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Syndromes/Craniofacial Anomalies

472 - Treatment Considerations for Defective Eruption of Permanent Teeth Eruption in MIH: A Case Report

Saturday, May 25, 2024
12:15 PM – 12:25 PM EST
Location: Exhibit Hall (back left corner of the hall, space 137)

    Presenting Author(s)

  • Haroon A. Masood, DMD

    Pediatric Dental Resident
    Case Western Reserve University/MetroHealth
    Case Western Reserve University School of Dentistry
    Cleveland, Ohio, United States

    • Co-Author(s)

  • MF

    Margaret Ferretti, DMD

    Case Western Reserve University

  • SM

    Sarah Milo, DDS

    MetroHealth

    • Program Director(s)

  • MF

    Margaret Elaine Ferretti, DMD

    Program Director
    Case Western Reserve University
    Rainbow Babies and Children's Hospitals, Case Western Reserve University
    cleveland, Ohio, United States

Abstract:

Molar incisor hypomineralization (MIH) is a condition that effects one to four permanent molars along with affected incisors. The condition is considered a developmental enamel qualitative defect which is due to reduced tooth mineralization and inorganic enamel components.  The presentation of MIH is characterized by white to brownish color opacities within the enamel; which tends to lead to a gradual breaking down of the teeth along with patients complaining about hypersensitivity. The prevalence of MIH varies in different populations and there is no clear answer as to what essentially causes MIH. However, there is clarity in the fact that MIH has its challenges which include difficulty achieving profound local anesthesia, maintaining proper oral hygiene, and restorative treatment. This case report details the treatment planned, provided and challenges along the way for a 12 year old patient with dental anxiety, who has MIH associated with all 4 permanent first molars along with his maxillary incisors. 

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