Restoration of Permanent Molars Affected With (MIH) Using Composite Restorations or Preformed Metal Crowns

Amal Ahmed Mohamed El Kot60 enrolled

Overview

The aim of this study is to compare the clinical outcome of using direct esthetic composite restorations in managing MIH cases and the use of preformed metal crowns.

Molar incisor hypomineralization can represent a serious and challenging clinical management problem. Children with MIH require higher levels of treatment needs and demonstrate considerable management problems. For most severely affected MIH molars, direct esthetic restorative materials or preformed metal crowns will be the treatments to choose between. A number of aspects which could support decision-making, however, are not clearly demarcated. First and foremost, it is not clear if both treatments are similarly acceptable for patients and providers.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Molar Incisor Hypomineralization

Interventions

Direct composite restorationsPROCEDURE

bulk-fill composite (Filtek BulkFlow, 3M Espe) will be used aftar infiltration or block anaesthesia for affected molar,following by carious tissue removal. Marginal bevelling of enamel will be performed. A universal adhesive (Scotchbond Universal, 3M Espe) will be placed after selective enamel etching A bulk-fill composite will be used and covered using a nanohybrid composite, (Filtek XT, 3M Espe).

Eligibility

Sex: ALLMin age: 7 YearsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Children with MIH in one fully erupted molar or more. 2. Age ranging from 7-12 years. 3. cooperative children 4. Good general health. Exclusion Criteria: 1. patients participating in other experiments. 2. Patients with parents planning to move away within the following year. 3. Patients with only mildly affected MIH molars that do not require extensive restorative treatment. 4. MIH-affected molars that have a very poor prognosis and require extraction. 5. First permanent molars that are affected with other developmental defects, such as hypoplasia, dental fluorosis or amelogenesis imperfecta. \-

Locations (1)

Faculty of Oral and Dental Medicine

Cairo, Egypt

Outcomes

Primary Outcomes

Hypersensitivity

Questioning the patient and/or the parent (Clemenus et al,2017) Binary (yes, no)

Time frame: 12 month

Secondary Outcomes

Acceptability of the treatment

Questioning the children or parents about accepting the treatment Binary (Yes or No)

Time frame: 12 month

Data from ClinicalTrials.gov

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