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Effectiveness of resin infiltration in the management of anterior teeth affected by molar incisor hypomineralisation (MIH): A systematic review and meta-analysis.
Hoan, Nguyen Quoc; Huyen, Nguyen Phuong; Son, Dang Cong; Thien, Dang Huu; Sabet, Cameron John; Ngoc, Vo Truong Nhu.
Afiliación
  • Hoan NQ; School of Dentistry, Hanoi Medical University, Hanoi 100000, Viet Nam. Electronic address: 1855010024@daihocyhanoi.edu.vn.
  • Huyen NP; School of Dentistry, Hanoi Medical University, Hanoi 100000, Viet Nam; Hanoi National Hospital of Odonto-Stomatology, Hanoi 100000, Viet Nam.
  • Son DC; School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Viet Nam.
  • Thien DH; College of Health Sciences, VinUniversity, Hanoi 100000, Viet Nam.
  • Sabet CJ; Georgetown University Medical Center, Washington, DC 20057, USA.
  • Ngoc VTN; School of Dentistry, Hanoi Medical University, Hanoi 100000, Viet Nam. Electronic address: nhungoc@hmu.edu.vn.
J Dent ; 149: 105254, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39067648
ABSTRACT

OBJECTIVES:

To evaluate the effectiveness of resin infiltration in improving the aesthetic appearance of anterior teeth affected by molar-incisor hypomineralisation (MIH). DATA SOURCES PubMed, Scopus, EMBASE, Web of Science, ScienceDirect, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched from 2009 to 2024. The protocol was registered in the International Prospective Database of Systematic Reviews (PROSPERO CRD42023461909). STUDY SELECTION Interventional or comparative studies comparing resin infiltration and other treatments in MIH-affected anterior teeth were included. The risk of bias was evaluated using the Risk Of Bias In Non-randomised Studies of Interventions (ROBINS-I tool) and the Risk of Bias 2 (RoB 2.0) tool. Meta-analysis utilized a random-effects model. DATA Eighteen studies met the inclusion criteria, and twelve were included in the meta-analysis. Resin infiltration showed a higher color difference (ΔE) before and after treatment (mean difference 2.21, 95 % confidence interval [CI] 0.04-4.38, p < 0.001, I2 = 98.61 %, p < 0.001) and better optical improvement (standardised mean difference [SMD] 2.68; 95 %CI 0.30-5.06; p = 0.027, I2 = 97.8 %, p < 0.001) compared to controls. The estimated success rate based on dentist assessment was 92 % (95 %CI 88-95 %, I2 = 17.92 %, p = 0.06). Non-randomised trials showed high (8/14) or moderate (6/14) risk of bias, mainly from confounding and selection issues. Randomised trials had high risk (1/3) or some concerns (2/3) due to missing data.

CONCLUSIONS:

The findings suggest that resin infiltration significantly improves aesthetic outcomes in MIH-affected anterior teeth, as evidenced by higher colour difference and optical improvement compared to controls. CLINICAL

SIGNIFICANCE:

While our study shows promising results for resin infiltration, including high success rates and aesthetic improvements, larger-scale studies with longer follow-up periods are necessary to confirm these findings and assess its long-term efficacy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resinas Sintéticas / Hipoplasia del Esmalte Dental / Estética Dental Límite: Humans Idioma: En Revista: J Dent Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resinas Sintéticas / Hipoplasia del Esmalte Dental / Estética Dental Límite: Humans Idioma: En Revista: J Dent Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido