Molar Kesici Hipomineralizasyonu’ndan Etkilenmiş Dişlerde Remineralizasyon ve Hassasiyet Giderici Ajanların Değerlendirilmesi

Year 2024, Volume: 13 Issue: 1, 191 - 201, 26.01.2024

Erenay Alpayçetin , Elif Tuna

https://doi.org/10.54617/adoklinikbilimler.1307899

Abstract

ÖZET
Molar Kesici Hipomineralizasyonu bir veya birden fazla birinci büyük azı ve kesici dişlerde, sınırları belirgin hipomineralize defektlerle karakterize gelişimsel bir mine defektidir. MIH’lı dişlerin mine yapısındaki kalsiyum ve fosfor konsantrasyonu sağlıklı mine ile kıyaslandığında daha düşüktür. Bu dişlerde remineralizasyonu sağlamak amacıyla günümüzde birçok koruyucu yöntem ve ajan ön plana çıkmaktadır. Aynı zamanda artmış porözite ve azalmış mine kalınlığı sebebiyle MIH’tan etkilenmiş dişlerde şiddetli derecede hassasiyet gözlenmektedir. Hassasiyetin ve ağrının yönetiminde koruyucu uygulamalardan, çekime kadar geniş tedavi seçenekleri söz konusudur. Bu derlemede MIH’tan etkilenmiş dişlerde yaşanan aşırı hassasiyetin üstesinden gelinmesi ve remineralizasyonu artırma stratejileri için literatürde yer alan önerilerin tanıtılması amaçlanmıştır.

Keywords

Ağrı, Diş minesi hipoplazisi, Diş remineralizasyonu

Evaluation of Remineralization and Desensitizing Agents in Molar Incisor Hypomineralization-Affected Teeth

Abstract

ABSTRACT
Molar Incisor Hypomineralization (MIH) is a developmental enamel defect characterized by prominent hypomineralized defects in one or more first permanent molars and permanent incisors. The enamel structure of MIH-affected teeth exhibits lower concentrations of calcium and phosphates compared to sound enamel. Various preventive methods and agents have emerged today to facilitate remineralization in these teeth. Moreover, the increased porosity and reduced enamel thickness in MIH-affected teeth result in severe sensitivity. Management options for addressing sensitivity and pain in these cases encompass a broad range of treatments, ranging from preventive methods to tooth extraction. This review aims to present recommendations from the existing literature for mitigating the hypersensitivity experienced in MIH-affected teeth, as well as outlining strategies to enhance remineralization.

Keywords

Pain, Dental Enamel Hypoplasia, Tooth Remineralization

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