAMEL
  • Ankara Üniversitesi Adresli: Evet

Özet

Objectives The aim of this study was to present a comparative evaluation of the long-term efficacy of fluoride varnish and pastes containing CPP-ACP and CPP-ACP with fluoride (CPP-ACFP) in the remineralization of creamy-white and yellow-brown defects in permanent first molars with MIH. Materials and methods The study included 120 teeth with yellow-brown or creamy-white defects in 67 children (37 girls, 30 boys) aged 6-9 years (mean, 7.2) who were newly diagnosed with MIH with no substance loss or caries or prior restorative treatment. The patients were randomly divided into the experiment groups; control (oral hygiene motivation only), fluoride varnish, and pastes containing CPP-ACP and CPP-ACPF, and followed up for 24 months. The evaluations were made based on the ICDAS criteria and the measurements which were performed using the laser fluorescence method (DIAGNOdent, KaVo, Biberach, Germany) in the follow-ups. Results The research was completed with 49 patients (23 females, 26 males; mean age, 7.7) and 90 teeth. All remineralization agents increased remineralization rates in both creamy-white and yellow-brown colored defects without presenting any statistically significant difference at the end of the follow-up period (p > 0.05). However, the effects of fluoride varnishes were late to observe when compared to pastes containing CPP-ACP and CPP-ACPF. Conclusions Pastes containing calcium and phosphate may be recommended for the longer-term preservation of teeth with yellow-brown defects which showed a post-eruptive breakdown in a shorter time.