Percorrer por autor "Stancati, Sofia"
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- Evaluation and comparison of clinical practice guidelines for molar-incisor hypomineralization (MIH): an integrative reviewPublication . Stancati, Sofia; Silva, CristinaMolar-incisor hypomineralization (MIH) is a defect in enamel formation, leading to soft and discolored teeth that are more vulnerable to damage and sensitivity, for which therapeutic protocols and management strategies are still evolving. This integrative review aims to identify best practices, highlight variations in treatment approaches and assess the overall effectiveness of these guidelines in enhancing paediatric dental care. For this study, all available clinical guidelines were reviewed by consulting the official websites of major paediatric dentistry societies worldwide. The guidelines considered include those issued by the British Society of Paediatric Dentistry (BSPD), the International Association of Paediatric Dentistry (IAPD), the European Academy of Paediatric Dentistry (EAPD), the American Academy of Pediatric Dentistry (AAPD), the King’s College Hospital Guidelines, and the Alliance of Molar Incisor Hypomineralization Investigation and Treatment (AMIT). A comparative analysis of these guidelines was conducted to identify similarities and differences in clinical recommendations. The guidelines analyzed show remarkable convergence regarding the importance of early diagnosis, the adoption of minimal intervention strategies, and the need for conduct based on the clinical severity of MIH. The EAPD stands out for its application of the GRADE methodology, giving greater robustness to its recommendations. The alignment between the associations reinforces the feasibility of adopting an international clinical protocol, with flexibility according to the clinical context and local resources. Standardization of MIH management can contribute significantly to improving clinical outcomes, reducing associated morbidity, and promoting more effective and patient-centered paediatric dentistry.