Clinical Management of Molar Incisor Hypomineralization Affected Molars in a Pediatric Patient Including Endodontic Treatment, Case Report and Review of the Literature

The term molar incisor hypomineralization (MIH) describes the clinical manifestation of enamel hypomineralization of systemic origin affecting one or more permanent first molars and incisors. The purpose of this case report is to discuss the management of two mandibular molars with hypomineralizatio...

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Published inClinical, cosmetic and investigational dentistry Vol. 14; pp. 183 - 189
Main Authors Alfarraj, Jawza H, Alsaeed, AbdulAziz A
Format Journal Article
LanguageEnglish
Published Macclesfield Dove Medical Press Limited 30.06.2022
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects
Antibiotics
apexification
Asymptomatic
Care and treatment
Case Report
Case reports
Children
Composite materials
Dental caries
Dental crowns
Dental enamel
Dentistry
Diagnosis
Enamel
Endodontics
Fluorides
Health aspects
mih
mineral trioxide aggregate
molar incisor hypomineralization
Orthodontics
pediatric dentistry
Pediatrics
Teeth
Saudi Arabia
Sydney New South Wales Australia
Australia
Germany
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Summary:The term molar incisor hypomineralization (MIH) describes the clinical manifestation of enamel hypomineralization of systemic origin affecting one or more permanent first molars and incisors. The purpose of this case report is to discuss the management of two mandibular molars with hypomineralization and to emphasize endodontic treatment for pediatric patients. An 8- year-old girl was referred to the pediatric dental clinic for restorations of multiple carious teeth. Upon clinical examination, based on the pattern of enamel hypomineralization and posteruptive breakdown presented, the diagnosis of MIH was established. As a part of the comprehensive treatment, one molar was restored with resin-based composite restorations. The other was endodontically involved and was treated with apexification and then covered with a stainless-steel crown. A two-year recall appointment revealed both molars to be free from signs and symptoms of inflammation. Management of MIH-affected molars should follow a conservative approach and endodontic treatment should be considered. Keywords: case report, molar incisor hypomineralization, MIH, apexification, mineral trioxide aggregate, pediatric dentistry
ISSN:1179-1357
1179-1357
DOI:10.2147/CCIDE.S371122