Contemporary management options for molar incisor hypomineralisation

Précis

Management of molar incisor hypomineralisation (MIH) in children is challenging and dentists need to be aware of a wide range of contemporary treatment options.

Abstract

Background: Molar incisor hypomineralisation (MIH) is a well-known and prevalent qualitative enamel defect, which can carry a heavy treatment burden for many patients. Early identification of MIH is paramount in order to instigate preventive regimes and potentially spare children from the restorative cycle many endure. Once enamel breakdown occurs management is challenging, as all cases present different individual considerations, from behaviour management issues to restorative decisions. The aim of this article was to review the recent literature on MIH in order to give the reader an update on contemporary management options for MIH-affected molars and incisors, and their evidence base.

Conclusion: Effective management can be very difficult for the clinician and there are limited treatment guidelines available. The individual needs of the patient will often dictate the most appropriate management and therefore clinicians need to be aware of all available options.

Journal of the Irish Dental Association
February/March 2020; 66 (1): 36-43

Dr Aoibheann Wall
Clinical Supervisor in Paediatric Dentistry
Department of Public and Child Dental Health, Dublin Dental University Hospital, Lincoln Place, Dublin 2

Dr Rona Leith
BA BDentSc DChDent MFD FFD(RCSI)
Assistant Professor in Paediatric Dentistry, Dept. of Public & Child Dental Health, Dublin Dental University Hospital, Lincoln Place, Dublin 2

Corresponding author: Dr Aoibheann Wall, Clinical Supervisor in Paediatric Dentistry, Department of Public and Child Dental Health, Dublin Dental University Hospital, Lincoln Place, Dublin 2. T: 01-612 7303 E. wallao@tcd.ie