Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical cases

Molar-incisor hypomineralization (MIH) is a common developmental dental defect of permanent teeth, that negatively affects enamel and dentin, predominantly affecting permanent molars and occasionally impacting permanent incisors. Clinical manifestations of HMI are patient-specific and can be catego...

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Main Authors: Carla Marinho Barreto Gois, Cinthya Jeanette Arias-Guillén, Fernanda Miori Pascon, Maria Beatriz Duarte Gavião, Carolina Steiner-Oliveira
Format: Article
Language:English
Published: Asociación Latinoamericana de Odontopediatría 2025-06-01
Series:Revista de Odontopediatria Latinoamericana
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Online Access:https://www.revistaodontopediatria.org/index.php/alop/article/view/752
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author Carla Marinho Barreto Gois
Cinthya Jeanette Arias-Guillén
Fernanda Miori Pascon
Maria Beatriz Duarte Gavião
Carolina Steiner-Oliveira
author_facet Carla Marinho Barreto Gois
Cinthya Jeanette Arias-Guillén
Fernanda Miori Pascon
Maria Beatriz Duarte Gavião
Carolina Steiner-Oliveira
author_sort Carla Marinho Barreto Gois
collection DOAJ
description Molar-incisor hypomineralization (MIH) is a common developmental dental defect of permanent teeth, that negatively affects enamel and dentin, predominantly affecting permanent molars and occasionally impacting permanent incisors. Clinical manifestations of HMI are patient-specific and can be categorized by the extent and severity of the enamel defects. These classifications range from mild to severe and may include the loss of tooth structure. Additionally, HMI can give rise to pronounced aesthetic challenges and may elicit hypersensitivity in some cases. This study aimed to address gaps in literature by describing treatment for pediatric patients with HMI and managing dentin hypersensitivity. These case reports document patients with MIH-caused hypersensitivity who underwent photobiomodulation (PBM) treatment using a low-power infrared laser in four irradiation sessions. The following irradiation parameters were applied: energy of 2J, output power of 100 mW, for 20 s, in continuous mode, with a beam area of ​​0.04 cm2, per point. The irradiation points targeted on the affected teeth were: one in the cervical area, one in the apical region of each root, and one in the occlusal region of the molars. Pain levels were measured using the Visual Analogue Scale before and after treatment. Following laser therapy sessions, the patients remained under observation and reported no complaints associated with the condition. It can be concluded that PBM therapy with a low-power laser effectively treats hypersensitivity in MIH, controlling discomfort and pain to improve the patient's quality of life.
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spelling doaj-art-156d0e4afb974a559bfc757cf4cf906f2025-08-20T02:09:56ZengAsociación Latinoamericana de OdontopediatríaRevista de Odontopediatria Latinoamericana2174-07982025-06-011510.47990/0g1ny275Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical casesCarla Marinho Barreto Gois0https://orcid.org/0000-0002-3267-8516Cinthya Jeanette Arias-Guillén1https://orcid.org/0000-0003-0906-9488Fernanda Miori Pascon2https://orcid.org/0000-0003-3337-3121Maria Beatriz Duarte Gavião3https://orcid.org/0000-0002-7546-5262Carolina Steiner-Oliveira4https://orcid.org/0000-0002-0680-2253Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas - UNICAMP, Brasil.Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas - UNICAMP, Brasil.Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas - UNICAMP, Brasil.Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas - UNICAMP, Brasil.Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas - UNICAMP, Brasil. Molar-incisor hypomineralization (MIH) is a common developmental dental defect of permanent teeth, that negatively affects enamel and dentin, predominantly affecting permanent molars and occasionally impacting permanent incisors. Clinical manifestations of HMI are patient-specific and can be categorized by the extent and severity of the enamel defects. These classifications range from mild to severe and may include the loss of tooth structure. Additionally, HMI can give rise to pronounced aesthetic challenges and may elicit hypersensitivity in some cases. This study aimed to address gaps in literature by describing treatment for pediatric patients with HMI and managing dentin hypersensitivity. These case reports document patients with MIH-caused hypersensitivity who underwent photobiomodulation (PBM) treatment using a low-power infrared laser in four irradiation sessions. The following irradiation parameters were applied: energy of 2J, output power of 100 mW, for 20 s, in continuous mode, with a beam area of ​​0.04 cm2, per point. The irradiation points targeted on the affected teeth were: one in the cervical area, one in the apical region of each root, and one in the occlusal region of the molars. Pain levels were measured using the Visual Analogue Scale before and after treatment. Following laser therapy sessions, the patients remained under observation and reported no complaints associated with the condition. It can be concluded that PBM therapy with a low-power laser effectively treats hypersensitivity in MIH, controlling discomfort and pain to improve the patient's quality of life. https://www.revistaodontopediatria.org/index.php/alop/article/view/752developmental defects of enamelpainMolar hypomineralisationlaser therapypediatric dentistry
spellingShingle Carla Marinho Barreto Gois
Cinthya Jeanette Arias-Guillén
Fernanda Miori Pascon
Maria Beatriz Duarte Gavião
Carolina Steiner-Oliveira
Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical cases
Revista de Odontopediatria Latinoamericana
developmental defects of enamel
pain
Molar hypomineralisation
laser therapy
pediatric dentistry
title Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical cases
title_full Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical cases
title_fullStr Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical cases
title_full_unstemmed Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical cases
title_short Photobiomodulation with infrared laser to control dental hypersensitivity in children with molar-incisor hypomineralization – clinical cases
title_sort photobiomodulation with infrared laser to control dental hypersensitivity in children with molar incisor hypomineralization clinical cases
topic developmental defects of enamel
pain
Molar hypomineralisation
laser therapy
pediatric dentistry
url https://www.revistaodontopediatria.org/index.php/alop/article/view/752
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