Adhesive restoration of molars affected by molar incisor hypomineralization: a randomized clinical trial.

Clinical Oral Investigations
Tatiane Zahn Cardoso RolimJuliana Feltrin-Souza

Abstract

This randomized clinical trial evaluated the survival of direct restorations on first permanent molars (FPMs) with molar incisor hypomineralization (MIH) and its impact on self-reported dental pain and dental anxiety. FPMs with MIH of 35 patients aged 7 to 16 years were included. The FPMs were randomized into the following two groups: total-etch (TE-37% phosphoric acid etching) and self-etch (SE-no prior etching). The FPMs were restored with universal adhesive and bulk-fill resin composites. The restoration survival was evaluated according to USPHS criteria modified by a blinded examiner. Dental anxiety (Venham picture test) and dental pain (Faces pain scale-revised) were evaluated before treatment and at 1, 6, and 12 months post-treatment. Survival rates were analyzed by the Kaplan-Meier method and the log-rank test. Nonparametric tests compared pain and anxiety in the follow-up periods. A total of 64 FPMs were restored (TE = 33; SE = 31). Survival rates were 96.9% (TE) and 96.7% (SE) after 1 month, 90.5% (TE) and 80.6% (SE) after 6 months, and 80.8% (TE) and 62.3% (SE) after 12 months (p > 0.05). Self-reported dental pain and anxiety level decreased after treatment in both groups (p < 0.05). Self-reported pain decreased after...Continue Reading

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Citations

Jun 11, 2021·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·C SomaniF S L Wong
Jun 11, 2021·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·B JälevikA Robertson
Jun 12, 2021·International Journal of Paediatric Dentistry·Aline Leite de FariasManuel Restrepo
Sep 30, 2021·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·Y-L LeeM Ekambaram
Oct 21, 2021·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·N A LygidakisF S L Wong

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