Structural, mechanical and chemical evaluation of molar-incisor hypomineralization-affected enamel: A systematic review
•Structural, mechanical and chemical properties of MIH-enamel were assessed.•Mineral quantity, quality, hardness and elasticity were reported to be reduced.•The association between appearance and severity are not clear.•Heterogeneity in current research findings was found.•Standard protocols and out...
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| Vydáno v: | Archives of oral biology Ročník 83; s. 272 - 281 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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England
Elsevier Ltd
01.11.2017
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| ISSN: | 0003-9969, 1879-1506, 1879-1506 |
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| Abstract | •Structural, mechanical and chemical properties of MIH-enamel were assessed.•Mineral quantity, quality, hardness and elasticity were reported to be reduced.•The association between appearance and severity are not clear.•Heterogeneity in current research findings was found.•Standard protocols and outcome measures in future studies are needed.
To systematically assess and contrast reported differences in microstructure, mineral density, mechanical and chemical properties between molar-incisor-hypomineralization-affected (MIH) enamel and unaffected enamel.
Studies on extracted human teeth, clinically diagnosed with MIH, reporting on the microstructure, mechanical properties or the chemical composition and comparing them to unaffected enamel were reviewed. Electronic databases (PubMed, Embase and Google Scholar) were screened; hand searches and cross-referencing were also performed.
Twenty-two studies were included. Fifteen studies on a total of 201 teeth investigated the structural properties, including ten (141 teeth) on microstructure and seven (60 teeth) on mineral density; six (29 teeth) investigated the mechanical properties and eleven (87 teeth) investigated the chemical properties of MIH-affected enamel and compared them to unaffected enamel. Studies unambiguously found a reduction in mineral quantity and quality (reduced Ca and P content), reduction of hardness and modulus of elasticity (also in the clinically sound-appearing enamel bordering the MIH-lesion), an increase in porosity, carbon/carbonate concentrations and protein content compared to unaffected enamel.
were ambiguous with regard to the extent of the lesion through the enamel to the enamel-dentin junction, the Ca/P ratio and the association between clinical appearance and defect severity.
There is an understanding of the changes related to MIH-affected enamel. The association of these changes with the clinical appearance and resulting implications for clinical management are unclear.
MIH-affected enamel is greatly different from unaffected enamel. This has implications for management strategies. The possibility of correlating the clinical appearance of MIH-affected enamel with the severity of enamel changes and deducing clinical concepts (risk stratification etc.) is limited. |
|---|---|
| AbstractList | To systematically assess and contrast reported differences in microstructure, mineral density, mechanical and chemical properties between molar-incisor-hypomineralization-affected (MIH) enamel and unaffected enamel.OBJECTIVESTo systematically assess and contrast reported differences in microstructure, mineral density, mechanical and chemical properties between molar-incisor-hypomineralization-affected (MIH) enamel and unaffected enamel.Studies on extracted human teeth, clinically diagnosed with MIH, reporting on the microstructure, mechanical properties or the chemical composition and comparing them to unaffected enamel were reviewed. Electronic databases (PubMed, Embase and Google Scholar) were screened; hand searches and cross-referencing were also performed.METHODSStudies on extracted human teeth, clinically diagnosed with MIH, reporting on the microstructure, mechanical properties or the chemical composition and comparing them to unaffected enamel were reviewed. Electronic databases (PubMed, Embase and Google Scholar) were screened; hand searches and cross-referencing were also performed.Twenty-two studies were included. Fifteen studies on a total of 201 teeth investigated the structural properties, including ten (141 teeth) on microstructure and seven (60 teeth) on mineral density; six (29 teeth) investigated the mechanical properties and eleven (87 teeth) investigated the chemical properties of MIH-affected enamel and compared them to unaffected enamel. Studies unambiguously found a reduction in mineral quantity and quality (reduced Ca and P content), reduction of hardness and modulus of elasticity (also in the clinically sound-appearing enamel bordering the MIH-lesion), an increase in porosity, carbon/carbonate concentrations and protein content compared to unaffected enamel.RESULTSTwenty-two studies were included. Fifteen studies on a total of 201 teeth investigated the structural properties, including ten (141 teeth) on microstructure and seven (60 teeth) on mineral density; six (29 teeth) investigated the mechanical properties and eleven (87 teeth) investigated the chemical properties of MIH-affected enamel and compared them to unaffected enamel. Studies unambiguously found a reduction in mineral quantity and quality (reduced Ca and P content), reduction of hardness and modulus of elasticity (also in the clinically sound-appearing enamel bordering the MIH-lesion), an increase in porosity, carbon/carbonate concentrations and protein content compared to unaffected enamel.were ambiguous with regard to the extent of the lesion through the enamel to the enamel-dentin junction, the Ca/P ratio and the association between clinical appearance and defect severity.FINDINGSwere ambiguous with regard to the extent of the lesion through the enamel to the enamel-dentin junction, the Ca/P ratio and the association between clinical appearance and defect severity.There is an understanding of the changes related to MIH-affected enamel. The association of these changes with the clinical appearance and resulting implications for clinical management are unclear.CONCLUSIONSThere is an understanding of the changes related to MIH-affected enamel. The association of these changes with the clinical appearance and resulting implications for clinical management are unclear.MIH-affected enamel is greatly different from unaffected enamel. This has implications for management strategies. The possibility of correlating the clinical appearance of MIH-affected enamel with the severity of enamel changes and deducing clinical concepts (risk stratification etc.) is limited.CLINICAL SIGNIFICANCEMIH-affected enamel is greatly different from unaffected enamel. This has implications for management strategies. The possibility of correlating the clinical appearance of MIH-affected enamel with the severity of enamel changes and deducing clinical concepts (risk stratification etc.) is limited. To systematically assess and contrast reported differences in microstructure, mineral density, mechanical and chemical properties between molar-incisor-hypomineralization-affected (MIH) enamel and unaffected enamel. Studies on extracted human teeth, clinically diagnosed with MIH, reporting on the microstructure, mechanical properties or the chemical composition and comparing them to unaffected enamel were reviewed. Electronic databases (PubMed, Embase and Google Scholar) were screened; hand searches and cross-referencing were also performed. Twenty-two studies were included. Fifteen studies on a total of 201 teeth investigated the structural properties, including ten (141 teeth) on microstructure and seven (60 teeth) on mineral density; six (29 teeth) investigated the mechanical properties and eleven (87 teeth) investigated the chemical properties of MIH-affected enamel and compared them to unaffected enamel. Studies unambiguously found a reduction in mineral quantity and quality (reduced Ca and P content), reduction of hardness and modulus of elasticity (also in the clinically sound-appearing enamel bordering the MIH-lesion), an increase in porosity, carbon/carbonate concentrations and protein content compared to unaffected enamel. were ambiguous with regard to the extent of the lesion through the enamel to the enamel-dentin junction, the Ca/P ratio and the association between clinical appearance and defect severity. There is an understanding of the changes related to MIH-affected enamel. The association of these changes with the clinical appearance and resulting implications for clinical management are unclear. MIH-affected enamel is greatly different from unaffected enamel. This has implications for management strategies. The possibility of correlating the clinical appearance of MIH-affected enamel with the severity of enamel changes and deducing clinical concepts (risk stratification etc.) is limited. •Structural, mechanical and chemical properties of MIH-enamel were assessed.•Mineral quantity, quality, hardness and elasticity were reported to be reduced.•The association between appearance and severity are not clear.•Heterogeneity in current research findings was found.•Standard protocols and outcome measures in future studies are needed. To systematically assess and contrast reported differences in microstructure, mineral density, mechanical and chemical properties between molar-incisor-hypomineralization-affected (MIH) enamel and unaffected enamel. Studies on extracted human teeth, clinically diagnosed with MIH, reporting on the microstructure, mechanical properties or the chemical composition and comparing them to unaffected enamel were reviewed. Electronic databases (PubMed, Embase and Google Scholar) were screened; hand searches and cross-referencing were also performed. Twenty-two studies were included. Fifteen studies on a total of 201 teeth investigated the structural properties, including ten (141 teeth) on microstructure and seven (60 teeth) on mineral density; six (29 teeth) investigated the mechanical properties and eleven (87 teeth) investigated the chemical properties of MIH-affected enamel and compared them to unaffected enamel. Studies unambiguously found a reduction in mineral quantity and quality (reduced Ca and P content), reduction of hardness and modulus of elasticity (also in the clinically sound-appearing enamel bordering the MIH-lesion), an increase in porosity, carbon/carbonate concentrations and protein content compared to unaffected enamel. were ambiguous with regard to the extent of the lesion through the enamel to the enamel-dentin junction, the Ca/P ratio and the association between clinical appearance and defect severity. There is an understanding of the changes related to MIH-affected enamel. The association of these changes with the clinical appearance and resulting implications for clinical management are unclear. MIH-affected enamel is greatly different from unaffected enamel. This has implications for management strategies. The possibility of correlating the clinical appearance of MIH-affected enamel with the severity of enamel changes and deducing clinical concepts (risk stratification etc.) is limited. |
| Author | Jost-Brinkmann, Paul-Georg Radlanski, Ralf J. Manton, David John Elhennawy, Karim Schwendicke, Falk Zaslansky, Paul Crombie, Felicity |
| Author_xml | – sequence: 1 givenname: Karim surname: Elhennawy fullname: Elhennawy, Karim email: karim.elhennawy@charite.de organization: Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charité − Universitätsmedizin Berlin, Germany, Aßmannshauser Str. 4-6, 14197 Berlin, Germany – sequence: 2 givenname: David John surname: Manton fullname: Manton, David John organization: Oral Health Cooperative Research Centre, Melbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia – sequence: 3 givenname: Felicity surname: Crombie fullname: Crombie, Felicity organization: Oral Health Cooperative Research Centre, Melbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia – sequence: 4 givenname: Paul surname: Zaslansky fullname: Zaslansky, Paul organization: Department of Operative and Preventive Dentistry, Charité − Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany – sequence: 5 givenname: Ralf J. surname: Radlanski fullname: Radlanski, Ralf J. organization: Department of Oral Structural Biology, Charité − Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany – sequence: 6 givenname: Paul-Georg surname: Jost-Brinkmann fullname: Jost-Brinkmann, Paul-Georg organization: Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charité − Universitätsmedizin Berlin, Germany, Aßmannshauser Str. 4-6, 14197 Berlin, Germany – sequence: 7 givenname: Falk surname: Schwendicke fullname: Schwendicke, Falk organization: Department of Operative and Preventive Dentistry, Charité − Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28843745$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Chemical composition Dental Enamel - chemistry Dental Enamel - physiology Dental Enamel Hypoplasia - pathology Developmental defects Elasticity Enamel Hardness Humans Hypoplasia Incisor - pathology Microstructure MIH Molar - pathology Surface Properties |
| Title | Structural, mechanical and chemical evaluation of molar-incisor hypomineralization-affected enamel: A systematic review |
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