Evidence map›Paper›PMID 40445534›Full record

SynthesisEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2025

Effective anaesthesia when treating teeth affected by molar incisor hypomineralisation (MIH): a systematic review.

Miniar Rhaiem, Marwa Chatti, Yamina Elelmi, Aymen Ben Haj Khalifa, Fatma Masmoudi, Ahlem Baaziz

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07352813 (A Comparative Evaluation of the Clinical Effectiveness of Computer-Assisted Intraosseous and Infiltration Anesthesia Techniques in Children With Molar-Incisor Hypomineralization), which is not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07352813 narecruitingnot on this map

A Comparative Evaluation of the Clinical Effectiveness of Computer-Assisted Intraosseous and Infiltration Anesthesia Techniques in Children With Molar-Incisor Hypomineralization

TypeinterventionalSponsorAnkara Yildirim Beyazıt UniversityRan2025 to 2026Enrolled30ConditionsMolar Incisor Hypomineralization, HypersensitivityArmsIntraosseous anaesthesia using a computerized system, Infiltration anaesthesia using a computerized system
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Effectiveness of different anaesthetic techniques, agents and adjunctive interventions in handling pain during dental treatment of MIH-affected teeth: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
  2. Non- and minimally invasive management of hypersensitivity in molar-incisor hypomineralisation (MIH) at home and in clinical practice: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
  3. Trial
  4. Oral microbiome signatures of molar-incisor hypomineralisation: insights from a pilot study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Miniar RhaiemPaediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia. rhaiem.miniar@gmail.com.ORCID http://orcid.org/0000-0002-2686-8882
Marwa ChattiPaediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.
Yamina ElelmiPaediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.
Aymen Ben Haj KhalifaPaediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.
Fatma MasmoudiPaediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.
Ahlem BaazizPaediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the present review was to critically evaluate recent studies to determine the optimal combination of anaesthetic technique and agent for achieving effective anaesthesia in molar incisor hypomineralisation (MIH) patients, thereby addressing a significant need in evidence-based clinical practice. The search question was: What is the most effective modality of anaesthesia to reduce hypersensitivity in MIH-affected teeth in children?

methodsA systematic search was conducted using four databases, namely, MEDLINE via PubMed, Science Direct, Scopus and Cochrane Central Register of Controlled Trials (CENTRAL), using a selection of MeSH terms. The "Modified Jadad Scale" and the "Newcastle Ottawa Scale" were used for the methodology assessment of the included studies.

resultsOut of 134 articles identified in the initial search, six articles met all the inclusion criteria. The results showed that intraosseous anaesthesia with 4% articaine demonstrated the highest efficacy.

conclusionAchieving complete anaesthesia in teeth affected by MIH enhances comfort for both patients and practitioners, contributing to improved treatment quality. Intraosseous anaesthesia with 4% articaine and epinephrine has proven effective in reducing pain and hypersensitivity in pediatric patients with MIH. However, further studies are needed in this population to draw definitive conclusions.

Indexed as

Anesthesia, DentalAnesthesia, LocalDental Enamel HypoplasiaAnesthetics, LocalCarticaineChildEpinephrineHumansIncisorMolarAnesthetics, LocalCarticaineEpinephrineAnaesthesiaChildHypersensitivityMolar incisor hypomineralisationPainTeeth

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.