Molar Incisor Hypomineralization (MIH): Clinical Presentation, Aetiology and Management

Abstract

In this paper, the current knowledge about Molar Incisor Hypomineralization (MIH) is presented. MIH is defined as hypomineralization of systemic origin of one to four permanent first molars frequently associated with affected incisors and these molars are related to major clinical problems in severe cases. At the moment, only limited data are available to describe the magnitude of the phenomenon. The prevalence of MIH in the different studies ranges from 3.6-25% and seems to differ in certain regions and birth cohorts. Several aetiological factors (for example, frequent childhood diseases) are mentioned as the cause of the defect. Children at risk should be monitored very carefully during the period of eruption of their first permanent molars. Treatment planning should consider the long-term prognosis of these teeth.

Molar incisor hypomineralization: an aesthetic conservative restorative approach

“…Molar incisor hypomineralization is defined as a systemic alteration which affects molars and usually the incisors 5 . Its clinical aspects are different from those of fluorosis and imperfect amelogenesis as the enamel changes are not similar to those of counterpart teeth, and in addition there is no family pattern as in imperfect amelogenesis 6 . Like other enamel changes, it involves aesthetic impairment due to the opacity of the enamel.…”

The impact of type 1 diabetes on the development of the craniofacial mineralised tissues (bones and teeth): literature review

“…It may be in the form of holes, grooves, total or partial lack of enamel on a bigger or smaller area of the crown. In extreme cases, a change of teeth shape occurs because of a thinner layer of enamel, the teeth take on the shape of a cone or cylinder without any points of contact [10,28].…”

Büyük azı ve kesici diş hipomineralizasyonu: etiyolojisi ve kliniği

“…48 Diğer çalışmalarda ise, asit ya da taşla yapılan mikroabrazyonun estetiğin sağlanmasında az etkili olduğu, fakat estetik düzeltmenin rezin kompozitlerle veneer uygulama yapıldığı takdirde başarılı olduğu belirtilmiş-tir. 46,51 Keserlerin restoratif tedavisinden ilk başta kaçınıl-maktadır, ancak hastanın yaşam kalitesini etkiliyorsa (örn. okulda alay edilme, isim takılma gibi) hasta tedaviyi isteyebilmektedir.…”

“…46,51 Keserlerin restoratif tedavisinden ilk başta kaçınıl-maktadır, ancak hastanın yaşam kalitesini etkiliyorsa (örn. okulda alay edilme, isim takılma gibi) hasta tedaviyi isteyebilmektedir.…”