Effect of Fluoride Varnish on Enamel Remineralization in Anterior Teeth with Molar Incisor Hypomineralization

J Clin Pediatr Dent. 2016;40(3):207-10. doi: 10.17796/1053-4628-40.3.207.

Abstract

Objective: The objective of this study was to investigate the effect of fluoride varnish on remineralization of anterior teeth affected by Molar-Incisor Hypomineralization (MIH) by means of Quantitative Light-Induced Fluorescence- QLF.

Study design: Fifty-one healthy 9 - 12- year-old children were selected according to different clinically diagnosed levels of MIH, proposed by the European Academy of Pediatric Dentistry (2003) (considering the most severe lesion per patient, n= 51 lesions), and randomly divided into two groups: (1) four applications of 5% NaF varnish, with one-week interval, and (2) usual home care- control. At each visit, the mean change in fluorescence and area of lesion were measured by QLF. The data were analyzed by repeated measures ANOVA and Tukey's test.

Results: All patients showed enamel alterations in first permanent molars and incisors, frequently with two molars affected by MIH (41.1%). There was no statically significant difference in the mean of fluorescence and area of lesion between groups over the studied time.

Conclusion: We observed no favorable effect on the remineralization of MIH lesions in anterior teeth after four applications of fluoride varnish.

Keywords: Fluorescence; Fluoride; Molar Incisor Hypomineralization; Tooth remineralization.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Cariostatic Agents / therapeutic use*
  • Child
  • Dental Enamel / drug effects*
  • Dental Enamel Hypoplasia / drug therapy*
  • Female
  • Fluorescence
  • Fluorides, Topical / therapeutic use*
  • Follow-Up Studies
  • Humans
  • Incisor / drug effects
  • Lasers, Gas
  • Male
  • Sodium Fluoride / therapeutic use
  • Tooth Remineralization / methods*
  • Toothpastes / therapeutic use
  • Treatment Outcome

Substances

  • Cariostatic Agents
  • Fluorides, Topical
  • Toothpastes
  • Sodium Fluoride