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An Innovative approach to treat incisors Hypomineralization (MIH): a combined use of casein phosphopeptide-amorphous calcium phosphate and hydrogen peroxide: a case report

Mastroberardino, Stefano and Campus, Guglielmo Giuseppe and Strohmenger, Laura and Villa, Alessandro and Cagetti, Maria Grazia (2012) An Innovative approach to treat incisors Hypomineralization (MIH): a combined use of casein phosphopeptide-amorphous calcium phosphate and hydrogen peroxide: a case report. Case Reports in Dentistry, Vol. 2012 . eISSN 2090-6455. Article.

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DOI: 10.1155/2012/379593

Abstract

Molar Incisor Hypomineralization (MIH) is characterized by a developmentally derived deficiency in mineral enamel. Affected teeth present demarcated enamel opacities, ranging from white to brown; also hypoplasia can be associated. Patient frequently claims aesthetic discomfort if anterior teeth are involved. This problem leads patients to request a bleaching treatment to improve aestheticconditions. Nevertheless, hydrogen peroxide can produce serious side-effects, resulting from further mineral loss. Microabrasion and/or a composite restoration are the treatments of choice in teeth with mild/moderate MIH, but they also need enamel loss. Recently, a new remineralizing agent based on Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) has been proposed to be effective in hypomineralized enamel, improving also aesthetic conditions. The present paper presents a case report of a young man with white opacities on incisors treated with a combined use of CPP-ACP mousse and hydrogen peroxide gel to correct the aesthetic defect. The patient was instructed to use CPP-ACP for two hours per day for three months in order to obtain enamel remineralization followed by a combined use of CPP-ACP and bleaching agent for further two months. At the end of this five-month treatment, a noticeable aesthetic improvement of the opacities was observed.

Item Type:Article
ID Code:8245
Status:Published
Refereed:Yes
Uncontrolled Keywords:Molar Incisor Hypomineralization (MIH), Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP), hypomineralized enamel, aesthetic conditions
Subjects:Area 06 - Scienze mediche > MED/28 Malattie odontostomatologiche
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
Publisher:Hindawi Publishing Corporation
eISSN:2090-6455
Copyright Holders:© 2012 Stefano Mastroberardino et al.
Deposited On:03 Dec 2012 16:36

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