ABSTRACT
BACKGROUND: Molar incisor hypomineralization (MIH) is an esthetic setback for the patient as well as for the dentist, treatment options for MIH includes minimally invasive techniques like microabrasion which has a limited literature of its effect. Furthermore, the effect of remineralizing such as casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) agent on MIH-affected teeth is minimally studied. AIM: Comparative evaluation of the esthetic after microabrasion and microabrasion followed by Tooth Mousse Plus on hypomineralized incisors of MIH-affected patients. SETTINGS AND DESIGN: The study was a randomized clinical trial. MATERIALS AND METHODS: The study comprised Grade I MIH patients in the age strata of 7-16 years having lesions on incisors. As per inclusion criteria, 46 lesions were divided into two groups of microabrasion and microabrasion followed by CPP-amorphous calcium fluoride phosphate (ACFP). Photographs were obtained before treatment, just after treatment, and 6 months after treatment. The photographic evaluation was done using the CIE L*a*b* scoring method. STATISTICAL ANALYSIS USED: ANOVA and posthoc Tukey's test were applied to compare the difference in lightness ΔL and total color change ΔE of these two groups. RESULTS: In microabrasion group, the overall change in ΔL of white tooth discoloration came -0.9 standard deviation (SD) 7.3. In microabrasion followed by CPP-ACFP group, statistically significant difference was found between both these groups with P value of P ≤ 0.001. CONCLUSIONS: Microabrasion followed by the remineralizing agent can improve the esthetics of white tooth discoloration with time.
ABSTRACT
AIM: The purpose of this study is to find the opinion, attitude, beliefs, and the existing knowledge of parents of Himachal Pradesh suburban city about conscious sedation. OBJECTIVE: To know the effect of education of parent and prior sedation experience of the child on opinion, attitude, and knowledge of parent about conscious sedation. METHODOLOGY: A questionnaire in Hindi/English was provided to parents who accompanied their child for the treatment in the Paedodontics Department of HPGDC College Shimla. Information regarding demography, existing knowledge gained through television, the internet, opinion about the safety of the procedure, knowledge of nothing by mouth guidelines, restraints usage, and knowing their preferences of staying with the child during treatment was explored. Questions were straight yes or no type and multiple choice type. Some questions were statements and wanted the respondents to strongly agree, agree, disagree, or strongly disagree. RESULTS AND CONCLUSION: A total of 350 questionnaires were collected. Parents feel sedation is safe in the dental office as an adjunct to dental treatment. Education played a role in existing knowledge about sedation and perception about the safety of conscious sedation.
Subject(s)
Anesthesia, Dental/psychology , Awareness , Conscious Sedation/psychology , Health Knowledge, Attitudes, Practice , Parents/psychology , Surveys and Questionnaires , Adult , Aged , Child, Preschool , Educational Status , Female , Humans , India , Male , Middle Aged , Safety , Young AdultABSTRACT
CONTEXT: Molar incisor hypomineralization (MIH) is a commonly occurring esthetic setback among patients. Depending on the graveness of the lesion, esthetics of MIH can be improved by treatments such as enamel microabrasion, bleaching, composite resin bonding, and the combination of some or all of these techniques. AIM: The aim of this study is to evaluate the esthetic results of resin infiltration treatment on incisors with Grade I molar incisor MIH. MATERIALS AND METHODS: A total of 22incisor lesions with MIH were infiltrated with resin. Photographs were captured before infiltration, just after infiltration, and 6 months after infiltration. The photographic evaluation was done by the CIE L*a*b* scoring method. The means of each parameter such as ΔL and ΔE were calculated. STATISTICAL ANALYSIS: ANOVA in conjunction with Turkey's post hoc test was used to evaluate the means. RESULTS: The total color change observed was equal just after treatment and 6 months after treatment, with no statistically significant difference (P = 0.87) between these two time points. The mean of difference in total color change (ΔE3) of white tooth discoloration was 13.2 SD 6.8, showing an overall color change. CONCLUSION: Infiltration can conceal the white opaque appearance of Grade I MIH lesions, and also reduction in lesion whiteness is seen with time.
