An Innovative Approach to Treat Incisors Hypomineralization (MIH): A Combined Use of Casein Phosphopeptide-Amorphous Calcium Phosphate and Hydrogen Peroxide—A Case Report
Open Access
- 26 November 2012
- journal article
- case report
- Published by Hindawi Limited in Case Reports in Dentistry
- Vol. 2012, 1-5
- https://doi.org/10.1155/2012/379593
Abstract
Molar Incisor Hypomineralization (MIH) is characterized by a developmentally derived deficiency in mineral enamel. Affected teeth present demarcated enamel opacities, ranging from white to brown; also hypoplasia can be associated. Patient frequently claims aesthetic discomfort if anterior teeth are involved. This problem leads patients to request a bleaching treatment to improve aestheticconditions.Nevertheless, hydrogen peroxide can produce serious side-effects, resulting from further mineral loss. Microabrasion and/or a composite restoration are the treatments of choice in teeth with mild/moderate MIH, but they also need enamel loss. Recently, a new remineralizing agent based on Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) has been proposed to be effective in hypomineralized enamel, improving also aesthetic conditions. The present paper presents a case report of a young man with white opacities on incisors treated with a combined use of CPP-ACP mousse and hydrogen peroxide gel to correct the aesthetic defect. The patient was instructed to use CPP-ACP for two hours per day for three months in order to obtain enamel remineralization followed by a combined use of CPP-ACP and bleaching agent for further two months. At the end of this five-month treatment, a noticeable aesthetic improvement of the opacities was observed.Keywords
This publication has 13 references indexed in Scilit:
- Efficacy of in‐office bleaching techniques combined with the application of a casein phosphopeptide‐amorphous calcium phosphate paste at different moments and its influence on enamel surface propertiesMicroscopy Research and Technique, 2012
- Enamel properties after tooth bleaching with hydrogen/carbamide peroxides in association with a CPP-ACP pasteActa Odontologica Scandinavica, 2012
- MIH Supplementation StrategiesJournal of Dental Research, 2010
- The effect of fluoride therapies on the morphology of bleached human dental enamelMicroscopy Research and Technique, 2010
- Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH)European Archives of Paediatric Dentistry, 2010
- Treatment modalities in children with teeth affected by molar-incisor enamel hypomineralisation (MIH): A systematic reviewEuropean Archives of Paediatric Dentistry, 2010
- Mineral density of hypomineralised enamelJournal of Dentistry, 2010
- Molar-Incisor-Hypomineralisation: A literature reviewEuropean Archives of Paediatric Dentistry, 2008
- Microcomputerised tomography evaluation of 10% carbamide peroxide applied to enamelJournal of Dentistry, 2005
- Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factorsInternational Journal of Paediatric Dentistry, 2000