Evidence map›Paper›PMID 41318457›Full record

Observational studyBMC oral health2025

Management of molar-incisor hypomineralisation (MIH) with CAD/CAM indirect hybrid composite restorations in children: a retrospective observational case series.

Alp Akça, Figen Eren, Betül Kargül

Abstract readObservational Study
In one paragraph

Observational study in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Trial
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

3 authors.

Alp AkçaDepartment of Paediatric Dentistry, Dental School, Marmara University, Istanbul, Türkiye. galip.alpakca@marmara.edu.tr.ORCID 0009-0001-7864-600X
Figen ErenDepartment of Paediatric Dentistry, Dental School, Marmara University, Istanbul, Türkiye.
Betül KargülDepartment of Paediatric Dentistry, Dental School, Marmara University, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeThis retrospective observational case series aimed to evaluate the clinical and digital (photographic) success rate of CAD/CAM hybrid composite indirect restorations used on molar- incisor hypomineralisation affected first permanent molars (FPMs) after 12 months." MATERIALS AND

methodsA total ofnine children (mean age: 11.62 ± 1.26 years) with MIH- affected FPMs (receiving a score of 2c or 4c according to the MIH-TNI classification) received 13 CAD/CAM indirect hybrid composite restorations. Restorations were assessed after a follow-up period of twelve months. Anatomic form, marginal adaptation, marginal discoloration, color match, surface texture, restoration fracture, and secondary caries were assessed both clinically and digitally through intraoral photographs, according to modified United States Public Health Service criteria. Descriptive and exploratory analyse were conducted, including the McNemar Chi-square test. The significance level used in the statistical analysis (p < 0.05).

resultsThe survival rate of the restorations was 100% after 12 months. According to the USPHS evaluation criteria, the majority of restorations were scored as Alpha. Specifically, for color match, 10 restorations (77%) were rated Alpha and 3 (23%) as Bravo at the 12-month evaluation. The difference in color match scores between baseline and 12 months was statistically significant (p= 0.025). For marginal discoloration, scores decreased from 100% Alpha at baseline to 12 (92%) Alpha and 1 (8%) Bravo at the 12-month follow-up. A statistically significant difference was also found between baseline and 12-month scores for marginal discoloration (p = 0.025).

conclusionThe findings highlight the potential of CAD/CAM restorations as a reliable treatment option for MIH-affected FPMs, particularly in cases with severe structural compromise. However, these results need to be confirmed through long-term randomized controlled clinical trials with larger cohorts, double-blinded protocols, and longer follow-up periods.

Indexed as

Composite ResinsComputer-Aided DesignDental Enamel HypoplasiaDental Restoration, PermanentChildFemaleHumansMaleMolarRetrospective StudiesComposite ResinsChildrenDigital workflowIndirect restorationsMolar-Incisor Hypomineralisation (MIH)

Identifiers

PMID41318457
PMCPMC12772022

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.