MOLAR-INCISOR HYPOMINERALIZATION: considerations for clinical management in dental care for children

Resumo

Introduction: Clinically seen as demarcated opacities in permanent first molars and incisors, Molar-Incisor Hypomineralization (MIH) is a clinical challenge to dental professionals. Histologically, these opacities are porous, making the affected tooth enamel less resistant to the mechanical forces of mastication. Children with MIH require more frequent and often more complex restorative treatments, which increases their anxiety before treatment begins. Furthermore, when present in incisors, these defects may damage children’s psychological and social development. Aim: Based on a literature review and presentation of clinical cases, this article discusses the developmental defects of enamel (DDE), with emphasis on the MIH. The purpose is to provide a theoretical and conceptual basis for professional, enabling them to give more appropriate care for MIH. Conclusions: The management of teeth with MIH can involve early diagnosis to tooth extraction followed by orthodontics in severe cases. Children with this defect, as well as their families, should be guided about the necessary oral care and prognosis of each case. Therefore it is necessary that beyond the technical knowledge, the professional is prepared to deal with the psychological and social needs of each child, to provide a more satisfactory quality of dental care.