Abordaje conservador y mínimamente invasivo de la Hipomineralización Molar-Incisivo (HMI) - Relato de casos clínicos
Resumo
La Hipomineralización Molar-Incisivo (HMI) es un defecto de esmalte de origen sistémico que afecta uno o varios molares permanentes, asociado en algunos casos a los incisivos permanentes. Defectos de esmalte, como la HMI pueden influenciar negativamente la calidad de vida, percepción estética yautoestima de niños y adolescentes. Las opciones de tratamiento para este tipo de alteración, incluye desde medidas preventivas y procedimientos restauradores hasta la extracción dental. Factores como la edad y expectativas del paciente, severidad de la alteración y materiales deben ser considerados en el plan de
tratamiento del paciente con HMI. La utilización de resinas compuestas para la restauración de molares e incisivos ha mostrado buenos resultados relacionados a la durabilidad y estética. Este artículo presenta dos casos clínicos sobre el abordaje de la HMI en dientes anteriores, realizando preparos cavitários conservadores por medio de puntas ultrasónicas adaptadas a un sistema de ultrasonido y restauración con resina compuesta, obteniendo resultados estéticos favorables con un año de acompañamiento.
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Referências
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molar-incisor hypomineralization (MIH) in children seeking dental care at the schools of dentistry of the
University of Buenos Aires (Argentina) and University of la Republica (Uruguay). Acta Odontol Latinoam
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Paschoal MA, Gencay K, Seymen F, Caminaga RM, dos Santos-Pinto L, Vieira AR. Genes expressed in
dental enamel development are associated with molar-incisor Hypomineralization Arch Oral Biol 2013;
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4. Soviero V, Haubek D, Trindade C, Da Matta T, Poulsen S. Prevalence and distribution of demarcated
opacities and their sequelae in permanent 1st molars and incisors in 7 to 13-year-old brazilian children.
Acta Odontol Scand 2009;67:170-175.
5. Alaluusua S: Aetiology of molar-incisor hypomineralisation. A systematic review. Eur Arch Paediatr
Dent 2010;11:53-58.
6. Souza JF, Jeremias F, Costa-Silva CM, Santos-Pinto L, Zuanon AC, Cordeiro RC. Aetiology of molarincisor
hypomineralisation (MIH) in Brazilian children. Eur Arch Paediatr Dent 2013;14:233-238.
7. Jälevik B, Norén JG: Enamel hypomineralization of permanent first molars. A morphological study and
survey of possible aetiological factors. Int J Paediatr Dent 2000;10:278-289.
8. Jälevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children
with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent 2002;12:24-32.
9. Scheffel DS, Jeremias F, Fragelli CB, Santos-Pinto LM, Hebling J, de Oliveira OB. Esthetic dental
anomalies as motive for bullying in schoolchildren . Eur J Dent 2014;8:124-128.
10. Weerheijm KL, Duggal M, Mejàre I, Papagiannoulis L, Koch G, Martens LC, Hallonsten AL. Judgement
criteria for molar incisor hypomineralisation (MIH) in epidemiologic studies: A summary of the european
meeting on mih held in Athens, 2003 Eur J Paediatr Dent. 2003;4:110-113.
11. Conceição EN, Soares CG. Isolamento do campo operatório. In: Conceição EN et al. Dentística: saúde
e estética. Porto Alegre: Artes Médicas Sul; 2000. Cap. 6, p 83-94.
12. Källestal C, Dahlgren L, Stenlund H. Oral health behaviour and self-esteem in Swedish children. Soc
Sci Med 2000;51:1841-1849.
13. Souza JF, Fragelli CMB, Restrepo M, Mushashe AM, Losso EM, Cunha LF. Aesthetic management of
molar-incisor hypomineralization. RSBO 2014;11:204-208.
14. Carvalho FG, Josgrilberg EB, Cordeiro RCL, Flores VO. Tratamientos menos invasivos – utilización de
los sistemas de aire abrasivo y puntas CVD. Acta Odontológica Venezolana 2006;44:14-17.
15. Paschoal MA, Cordeiro RCL, Santos-Pinto L. Use of ultrasonic CVD tips on the management of
pediatric patient. J Health Sci Inst 2011;29:254-256.
16. Lima LM, Motisuki C, Corat EJ, Santos-Pinto L. Comparative cutting effectiveness of an ultrasonic
diamond tip and a high-speed diamond bur. Minerva Stomatol 2009;58(3):93-98.
17. Predebon JC, Florio FM, Basting RT. Use of CVDentUS diamond tips for
ultrasound cavity preparation. J Contemp Dent Pract 2006;7:50-58.
18. Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralization. Compend
Contin Educ Dent 2006;27(11):604-610.
19. Fayle SA. Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent 2003;4(3):121-
126.
20. Mast P, Rodrigueztapia MT, Daeniker L, Krejci I. Molar incisor hypomineralisation: review and
recommendations for clinical management. Pediatr Denr 2006a;28:224-232.
21. William V, Messer LB, Burrow MF.. Pediatr Dent 2006a;28(3):224-232.
22. Sundfeld RH, Rahal V, Croll TP, De Aalexandre RS, Briso AL. Enamel microabrasion followed by dental
bleaching for patients after orthodontic treatment--case reports. J Esthet Restor Dent 2007;19(2):71-77.
23. Sapir S, Shapira J. Clinical solutions for developmental defects of enamel and dentin in children.
Pediatr Dent 2007;29(4):330-336.
24. William V, Burrow MF, Palamara JE, et al. Microshear bond strength of resin composite to teeth
affected by molar hypomineralisation using 2 adhesive systems. Pediatr Dent 2006b;28:233-241.
25. Villarroel M, Fahl N, De Souza AM, De Oliveira OB Jr. Direct esthetic restorations based on translucency
and opacity of composite resins. J Esthet Rest Dent 2011;23:73-87.
2. Biondi AM, López Jordi MeC, Cortese SG, Alvarez L, Salveraglio I, Ortolani AM. Prevalence of
molar-incisor hypomineralization (MIH) in children seeking dental care at the schools of dentistry of the
University of Buenos Aires (Argentina) and University of la Republica (Uruguay). Acta Odontol Latinoam
2012;25:224-230.
3. Jeremias F, Koruyucu M, Küchler EC, Bayram M, Tuna EB, Deeley K, Pierri RA, Souza JF, Fragelli CM,
Paschoal MA, Gencay K, Seymen F, Caminaga RM, dos Santos-Pinto L, Vieira AR. Genes expressed in
dental enamel development are associated with molar-incisor Hypomineralization Arch Oral Biol 2013;
58:1434-1442.
4. Soviero V, Haubek D, Trindade C, Da Matta T, Poulsen S. Prevalence and distribution of demarcated
opacities and their sequelae in permanent 1st molars and incisors in 7 to 13-year-old brazilian children.
Acta Odontol Scand 2009;67:170-175.
5. Alaluusua S: Aetiology of molar-incisor hypomineralisation. A systematic review. Eur Arch Paediatr
Dent 2010;11:53-58.
6. Souza JF, Jeremias F, Costa-Silva CM, Santos-Pinto L, Zuanon AC, Cordeiro RC. Aetiology of molarincisor
hypomineralisation (MIH) in Brazilian children. Eur Arch Paediatr Dent 2013;14:233-238.
7. Jälevik B, Norén JG: Enamel hypomineralization of permanent first molars. A morphological study and
survey of possible aetiological factors. Int J Paediatr Dent 2000;10:278-289.
8. Jälevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children
with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent 2002;12:24-32.
9. Scheffel DS, Jeremias F, Fragelli CB, Santos-Pinto LM, Hebling J, de Oliveira OB. Esthetic dental
anomalies as motive for bullying in schoolchildren . Eur J Dent 2014;8:124-128.
10. Weerheijm KL, Duggal M, Mejàre I, Papagiannoulis L, Koch G, Martens LC, Hallonsten AL. Judgement
criteria for molar incisor hypomineralisation (MIH) in epidemiologic studies: A summary of the european
meeting on mih held in Athens, 2003 Eur J Paediatr Dent. 2003;4:110-113.
11. Conceição EN, Soares CG. Isolamento do campo operatório. In: Conceição EN et al. Dentística: saúde
e estética. Porto Alegre: Artes Médicas Sul; 2000. Cap. 6, p 83-94.
12. Källestal C, Dahlgren L, Stenlund H. Oral health behaviour and self-esteem in Swedish children. Soc
Sci Med 2000;51:1841-1849.
13. Souza JF, Fragelli CMB, Restrepo M, Mushashe AM, Losso EM, Cunha LF. Aesthetic management of
molar-incisor hypomineralization. RSBO 2014;11:204-208.
14. Carvalho FG, Josgrilberg EB, Cordeiro RCL, Flores VO. Tratamientos menos invasivos – utilización de
los sistemas de aire abrasivo y puntas CVD. Acta Odontológica Venezolana 2006;44:14-17.
15. Paschoal MA, Cordeiro RCL, Santos-Pinto L. Use of ultrasonic CVD tips on the management of
pediatric patient. J Health Sci Inst 2011;29:254-256.
16. Lima LM, Motisuki C, Corat EJ, Santos-Pinto L. Comparative cutting effectiveness of an ultrasonic
diamond tip and a high-speed diamond bur. Minerva Stomatol 2009;58(3):93-98.
17. Predebon JC, Florio FM, Basting RT. Use of CVDentUS diamond tips for
ultrasound cavity preparation. J Contemp Dent Pract 2006;7:50-58.
18. Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralization. Compend
Contin Educ Dent 2006;27(11):604-610.
19. Fayle SA. Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent 2003;4(3):121-
126.
20. Mast P, Rodrigueztapia MT, Daeniker L, Krejci I. Molar incisor hypomineralisation: review and
recommendations for clinical management. Pediatr Denr 2006a;28:224-232.
21. William V, Messer LB, Burrow MF.. Pediatr Dent 2006a;28(3):224-232.
22. Sundfeld RH, Rahal V, Croll TP, De Aalexandre RS, Briso AL. Enamel microabrasion followed by dental
bleaching for patients after orthodontic treatment--case reports. J Esthet Restor Dent 2007;19(2):71-77.
23. Sapir S, Shapira J. Clinical solutions for developmental defects of enamel and dentin in children.
Pediatr Dent 2007;29(4):330-336.
24. William V, Burrow MF, Palamara JE, et al. Microshear bond strength of resin composite to teeth
affected by molar hypomineralisation using 2 adhesive systems. Pediatr Dent 2006b;28:233-241.
25. Villarroel M, Fahl N, De Souza AM, De Oliveira OB Jr. Direct esthetic restorations based on translucency
and opacity of composite resins. J Esthet Rest Dent 2011;23:73-87.
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Publicado
2015-02-10
Como Citar
1.
Restrepo M, Fragelli C, Bussaneli D, Feltrin J, Jeremias F, Cordeiro R, et al. Abordaje conservador y mínimamente invasivo de la Hipomineralización Molar-Incisivo (HMI) - Relato de casos clínicos. CES odontol. [Internet]. 10º de fevereiro de 2015 [citado 18º de maio de 2024];27(2):122-30. Disponível em: https://revistas.ces.edu.co/index.php/odontologia/article/view/3247
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