Evidence map›Paper›PMID 42125209›Full record

ArticleCase reports in dentistry2026

Etch-Bleach-Seal Technique in Managing Enamel Hypomineralization: A Case Report With Narrative Literature Review.

Matine Gharavi, Sara Tavassoli-Hojjati, Zahra Abdolahpour

Abstract read
In one paragraph

Article in Case reports in dentistry, 2026. 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. Article
  2. 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

3 authors.

Matine GharaviDepartment of Pediatric, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0002-2588-2383
Sara Tavassoli-HojjatiDepartment of Pediatric, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0002-5688-9617
Zahra AbdolahpourDepartment of Pediatric, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0001-5521-1145

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Molar incisor hypomineralization (MIH) opacities significantly affect pediatric patients' esthetics and psychosocial well-being. This case is unique as it demonstrates the clinical efficacy of a modified etch-bleach-seal protocol, utilizing a double application of sodium hypochlorite to address deep pigmentations where standard conservative approaches may be limited. Objective: This study is aimed at evaluating the clinical efficacy and existing literature supporting the etchâ€"bleachâ€"seal technique, a minimally invasive approach developed by Wright for managing enamel hypomineralizationâ€"related opacities. Case Description: A 10-year-old female presented with esthetic concerns regarding yellow-brown discoloration on her upper central incisors. After clinical and radiographic evaluations, a diagnosis of MIH was established. The patient was treated using the etch-bleach-seal technique, including phosphoric acid etching, sodium hypochlorite bleaching, and ICON resin sealing. Outcomes: Posttreatment, the patient showed significant improvement in enamel appearance. A follow-up session at 3 months led to further enhancement of esthetic results. Conclusion: The modified etch-bleach-seal protocol appears to be a promising conservative option for deep MIH opacities. However, as this represents a single clinical case, longitudinal studies are warranted to confirm its long-term durability and impact on enamel integrity.

Indexed as

case reportdental enamel hypomineralizationetch–bleach–sealICON infiltrationsodium hypochlorite

Identifiers

PMID42125209
PMCPMC13159089

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