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Hipomineralização incisivo-molar: avaliação genética, diagnóstico e terapêutica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_31540 | 479.49 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: O termo Hipomineralização Incisivo-Molar (HIM) é definido como uma
hipomineralização de origem sistémica que afeta um a quatro primeira molar permanente
e frequentemente associada a opacidades nos incisivos permanentes. Este defeito de
desenvolvimento do esmalte pode causar sensibilidade dentária e rápida progressão da
cárie, podendo ocasionar dor e afetar a qualidade de vida.
Objetivo: Revisão bibliográfica que permita identificar e caracterizar a
hipomineralização incisivo-molar, identificar possíveis fatores genéticos, e possíveis
procedimentos terapêuticos.
Metodologia: Revisão narrativa da bibliografia, selecionada de acordo com as palavraschave e objetivo do trabalho.
Discussão e Conclusão: O estudo revelou que existe a possibilidade de associação entre
o esmalte hipomineralizado e variação genética nos genes de formação do esmalte
dentário. A adoção de medidas terapêuticas para as lesões de hipomineralização incisivomolar deve ser estabelecida após a obtenção de um adequado e correto diagnóstico
diferencial. Os tratamentos propostos são de espectro variável, podendo variar desde um
carácter preventivo, restaurador, protético, cirúrgico e ortodôntico. A implementação da
modalidade terapêutica deve ser sempre realizada consoante o grau de severidade das
lesões apresentadas em conformidade com a história clinica do paciente.
Introduction: The term Molar-Incisor Hypomineralization (MIH) is defined as a systemic-origin hypomineralization that affects one to four permanent first molars and is often associated with opacities in permanent incisors. This defect in the development of enamel can cause tooth sensitivity and rapid progression of caries, which can cause pain and affect quality of life. Objective: Bibliographic review to identify and characterize incisor-molar hypomineralization, identify possible genetic factors, and possible therapeutic procedures. Methodology: Narrative review of the bibliography, selected according to the keywords and objective of the work. Discussion and Conclusion: The study revealed that there is a possibility of an association between hypomineralized enamel and genetic variation in the genes that form tooth enamel. The adoption of therapeutic measures for incisor-molar hypomineralization lesions should be established after obtaining an adequate and correct differential diagnosis. The proposed treatments are of variable spectrum, which can range from preventive, restorative, prosthetic, surgical and orthodontic. The implementation of the therapeutic modality should always be carried out according to the degree of severity of the lesions presented in accordance with the patient's clinical history.
Introduction: The term Molar-Incisor Hypomineralization (MIH) is defined as a systemic-origin hypomineralization that affects one to four permanent first molars and is often associated with opacities in permanent incisors. This defect in the development of enamel can cause tooth sensitivity and rapid progression of caries, which can cause pain and affect quality of life. Objective: Bibliographic review to identify and characterize incisor-molar hypomineralization, identify possible genetic factors, and possible therapeutic procedures. Methodology: Narrative review of the bibliography, selected according to the keywords and objective of the work. Discussion and Conclusion: The study revealed that there is a possibility of an association between hypomineralized enamel and genetic variation in the genes that form tooth enamel. The adoption of therapeutic measures for incisor-molar hypomineralization lesions should be established after obtaining an adequate and correct differential diagnosis. The proposed treatments are of variable spectrum, which can range from preventive, restorative, prosthetic, surgical and orthodontic. The implementation of the therapeutic modality should always be carried out according to the degree of severity of the lesions presented in accordance with the patient's clinical history.
Description
Keywords
Hipomineralized Enamel Clinical implications treatment Etiology Polimorfismo genético Genetic polymorphism