Molar Incisor Hypomineralization (MIH): Conservative Treatment Approach
Dr Mayada Jemâa ( email@example.com ) - Assistant Professor, Department of Dental Medicine, Military Principal Hospital of Instruction, Tunis, Tunisia
Young patients may complain about the unesthetic appearance of their affected incisors.5
The bonding to enamel is difficult and risky in such case, because of the prismatic morphology in the porous enamel is altered; as a result the loss of the defective restoration and frequent re-treatments. 17, 20
The use of antibiotic is also suggested to be involved in this disease. 1, 3, 4, 7, 10, 14, 16, 19, 20 There is about a 2-fold increase in risk of MIH if amoxicillin is used in the first year of life. (Lygidakis et al. 2010)
Fig. 4: Microabrasion of upper incisors.
Fig. 6: Result after Microabrasion procedure.
Fig. 7: Phosphoric acid etching (37%) of upper incisors.
Fig. 8: Phosphoric acid etching (37%) of lower incisors.
Fig. 9: Final aspect of the restorations (Patient’s teeth immediately after finishing and polishing procedures).
Case Report N°2:
Fig. 10: Initial view of the patient’s anterior teeth.
Fig. 11: Affected first permanent molars.
Fig. 12: Superficial elimination of the white stains with a diamond burr.
Fig. 13: Acid etching with 37% phosphoric acid.
Fig. 14: With a disposable brush, a resin adhesive is applied according to manufacturer’s instructions.
Fig. 15: Final aspect of the restorations.
Fig. 16: Initial patient’s smile.
Fig. 20: Elimination of the yellow opacity of the tooth 21 by a Diamond Flame Burr.
Fig. 21: Aspect of the tooth 21 after the preparation.
Fig. 22: Elimination of the yellow opacity of the tooth 32 with the same diamond bur.
Fig. 23: Aspect of the tooth 32 after the preparation.
Fig. 24: Final aspect after restoration of the teeth 21 and 32 with Nanohybrid resin composite.
Fig. 25: Restoration of the tooth 36 with glass ionomer cements (GIC).
Sulaiman Mohammed Allazzam, SumerMadani Alaki, Omar Abdel Sadek El Meligy International Journal of Dentistry, Volume 2014, Article ID 234508, 8 pages