Dental management strategies for Molar Incisor Hypomineralization

Belisa Olmo-González* (Corresponding Author), Rosa Moreno Lopez, Manuel Ribera-Uribe

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract


Background
Molar Incisor Hypomineralization (MIH) is defined as a hypomineralization of systemic origin that can affect all permanent first molars and, in most cases it can also affect the permanent incisors.

Objective
The aim of this review was to describe the various options available to treat and restore MIH-affected molars.

Results
MIH is a developmental, qualitative enamel defect caused by reduced mineralization of the inorganic enamel components, leading to enamel discoloration and defects in the affected teeth. MIH in permanent molars is usually associated with caries and intense pain, and children often become disruptive during MIH treatment due to the challenges associated in achieving proper anesthesia of the affected teeth.

Conclusion
Early detection and appropriate therapy can prevent severe complications and improve both masticatory function and esthetics. The treatment of MIH varies from a simple procedure, such as a controlled clinical eruption, to extensive and recurrent treatments in more severe cases.
Original languageEnglish
Pages (from-to)139-154
Number of pages16
JournalPediatric Dental Journal
Volume30
Issue number3
Early online date20 Oct 2020
DOIs
Publication statusPublished - 1 Dec 2020

Keywords

  • Molar; Incisor; Dental enamel hypoplasia; Tooth demineralization
  • Tooth demineralization
  • Molar
  • Incisor
  • Dental enamel hypoplasia

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