Article Data

  • Views 1362
  • Dowloads 352

Original Research

Open Access

Does MIH Affects Preoperative and Intraoperative Hypersensitivity?

  • Betül Memiş Özgül1
  • Didem Sakaryalı1
  • Resmiye Ebru Tirali1
  • Sevi Burçak Çehreli2

1Department of Pediatric Dentistry, Faculty of Dentistry, Başkent University, Ankara, Turkey

2Department of Pediatric Dentistry, Faculty of Dentistry, European University of Lefke, Gemikonağı, Cyprus, Mersin 10, Turkey

DOI: 10.17796/1053-4625-46.3.6 Vol.46,Issue 3,May 2022 pp.204-210

Published: 01 May 2022

*Corresponding Author(s): Didem Sakaryalı E-mail: dt_didemsakaryali@hotmail.com

Abstract

Objective: Hypersensitivity is an important problem that is encountered during the treatment of hypomineralized teeth. The aim of this prospective study was to compare responses to electrical pulp tests (EPTs) and cold tests among carious teeth with and without molar incisor hypomineralization (MIH) before and after the administration of local anesthesia for caries removal Results: The EPT results of anesthetized carious teeth without MIH were significantly higher than those of carious teeth with MIH (p = 0.011). The cold test results were significantly higher for anesthetized carious teeth with MIH than for those without MIH (p = 0.0001). Intraoperative pain was significantly higher for carious teeth with MIH (p = 0.003). Conclusions: The results of this study suggest that even after achieving sufficient anesthesia, hypersensitivity remains a clinical problem in MIH-affected carious molars. The results presented in this study indicate that this phenomenon is not related to achieving effective local anesthesia; therefore, behavior management in such cases is of the utmost importance compared to relying on adjacent anesthetic methods.

Keywords

Carious teeth; Cold test; Electrical pulp test; Hypersensitivity; Molar incisor hypomineralization

Cite and Share

Betül Memiş Özgül,Didem Sakaryalı,Resmiye Ebru Tirali,Sevi Burçak Çehreli. Does MIH Affects Preoperative and Intraoperative Hypersensitivity?. Journal of Clinical Pediatric Dentistry. 2022. 46(3);204-210.

References

1. Rodd HD, Boissonade FM, Day PF. Pulpal Status of Hypomineralized Permanent Molars. Pediatr Dent,2007, 29: 514-520.

2. Weerheijm KL, Jälevik B, Alaluusua S. Molar-incisor hypomineralization. Caries Res, 2001,35: 390-391.

3. Lygidakis NA, Wong F, Jälevik B, Vierrou AM, Alaluusua S, Espelid I. Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralization (MIH): An EAPD Policy Document. Eur Arch Paediatr Dent, 2010, 11: 75-81.

4. Bandeira Lopes L, Machado V, Botelho J, Haubek D. Molar-incisor hypomineralization: an umbrella review. Acta Odontol Scand, 1-11, 2021. Online ahead of print.

5. Weerheijm KL. Molar incisor hypomineralization (MIH): Clinical presentation, aetiology, and management. Dent Update, 2004, 31: 9-12.

6. Giuca MR, Lardani L, Pasini M, Beretta M, Gallusi G, Campanella V. State-of-the-art on MIH. Part. 1 Definition and aepidemiology. Eur J Paediatr Dent, 2020, 21: 80-82.

7. Rodd HD, Morgan CR, Day PF, Boissonade FM. Pulpal expression of TRPV1 in molar incisor hypomineralisation. Eur Arch Paediatr Dent, 2007, 8: 184-188.

8. Jälevik B, Klingberg G. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralisation of their first permanent molars. Int J Paed Dent, 2002, 12: 24-32.

9. William V, Messer LB, Burrow MF. Molar incisor hypomineralization: Review and recommendations for clinical management. Pediatr Dent, 2006, 28: 224-232.

10. Fagrell TG, Lingström P, Olsson S, Steiniger F, Norén JG. Bacterial invasion of dentinal tubules beneath apparently intact but hypomineralized enamel in molar teeth with molar incisor hypomineralisation. Int J Paediatr Dent, 2008, 18: 333-340.

11. Fayle SA. Molar incisor hypomineralization: Restorative management. Eur J Paediatr Dent, 2003, 4: 121-126.

12. Olgart L, Kerezoudis NP. Nerve-pulp interactions. Arch Oral Biol, 39: 47- 54, 1994.

13. Riba H, Al-Zahrani S, Al-Buqmi N, Al-Jundi A. A Review of Behavior Evaluation Scales in Pediatric Dentistry and Suggested Modification to the Frankl Scale. EC Dental Science, 2017, 16 (6): 269-275.

14. Pitts NB, Ekstrand KR. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) – methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol, 2013, 41: 41–52.

15. Ekstrand KR, Ricketts DNJ, Kidd EAM, Qvist V, Schou S. Detection, diagnosing, monitoring and logical treatment of occlusal caries in relation to lesion activity and severity: an in vivo examination with histological validation. Caries Res, 1998, 32: 247–254.

16. Ekstrand KE, Ricketts DN, Longbottom C, Pitts NB. Visual and tactile assessment of arrested initial enamel caries lesions: an in vivo examination. Caries Res, 2005, 39: 173–177.

17. Ekstrand KR, Zero DT, Martignon S, Pitts NB. Lesion activity assessment. Monogr Oral Sci, 2009, 21: 63–90.

18. Mitropoulos P, Rahiotis C, Stamatakis H, Kakaboura A. Diagnostic performance of the visual caries classification system ICDAS II versus radiography and micro-computed tomography for proximal caries detection: an in vitro study. J Dent, 2010, 38: 859-867.

19. Ghanim A, Elfrink M, Weerheijm K, Mariño R, Manton D. A practical method for use in epidemiological studies on enamel Hypomineralisation. Eur Arch Paediatr Dent, 2015, 16 (3): 235-246.

20. Dastmalchi N, Jafarzadeh H, Moradi S. Comparison of the Efficacy of a Custom-made Pulse Oximeter Probe with Digital Electric Pulp Tester, Cold Spray, and Rubber Cup for Assessing Pulp Vitality. J Endod, 2012, 38: 1182–1186.

21. Kühnisch J, Daubländer M, Klingberg G, Dougall A, Spyridonos Loizides M, Stratigaki E, Amar JL, Anttonen V, Duggal M, Gizani S. Best clinical practice guidance for local analgesia in paediatric dentistry: an EAPD policy document. Eur Arch Paediatr Dent, 2017, 18 (5): 313-321.

22. Tomlinson D, von Baeyer CL, Stinson JN, Sung L. A systematic review of faces scales for the self-report of pain intensity in children. Pediatrics, 2010,126: 1168-1198.

23. Ozgul BM, Saat S, Sonmez H, Tulga Oz F. Clinical evaluation of desen-sitizing treatment for incisor teeth affected by molar-incisor hypomineralization. J Clin Pediatr Dent, 2013, 38: 101-105.

24. Americano GC, Jacobsen PE, Soviero VM, Haubek D. A systematic review on the association between molar incisor hypomineralization and dental caries. Int J Paediatr Dent, 2017, 27 (1): 11–21.

25. Americano GC, Jorge RC, Moliterno LF, Soviero VM. Relating molar incisor hypomineralization and caries experience using the decayed, missing, or filled index. Pediatr Dent, 2016, 38 (5): 419–424.

26. Grošelj M, Jan J. Molar incisor hypomineralisation and dental caries among children in Slovenia. Eur J Paediatr Dent, 2013, 14 (3): 241–245.

27. Negre-Barber A, Montiel-Company JM, Catalá-Pizarro M, Almerich-Silla JM. Degree of severity of molar incisor hypomineralization and its relation to dental caries. Sci Rep, 2018, 8 (1): 1248.

28. Heyeraas KJ, Berggreen E. Interstitial fluid pressure in normal and inflamed pulp. Crit Rev Oral Biol Med, 1999, 10: 328-336.

29. Stenvik A, Iverson J, Mjör IA. Tissue pressure and histology of normal and inflamed tooth pulps in Macaque monkeys. Arch Oral Biol, 1972, 17: 1501-1511.

30. Tönder KJH, Kvininsland I. Micropuncture measurements of interstitial fluid pressure in normal and inflamed dental pulp in cats. J Endod, 1983, 9: 105-109.

31. Van Hassel HJ. Physiology of the human dental pulp. Oral Surg Oral Med Oral Path, 1971, 32: 126-134.

32. Vongsavan N, Matthews B. The relation between fluid flow through dentine and the discharge of intradental nerves. Arch Oral Biol, 1994, 39: 140-141.

33. Matthews B, Vongsavan N. Interactions between neural and hydrodynamic mechanisms in dentine and pulp. Arch Oral Biol, 1994, 39: 87-95.

34. Fristad I, Berggreen E. Structure and Functions of the Dentin-Pulp Complex. In: Hargreaves KM, Berman LH, Rotstein I (editors) Cohen’s Pathways of the Pulp. 11th ed. Missouri: Elsevier-St. Louis, 532-572, 2016. International Standard Book Number 978-0-323-09635-5.

35. Nusstein J, Wood M, Reader A, Beck M, Weaver J. Comparison of the degree of pulpal anesthesia achieved with the intraosseous injection and infiltration injection using 2% lidocaine with 1:100,000 epinephrine. Gen Dent, 2005, 53: 50-53.

36. Fowler S, Drum M, Reader A, Beck M. Anesthetic success of an inferior alveolar nerve block and supplemental articaine buccal infiltration for molars and premolars in patients with symptomatic irreversible pulpitis. J Endod, 2016, 42: 390–392.

37. Kara Tuncer A, Kayatas M, Tuncer S. Pulp Diagnostic Tests. Bezmialem Science, 2014, 2: 61-64.

38. Narhi M, Virtanen A, Kuhta J, Huopaniem T. Electrical stimulation of teeth with a pulp tester in the cat. Scand J Dent Res, 1979, 87: 32-38.

39. Brännström M. The hydrodynamic theory of dentinal pain: sensation in preparations, caries and dentinal crack syndrome. J Endod, 1986, 12: 453- 457.

40. Mumford JM. Pain perception threshold on stimulating human teeth and the histological condition of the pulp. Br Dent J, 1967, 123: 427-433.

41. Oleson M, Drum M, Reader A, Nusstein J, Beck M. Effect of preoperative ibuprofen on the success of the inferior alveolar nerve block in patients with irreversible pulpitis. J Endod, 2010, 36: 379–382.

42. Fullmer S, Drum M, Reader A, Nusstein J, Beck M. Effect of preoperative acetaminophen/hydrocodone on the efficacy of the inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: a prospective, randomized, double-blind, placebo-controlled Study. J Endod, 2014, 40: 1–5.

43. Bigby J, Reader A, Nusstein J, Beck M, Weaver J. Articaine for supplemental intraosseous anesthesia in patients with irreversible pulpitis. J Endod,2006, 32: 1044-1047.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top