Diagnosis and Treatment of a Six-year-old Patient with Molar-incisor Hypomineralization a Case Report
Abstract:
Molar-incisor hypomineralization (MIH) is a qualitative and quantitative enamel dysplasia that affects one or more permanent molars and incisors.
Objectives: This study was conducted at the University-Medicodental Center at the Faculty of Dental Medicine at the Medical University “Prof. Dr. P. Stoyanov” in Varna, Bulgaria. The patient, 6 years old, from Varna, complained of newly erupted, unaesthetic teeth with discoloration in the frontal area, deep carious lesions with periodic pain, and fractures on the lingual surfaces of the second lower primary molars. The diagnosis was MIH. The carious process was complicated by irreversible pulpitis, Pulpitis symptomatica aperta, diagnosed on teeth 74, 75, and 85, which determined treatment of the lower primary molars using the formalin-resorcinol method with 3 stages, for the remaining teeth. We also performed and application of sealants, fluoride varnishes, and remineralizing pastes. Teeth with white-yellow-brown lesions diagnosed with MIH are subject to prophylaxis, preventive and non-operative treatment, strict clinical control, and observation, due to the risk of rapid destruction and high sensitivity of enamel and dentin, almost immediately after eruption. Early diagnosis of hypomineralized molars and incisors and timely prophylaxis and treatment can prevent complications of MIH.
