A conservative approach to rehabilitate a molar-incisor hypomineralization case

Abstract

Molar incisor hypomineralization is an increasingly common condition in our population. This condition can have great impact on the esthetics, function, and well-being of the child. This paper reports a case of a young patient diagnosed with this condition affecting all the first permanent molars and lower incisors, particularly teeth 31 and 41. The molars were treated with direct resin restorations with cusp coating and the incisors aesthetic was restored with different techniques such as bleaching with sodium hypochlorite, micro-abrasion and resin restorations. This treatment plan aimed to restore the proper teeth function, treat the already existing hypersensitivity and algic complains and to improve the aesthetic of the anterior sector. The presented case shows a conservative approach to deal with the molar incisor hypomineralization condition with satisfactory results after 1-year follow-up.

Rehabilitation Treatment in Pediatric Patients with Molar Incisor Hypomineralization: A Scoping Review

“…These studies were published between 2010 and 2022, and most of them come from Europe [10,[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] and Brazil [5,[28][29][30][31][32][33][34][35][36][37][38]. In terms of the included studies' design, 20 were case reports [8,13,15,16,19,[25][26][27]31,[33][34][35][38][39][40][41][42][43][44], 7 were cohort studies [14,18,20,…”

“…Out of the 38 included studies, 12 studies assessed glass ionomer cement and eight concluded that this material is "beneficial" [8,13,28,29,31,33,41,42], three studies concluded that it is "probably beneficial" [14,23,30], and one study concluded that its effects are "unclear" [26]. In terms of composite resin restorations, nine studies concluded that it is "beneficial" [18,19,21,24,27,34,38,40,44], one described it as "probably beneficial" [35], and two concluded that this material had "no effect" [5,32]. Additionally, four studies evaluating indirect restorations and full coverage crowns concluded that this treatment is "beneficial" [16,39,45,46]; four studies assessing stainless steel crowns also concluded that this treatment is "beneficial" [15,17,36,43]; while two studies that evaluated microabrasion, whitening and infiltration of resin concluded as that these are "probably beneficial" [20,25].…”

“…In terms of composite resin restorations, several authors [18,19,21,24,27,34,35,40] use composite resin restorations as a predictable option, with high success rates, if placed under a rubber dam to ensure good moisture control [9]. This minimally invasive approach has been proposed for severe cases of MIH followed by cavity filling with GIC for six months and then restoration with composite resin, achieving a high clinical and radiographic success rate of 96.8% at 24 months [18].…”