An Innovative Approach to Treat Incisors Hypomineralization (MIH)‎ : A Combined Use of Casein Phosphopeptide-Amorphous Calcium Phosphate and Hydrogen Peroxide—A Case Report

Abstract EN

Molar Incisor Hypomineralization (MIH) is characterized by a developmentally derived deficiency in mineral enamel.

Affected teeth present demarcated enamel opacities, ranging from white to brown; also hypoplasia can be associated.

Patient frequently claims aesthetic discomfort if anterior teeth are involved.

This problem leads patients to request a bleaching treatment to improve aestheticconditions.Nevertheless, hydrogen peroxide can produce serious side-effects, resulting from further mineral loss.

Microabrasion and/or a composite restoration are the treatments of choice in teeth with mild/moderate MIH, but they also need enamel loss.

Recently, a new remineralizing agent based on Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) has been proposed to be effective in hypomineralized enamel, improving also aesthetic conditions.

The present paper presents a case report of a young man with white opacities on incisors treated with a combined use of CPP-ACP mousse and hydrogen peroxide gel to correct the aesthetic defect.

The patient was instructed to use CPP-ACP for two hours per day for three months in order to obtain enamel remineralization followed by a combined use of CPP-ACP and bleaching agent for further two months.

At the end of this five-month treatment, a noticeable aesthetic improvement of the opacities was observed.