Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?

Background: Children with molar-incisor hypomineralisation (MIH) frequently seek aesthetic treatment for incisor opacities. Surprisingly, few studies have evaluated the clinical success of such interventions. Aim: To quantify the effectiveness of minimally invasive treatments in reducing enamel opac...

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Published in:International Journal of Paediatric Dentistry
Main Author: Warner C.; Hasmun N.N.; Elcock C.; Lawson J.A.; Vettore M.V.; Rodd H.D.
Format: Article
Language:English
Published: John Wiley and Sons Inc 2022
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85124765666&doi=10.1111%2fipd.12940&partnerID=40&md5=384fd6bf64b0ef375e71d4273ff65a59
id 2-s2.0-85124765666
spelling 2-s2.0-85124765666
Warner C.; Hasmun N.N.; Elcock C.; Lawson J.A.; Vettore M.V.; Rodd H.D.
Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
2022
International Journal of Paediatric Dentistry
32
4
10.1111/ipd.12940
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85124765666&doi=10.1111%2fipd.12940&partnerID=40&md5=384fd6bf64b0ef375e71d4273ff65a59
Background: Children with molar-incisor hypomineralisation (MIH) frequently seek aesthetic treatment for incisor opacities. Surprisingly, few studies have evaluated the clinical success of such interventions. Aim: To quantify the effectiveness of minimally invasive treatments in reducing enamel opacity visibility in children with MIH. Design: This in vitro study used digital clinical images of 23 children aged 8–16 years with MIH who underwent microabrasion and/or resin infiltration for the management of incisor opacities. Standard images were taken pre-treatment and 6 months post-treatment. Image software (Image-Pro Plus®V7) was employed to convert 24-bit RGB images to 16-bit greyscale and 145× magnification. Measurement repeatability was assessed using intra-class correlation coefficients (ICCs). Post-treatment changes in visible opacity area (mm2) and brightness (greyscale value) were tested using the Wilcoxon signed-rank test for related samples. Results: The mean total opacity surface area significantly reduced from 14.3 mm2 (SD = 7.5) to 9.4 mm2 (SD = 9.0) post-treatment. The proportion of tooth surface affected by the opacity also significantly reduced from 22.5% (SD = 10.5) to 14.7% (SD = 12.7). The mean maximum opacity brightness significantly reduced from 53 066 greyscale value (SD = 4740) to 49 040 (SD = 3796). ICC was good/excellent (0.75–1.0). Conclusion: Minimally invasive treatment is effective in reducing the size and brightness of discrete incisor opacities. Future research should compare objective findings with patient-reported outcomes. © 2021 BSPD, IAPD and John Wiley & Sons Ltd.
John Wiley and Sons Inc
9607439
English
Article
All Open Access; Green Open Access
author Warner C.; Hasmun N.N.; Elcock C.; Lawson J.A.; Vettore M.V.; Rodd H.D.
spellingShingle Warner C.; Hasmun N.N.; Elcock C.; Lawson J.A.; Vettore M.V.; Rodd H.D.
Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
author_facet Warner C.; Hasmun N.N.; Elcock C.; Lawson J.A.; Vettore M.V.; Rodd H.D.
author_sort Warner C.; Hasmun N.N.; Elcock C.; Lawson J.A.; Vettore M.V.; Rodd H.D.
title Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
title_short Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
title_full Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
title_fullStr Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
title_full_unstemmed Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
title_sort Making white spots disappear! Do minimally invasive treatments improve incisor opacities in children with molar-incisor hypomineralisation?
publishDate 2022
container_title International Journal of Paediatric Dentistry
container_volume 32
container_issue 4
doi_str_mv 10.1111/ipd.12940
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85124765666&doi=10.1111%2fipd.12940&partnerID=40&md5=384fd6bf64b0ef375e71d4273ff65a59
description Background: Children with molar-incisor hypomineralisation (MIH) frequently seek aesthetic treatment for incisor opacities. Surprisingly, few studies have evaluated the clinical success of such interventions. Aim: To quantify the effectiveness of minimally invasive treatments in reducing enamel opacity visibility in children with MIH. Design: This in vitro study used digital clinical images of 23 children aged 8–16 years with MIH who underwent microabrasion and/or resin infiltration for the management of incisor opacities. Standard images were taken pre-treatment and 6 months post-treatment. Image software (Image-Pro Plus®V7) was employed to convert 24-bit RGB images to 16-bit greyscale and 145× magnification. Measurement repeatability was assessed using intra-class correlation coefficients (ICCs). Post-treatment changes in visible opacity area (mm2) and brightness (greyscale value) were tested using the Wilcoxon signed-rank test for related samples. Results: The mean total opacity surface area significantly reduced from 14.3 mm2 (SD = 7.5) to 9.4 mm2 (SD = 9.0) post-treatment. The proportion of tooth surface affected by the opacity also significantly reduced from 22.5% (SD = 10.5) to 14.7% (SD = 12.7). The mean maximum opacity brightness significantly reduced from 53 066 greyscale value (SD = 4740) to 49 040 (SD = 3796). ICC was good/excellent (0.75–1.0). Conclusion: Minimally invasive treatment is effective in reducing the size and brightness of discrete incisor opacities. Future research should compare objective findings with patient-reported outcomes. © 2021 BSPD, IAPD and John Wiley & Sons Ltd.
publisher John Wiley and Sons Inc
issn 9607439
language English
format Article
accesstype All Open Access; Green Open Access
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