Treatment options for deciduous molar hypomineralization: a report of three cases

Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 546-553
Author(s):  
Yasmy Quintero ◽  
Manuel Restrepo ◽  
Jenny Angélica Saldarriaga ◽  
Alexandra Saldarriaga ◽  
Lourdes Santos-Pinto
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Treatment Options ◽  
Clinical Implications ◽  
Therapeutic Approaches ◽  
Enamel Defect ◽  
Delayed Treatment ◽  
Molar Incisor Hypomineralization ◽  
Permanent Molars ◽  
Deciduous Molar

Deciduous molar hypomineralization (DMH) is an enamel defect of systemic and multifactorial origin that affects the second deciduous molar. Currently, its treatment is based on guidelines for Molar Incisor Hypomineralization (MIH), a disturbance that affects permanent molars and may or may not be associated with permanent incisors. To date, there are no guidelines for DMH. Therefore, three different therapeutic approaches are presented to treat DMH, emphasizing the relevance of early diagnosis, differential diagnosis and treatment options, and tailored to take into account each patient's and parents' specific needs, as well as the involved tooth, severity of DMH, patients' symptoms and behaviour. CPD/Clinical Relevance: To understand the clinical implications of DMH since the diagnosis and delayed treatment of this enamel alteration could have important complications in both the primary and permanent dentition.

scholarly journals Molar Incisor Hypomineralization

2014 ◽  
Vol 3 (1) ◽  
pp. 37-40
Author(s):  
Navroop Kaur Bajwa ◽  
Mahesh Madhukar Jingarwar ◽  
Anuradha Pathak
Keyword(s):  
Stainless Steel ◽  
Early Diagnosis ◽  
Normal Child ◽  
Tooth Enamel ◽  
Permanent Teeth ◽  
Developmental Defects ◽  
Posterior Teeth ◽  
Enamel Defect ◽  
Anterior Teeth ◽  
Molar Incisor Hypomineralization

ABSTRACT Developmental defects of tooth enamel are not uncommon, both in the primary and permanent dentition. An example of idiopathic enamel defect is molar incisor hypomineralization (MIH). The condition is defined as a hypomineralization of systemic origin of one to four permanent first molars frequently associated with affected incisors. The prevalence of MIH is reported to vary between 2.4 and 40.2% in normal child populations. Management consists of early diagnosis, prevention of caries or posteruptive breakdown and interception if caries or breakdown has already ensued. Management challenges include difficulty in obtaining adequate anesthesia, increased incidence of caries, early pulpal involvement and gross destruction of clinical crown of affected teeth. In young permanent teeth, semipermanent crowns like stainless steel crowns for posterior teeth and direct composite veneering for anterior teeth are the recommended solutions. How to cite this article Bajwa NK, Jingarwar MM, Pathak A. Molar Incisor Hypomineralization. Int J Experiment Dent Sci 2014;3(1):37-40.

scholarly journals Knowledge, attitude, and practice regarding molar incisor hypomineralization among general dental practitioners in Saudi Arabia

2021 ◽  
Vol 8 (9) ◽  
pp. 4225
Author(s):  
Naji Hubaykan Alshammari ◽  
Amjad Ali Almugren ◽  
Jose Nazareno J. Lopez ◽  
Samaher Mohammad Almarshedy
Keyword(s):  
Dental Caries ◽  
Cross Sectional Study ◽  
Chronic Illnesses ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Web Based ◽  
Enamel Defect ◽  
Dental Practitioners ◽  
Molar Incisor Hypomineralization ◽  
Permanent Molars

Background: Molar Incisor hypomineralizationis an enamel defect caused by a systemic disturbance that could have occurred during child development. It affects one or more permanent molars with or without incisors involvement. Many factors could contribute in presence of MIH, for instance, chronic illnesses during pregnancy or during the first three of childhood. However, the actual etiological factor has not been determined yet. The study aim is to evaluate the knowledge and the perception on MIH among GDPs in KSA.Methods: This is a descriptive cross sectional study, web-based survey conducted on 500 participants. An online questionnaire was distributed to all GDPs working in KSA. The data analysis done using SPSS version 23 (IBM Crop USA).Results: We found that the majority of GDPs perceptions were found that 64.7% had the thought that MIH is a public problem next to dental caries. When we assessed the perceptions about diagnosis MIH, it was found that 35.7% not confident and 58.3% showed some confidence in diagnosing the same. The dentists’ confidence about treating MIH showed that 49.5% were confident.Conclusions: We found that the majority of GDPs have a good knowledge. The perception was found that 64.7% had the thought that MIH is a public problem next to dental caries. When we assessed the perceptions about diagnosis MIH, it was found that 58.3% showed some confidence in diagnosing the same. The dentists’ confidence about treating MIH showed that 49.5% were confident.

scholarly journals Treatment options for hypomineralized first permanent molars and incisors

2006 ◽  
Vol 53 (3) ◽  
pp. 174-180
Author(s):  
Mirjana Ivanovic ◽  
Vesna Zivojinovic ◽  
Dejan Markovic ◽  
Mirjana Sindolic
Keyword(s):  
Treatment Options ◽  
Multidisciplinary Treatment ◽  
Tooth Brushing ◽  
Etiological Factors ◽  
Molar Incisor Hypomineralization ◽  
Permanent Molars ◽  
First Permanent Molars

The aim of this study was to discuss therapy possibilities in the management of molar incisor hypomineralization. Molar incisor hypomineralization (MIH) is defined as hypomineralization of one or more first permanent molars frequently affecting incisors. Etiology of MIH is not fully clarified and numerous etiological factors have been cited. Hypomineralized molars are more prone to caries, cause severe restorative problems and are frequently extracted due to serious damage and caries complications. Incisors can present demarcated enamel opacities, while enamel breakdown is uncommon. Clinically, affected molars can be sensitive to thermal and chemical irritations even when there is no enamel breakdown. Molars can be sensitive to mechanical irritations making even regular tooth brushing painful. Specific problems related to the treatment of these teeth are sensitivity and occlusion in molars and aesthetics in incisors. Considering the fact that permanent first molars with severe defects and incisors demand complex and multidisciplinary treatment they present serious problem for the patient as well as for the dentist.

scholarly journals Opciones de tratamiento en un paciente con pérdida prematura de segundos molares primarios: zapato distal modificado / Treatment Options in a Patient with Primary Second Molar Premature Loss: Modified Distal Shoe Space Maintainer

2017 ◽  
Vol 35 (75) ◽  
Author(s):  
María Lorena Cardoso ◽  
Diana Emilia Falcón ◽  
Andrea Verónica Galiana
Keyword(s):  
Clinical Case ◽  
Treatment Options ◽  
Oral Rehabilitation ◽  
Second Molar ◽  
Permanent Molar ◽  
Space Maintainer ◽  
Permanent Molars ◽  
Deciduous Molar ◽  
First Permanent Molars ◽  
Distal Shoe

RESUMEN. Antecedentes: La pérdida prematura de un molar primario conlleva a malposición de los dientes contiguos y del sucesor permanente. El efecto depende de las fuerzas que actúan sobre el diente, que están condicionadas a su vez por el estado de erupción del primer molar permanente. Propósito: Describir una opción de tratamiento para la pérdida prematura de segundos molares primarios hasta la erupción de los primeros molares permanentes. Descripción del caso: El caso clínico presentado involucra la rehabilitación oral de un niño de 5 años de edad que presentaba pérdida prematura de los segundos molares primarios. Se decidió colocar un mantenedor de espacio tipo zapato distal modificado. Se realizaron controles trimestrales y, cuando erupcionaron los primeros molares permanentes, aproximadamente a los nueve meses, se les utilizó como pilares para confeccionar el arco lingual. Conclusiones: El tratamiento propuesto mostró resultados satisfactorios en el mantenimiento del espacio hasta la erupción de los primeros molares permanentes.ABSTRACT. Background: The premature loss of a deciduous molar leads to malposition of adjacent teeth and the permanent successor. The effect depends on the forces acting on the tooth, which are conditioned at the same time by the grade of eruption of the first permanent molar. Purpose: To describe a treatment option for primary second molar premature loss until first permanent molars erupt. Case description: This clinical case involves the oral rehabilitation of a 5-year-old boy who lost prematurely his primary second molars. The decision was to place a modified distal shoe space maintainer. Controls were performed every three months and when the first permanent molars erupted, approximately nine months later they were used as pillars, to make the lingual arch. Conclusions: The treatment used showed satisfactory results in maintaining the space until permanent first molars erupted.

scholarly journals Molar Incisor Hypomineralization (MIH) in a Child with Congenital Chronic Intestinal Pseudoobstruction (CIPO)

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Mohammed Zameer ◽  
Syed Ali Peeran ◽  
Syed Nahid Basheer ◽  
Syed Wali Peeran ◽  
Sameen Badiujjama Birajdar ◽  
...  
Keyword(s):  
Treatment Options ◽  
Mitochondrial Disorder ◽  
Intestinal Pseudoobstruction ◽  
Present Case Report ◽  
Enamel Defect ◽  
Chronic Intestinal Pseudoobstruction ◽  
First Case ◽  
Molar Incisor Hypomineralization ◽  
Exact Etiology

Molar incisor hypomineralization (MIH) is a qualitative enamel defect of systemic origin affecting 1–4 permanent first molars (PFMs) frequently in association with affected permanent incisors (PIs). The exact etiology of MIH is still unclear but considered to be multifactorial. This present case report to the best of our knowledge is the first case reported which acknowledges MIH in a patient with chronic intestinal pseudoobstruction (CIPO) with underlying neurological disease due to somatic mitochondrial disorder. It also elicits the availability of various contemporary treatment options and their proper selection and early intervention to manage the functional and aesthetic problems caused by enamel defects and to improve the quality of life in the patients.

scholarly journals Cantilever-Type Traction Appliance for Mandibular First Permanent Molars with Eruption Disturbances

2021 ◽  
Vol 48 (2) ◽  
pp. 229-236
Author(s):  
Heejung Lim ◽  
Eungyung Lee ◽  
Taesung Jeong ◽  
Jonghyun Shin
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Diagnosis And Treatment ◽  
Present Case Report ◽  
Fixed Appliance ◽  
Permanent Molar ◽  
Permanent Molars ◽  
Deciduous Molar ◽  
Short Time ◽  
First Permanent Molars

Eruption disturbances of the mandibular first molars can cause multiple problems in occlusal development although they are extremely rare. Early diagnosis and treatment are very important to prevent complications associated with eruption disturbances. The present case report describes the treatment of two cases of eruption disturbances of the mandibular first permanent molar. A fixed appliance composed of a cantilever spring with mandibular second deciduous molar as an anchor tooth was used to tract the impacted mandibular first permanent molar. The success of both cases shows that this novel traction appliance can be used to induce the eruption of an impacted mandibular first permanent molar within a short time in patients with intact mandibular second deciduous molar as an anchor tooth.

scholarly journals Deciduous molar hypomineralization (DMH) – a rare entity and its clinical management approach

RSBO ◽  
2017 ◽  
Vol 1 (2) ◽  
pp. 94
Author(s):  
Priyanka Avisa Avisa ◽  
Sreekanth Kumar Mallineni ◽  
Rekhalakshmi Kamatham ◽  
Sivakumar Nuvvula
Keyword(s):  
Management Approach ◽  
Primary Molar ◽  
Full Coverage ◽  
Molar Incisor Hypomineralization ◽  
Molar Teeth ◽  
Permanent Molars ◽  
Tooth Preparation ◽  
Deciduous Molar ◽  
Normal Thickness ◽  
Hall Technique

An idiopathic qualitative defect of enamel, affecting one or more of the permanent molars with/without permanent incisors is known as Molar Incisor Hypomineralization (MIH). Similar defect on primary second molars is termed asdeciduous molar hypomineralization (DMH). Case report and Conclusion: The prevalence rate of MIH and DMH worldwide is between 2.4%-40.2% and 4.9%-9.0% respectively. Clinically, these defects appear as white, yellow or brown spots, and surface is smooth with normal thickness of the enamel. Lack of quality in the enamel causes porosity that fractures easily under mastication, exposing the dentin, and further allows progression of caries. Hence, thiscondition should be diagnosed as early as possible for providing a preventive management against caries and avoid post eruptive breakdown. In addition, intervention with full coverage restoration is needful in the management of the affected teeth. Preformed metal crowns (PMCs) are recommended as the best full coverage restoration for managing primary molar teeth. The Hall Technique embraces changing concepts of managing, without local anesthesia, cariesremoval or tooth preparation. Management of teeth with DMH is challenging as it is quite difficult to achieve anesthesia and due to hypersensitivity, the co-operation of the child is questionable.

scholarly journals Deciduous molar hypomineralization (DMH) – a rare entity and its clinical management approach

RSBO ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 94-07
Author(s):  
Priyanka Avisa ◽  
Sreekanth Kumar Mallinen ◽  
Rekhalakshmi Kamatham ◽  
Sivakumar Nuvvula
Keyword(s):  
Management Approach ◽  
Primary Molar ◽  
Full Coverage ◽  
Molar Incisor Hypomineralization ◽  
Molar Teeth ◽  
Permanent Molars ◽  
Caries Removal ◽  
Tooth Preparation ◽  
Deciduous Molar ◽  
Normal Thickness

An idiopathic qualitative defect of enamel, affecting one or more of the permanent molars with/without permanent incisors is known as Molar Incisor Hypomineralization (MIH). Similar defect on primary second molars is termed as deciduous molar hypomineralization (DMH). Case report and Conclusion: The prevalence rate of MIH and DMH worldwide is between 2.4%-40.2% and 4.9%-9.0% respectively. Clinically, these defects appear as white, yellow or brown spots, and surface is smooth with normal thickness of the enamel. Lack of quality in the enamel causes porosity that fractures easily under mastication, exposing the dentin, and further allows progression of caries. Hence, this condition should be diagnosed as early as possible for providing a preventive management against caries and avoid post eruptive breakdown. In addition, intervention with full coverage restoration is needful in the management of the affected teeth. Preformed metal crowns (PMCs) are recommended as the best full coverage restoration for managing primary molar teeth. The Hall Technique embraces changing concepts of managing, without local anesthesia, caries removal or tooth preparation. Management of teeth with DMH is challenging as it is quite difficult to achieve anesthesia and due to hypersensitivity, the co-operation of the child is questionable.

Molar Incisor Hypomineralization

2009 ◽  
Vol 33 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Karine Takahashi ◽  
Adriana de Sales Cunha Correia ◽  
Robson Frederico Cunha
Keyword(s):  
Clinical Case ◽  
Treatment Options ◽  
Permanent Dentition ◽  
Tooth Eruption ◽  
Dental Practice ◽  
Complex Treatment ◽  
Enamel Defects ◽  
Enamel Defect ◽  
Molar Incisor Hypomineralization ◽  
Clinical Interest

Enamel defects are common alterations that can occur in both the primary or permanent dentition. A range of etiological factors related to this pathology can be found in the literature. Molar Incisor Hypomineralization(MIH) is a kind of enamel defect alteration that requires complex treatment solutions, and for this reason, it is of great clinical interest for dental practice. This article describes the management of a clinical case of MIH in a 7-year-old child. The different treatment options depending on the extension of the defect,the degree of tooth eruption and the hygiene and diet habits of the patient are also discussed.

Strontium 87m Scanning of Pelvic Bones

1968 ◽  
Vol 07 (01) ◽  
pp. 28-36 ◽  
Author(s):  
Władysław Jasiński ◽  
Janina Malinowska ◽  
Henryk Mackiewicz ◽  
Henryk Siwicki ◽  
Krystyna Lukawska
Keyword(s):  
Body Weight ◽  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Femoral Neck ◽  
Early Period ◽  
Early Recurrence ◽  
Physical Activities ◽  
External Irradiation ◽  
Pelvic Bones ◽  
Strontium 87M

SummaryThe purpose of this investigation was to study the accumulation of 87mSr in the proximal parts of the femoral bones of patients treated previously by external irradiation due to cancer of the uterine cervix. It was assumed that this method may be used in the future for the early diagnosis of postirradiation changes of bone (osteoradionecrosis).The incidence of postirradiation changes of the femoral neck among 5735 patients treated between 1950 and 1961 at the Department of Gynaecology of the Institute, was 0.8%. In the early period of postirradiation changes the patients complain only of pain and limitation of physical activities. If radiological and gynaecological findings were negative, the differential diagnosis between early recurrence and early osteoradionecrosis became impossible.49 selected patients were scanned after intravenous injection of 10—115 μCi of 87mSr per kg of body weight (0.5 up to 6.0 mCi). Illustrative cases of normal pelvic bones as well as postirradiation changes are presented and discussed. The authors conclude that the findings justify further systematic studies on the morphology of accumulation of 87mSr in the bones.

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