European Archives of Paediatric Dentistry

, Volume 11, Issue 2, pp 75–81 | Cite as

Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH)

An EAPD Policy Document
  • N. A. Lygidakis
  • F. Wong
  • B. Jälevik
  • A. M. Vierrou
  • S. Alaluusua
  • I. Espelid
Article

Abstract

BACKGROUND: The European Academy of Paediatric Dentistry (EAPD) has long recognised the necessity of promoting further research and knowledge regarding the dental defect described as molar-incisor-hypomineralisation (MIH). Following the establishment by EAPD of the defect diagnostic criteria in 2003, the publication of various papers and a whole issue assigned to the defect in the European Archives of Paediatric Dentistry (2008), an Interim Seminar and Workshop on MIH was organized in Helsinki in 2009. RESULT: The outcome of this event is the present consensus paper on the prevalence, diagnosis, aetiology and treatment for children and adolescents presenting with MIH. A clear diagnostic proposal and a treatment decision-making guide are presented together with suggestions on aetiology and guidance forfuture research. CONCLUSION: MIH is an important clinical problem that often concerns both the general dental and specialist paediatric dentists; the present ‘best clinical practice guidance’ aims to further help clinicians dealing with the condition.

Key Words

Molar-Incisor-Hypomineralisation clinical practice 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alaluusua S. Aetiology of Molar-Incisor Hypomineralisation. A systematic review. Eur Archs Paediatr Dent 2010; 10: 53–58Google Scholar
  2. American Academy of Paediatric Dentistry. Guideline on Paediatric Restorative Dentistry. Reference Manual 2008; 163–169.Google Scholar
  3. Azarpazhooh A, Limeback H. Clinical efficacy of casein derivatives: a systematic review of the literature. J Am Dent Assoc. 2008; 139(7): 915–24.PubMedGoogle Scholar
  4. Fagrell TG, Lingström P, Olsson S, Steiniger R Norén JG. Bacterial invasion of dentinal tubules beneath apparently intact but hypomineralized enamel in molar teeth with molar incisor hypomineralisation. Int J Paediatr Dent. 2008; 18(5): 333–40.PubMedCrossRefGoogle Scholar
  5. Fayle SA. Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent. 2003; 4: 121–126.PubMedGoogle Scholar
  6. Innes NP, Stirrups DR, Evans DJ, Hall N, Leggate M. A novel technique using preformed metal crowns for managing carious primary molars in general practice — a retrospective analysis. Br.Dent J. 2006; (8): 451–454.Google Scholar
  7. Jälevik B, Noren J G. Enamel hypomineralisation of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent 2000; 10: 278–289.PubMedCrossRefGoogle Scholar
  8. Jälevik, B. Klingberg G. A. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralisation of their permanent first molars. Int J Paediatr Dent 2002; 12(1): 24–32.PubMedGoogle Scholar
  9. Jälevik B, Moller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralised permanent first molars. Int J Paediatr Dent 2007; 17: 328–335.PubMedCrossRefGoogle Scholar
  10. Jälevik B. Prevalence and Diagnosis of Molar-Incisor-Hypomineralisation (MIH). A systematic review. Eur Archs Paediatr Dent 2010; 10: 59–64Google Scholar
  11. Joiner A. The bleaching of teeth: A review of the literature. J Dent. 2006; 34: 412–419.PubMedCrossRefGoogle Scholar
  12. Koch MJ, Garcia-Godoy F. The clinical performance of laboratory-fabricated crowns placed on first permanent molars with developmental defects. J Am Dent Assoc 2000; 131(9): 1285–90.PubMedGoogle Scholar
  13. Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management of first permanent molars in children with Molar-Incisor Hypomineralisation. Eur J Paediatr Dent 2005; 6(4): 179–84.PubMedGoogle Scholar
  14. Lygidakis NA, Chaliasou A, Siounas G. Evaluation of composite restorations in hypomineralised permanent molars: a four-year clinical trial. Eur J Paediatr Dent 2003; 4(3): 143–148.PubMedGoogle Scholar
  15. Lygidakis NA, Dimou G, Stamataki E. Retention of fissure sealants using two different methods of application in children with hypomineralised molars (MIH): A 4 year clinical study. Eur Arch Paediatr Dent. 2009; 10(4): 223–6.PubMedCrossRefGoogle Scholar
  16. Lygidakis NA. Treatment modalities in children with teeth affected by molarincisor-hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent. 2010; 11: 65–74PubMedGoogle Scholar
  17. Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralisation. Compend Contin Educ Dent 2006; 27(11): 604–10.PubMedGoogle Scholar
  18. Mejare I, Bergman E, Grindefjord M. Hypomineralized molars and incisors of unknown origin: treatment outcome at age 18 years. Int J Paediatr Dent 2005; 15: 20–28.PubMedCrossRefGoogle Scholar
  19. Sapir S, Shapira J. Clinical solutions for developmental defects of enamel and dentin in children. Pediatr Dent 2007; 29(4): 330–6.PubMedGoogle Scholar
  20. Shen P, Cai F, Nowicki A, Vincent J, Reynolds E C. Remineralisation of enamel subsurface lesions by sugar-free chewing gum containing Casein Phosphopeptide-Amorphous calcium phosphate. J Dent Res 2001; 80: 2066–2070.PubMedCrossRefGoogle Scholar
  21. Sundfeld RH, Croll TP, Briso AL, de Alexandre RS, Sundfeld Neto D. Considerations about enamel microabrasion after 18 years. Am J Dent. 2007; 20(2): 67–72.PubMedGoogle Scholar
  22. Weerheijm KL. Molar incisor hypomineralisation (MIH): clinical presentation, aetiology and management. Dent Update 2004; 31(1): 9–12.PubMedGoogle Scholar
  23. Weerheijm KL, Duggal M, Mejare I, et al. Judgement criteria for Molar-Incisor-Hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003. Eur Archs Paediatr Dent 2003; 3: 110–113.Google Scholar
  24. William V, Burrow MF, Palamara JE, Messer L. Microshear bond strength of resin composite to teeth affected by molar hypomineralisation using 2 adhesive systems. Pediatr Dent 2006; 28: 233–241.PubMedGoogle Scholar
  25. Williams JK, Gowans AJ. Hypomineralised first permanent molars and the orthodontist. Eur J Paediatr Dent 2003; 4: 129–132.PubMedGoogle Scholar
  26. Willmott NS, Bryan RA, Duggal MS. Molar-incisor-hypomineralisation: a literature review. Eur Arch Paediatr Dent. 2008; 9(4): 172–9.PubMedGoogle Scholar
  27. Wong FS, Winter GB Effectiveness of microabrasion technique for improvement of dental aesthetics. Br. Dent. J. 2002; 193(3): 155–158.CrossRefGoogle Scholar
  28. Wray A, Welbury R UK National Clinical Guidelines in Paediatric Dentistry: Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents. Int J Paediatr Dent 2001; 11(4): 309–15PubMedCrossRefGoogle Scholar
  29. Wright JT. The etch-bleach-seal technique for managing stained enamel defects in young permanent incisors. Pediatr Dent 2002; 24: 249–252.PubMedGoogle Scholar
  30. Zagdwon AM, Fayle SA, Pollard MA. A prospective clinical trial comparing preformed metal crowns and cast restorations for defective first permanent molars. Eur J Paediatr Dent 2003; 4: 138–142.PubMedGoogle Scholar

Copyright information

© Adis International 2010

Authors and Affiliations

  • N. A. Lygidakis
    • 1
  • F. Wong
  • B. Jälevik
  • A. M. Vierrou
  • S. Alaluusua
  • I. Espelid
  1. 1.AthensGreece

Personalised recommendations