Česká Stomatologie a Praktické Zubní Lékařství (Jun 2022)
Molar incisor hypomineralization
Abstract
Introduction, aim: The number of patients with affected enamel in molar incisor hypomineralization is increasing in the dental offices in recent years. It is a hypomineralization of systemic origin affecting at least one first permanent molar, often associated with affected permanent incisors.The etiology of this disease is not fully understood. The literature mentions influences of external environment and contemplates genetic factors. We reconstruct the hard dental tissues loss of permanent molars and improve the aesthetics of incisors in these cases. The therapy is basedon the condition of the teeth, cooperation and age of the patient. We must approach each patient individually and choose the appropriate therapy for them. The aim of this article is to summarize the available information on etiopathogenesis, classification, histological changes and clinical picture, prevention and therapy of molar incisor hypomineralization.Methods: The PubMed and Web of Science databases were used to gather articles for this review. The publications were searched in English language using the key words: MIH, molar, incisor, molar incisor hypomineralization, DDE, hypomineralization, opacity. Articles published between 2006 and 2021 were used as sources for this review.Conclusions: Early diagnosis and implementation of preventive procedures are important to avoid possible complications related to molar incisor hypomineralization. Moreover, the prevalence of this desease in the population is increasing and patients affected by molar incisor hypomineralization are more frequently encountered in the dental office.
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