Upshot of Fluoride Varnish in Downgrading Hypersensitivity of Molar Incisor Hypomineralized Teeth: A Systematic Review and Clinical Considerations
U Deepika, Udaya Kumar Deepika, Louis S Simon, Susmita Murmu, Kanika Chopra, Althwaf Shajahan, Soumit Kumar Hota
Management of hypersensitivity of MIH, Management of MIH, MIH hypersensitive, MIH management
Citation Information :
Deepika UK, Deepika U, Simon LS, Murmu S, Chopra K, Shajahan A, Hota SK. Upshot of Fluoride Varnish in Downgrading Hypersensitivity of Molar Incisor Hypomineralized Teeth: A Systematic Review and Clinical Considerations. J South Asian Assoc Pediatr Dent 2022; 5 (2):110-115.
Aim and objective: To critically evaluate and compare the effect of fluoride varnish (FV) with other recent materials used to reduce the hypersensitivity of molar incisor hypomineralization (MIH) affected teeth.
Methodology: The search in electronic databases like MEDLINE, Cochrane, Scopus, Google Scholar, ScienceDirect, and Embase from January 2000 to December 2021 was done to identify studies on the management of hypersensitivity in MIH-affected teeth. The keywords used were MIH hypersensitive, MIH management, management of hypersensitivity of MIH, and management of MIH. Initially, the titles and abstracts were screened to rule out duplicate articles and to evaluate the materials, participants, and assessment methodology. The selected articles were completely screened to assess the risk of bias of the articles. Cochrane's risk of bias was at high risk and might be misleading, so a meta-analysis was not performed.
Results: Thousand hundred eighteen studies were identified at the first level of search. After a thorough screening, three studies that met the inclusion criteria were selected.
Conclusion: Non-fluoridated remineralizing agents had better efficacy in reducing the hypersensitivity in MIH-affected teeth than FV, fluoridated remineralizing agents, and low-level laser therapy (LLLT). At the same time, the effectiveness of the non-fluoridated remineralizing agent improved when it was used along with ozone therapy.
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