Clinical treatment approach of a child with molar incisor hypomineralization (MIH) combined with malocclusion.
Journal Title: Journal of IMAB - Annual Proceeding (Scientific Papers) - Year 2012, Vol 18, Issue 2
Abstract
Introduction. Molar incisor hypomineralization (MIH) was defined as "hypomineralisation of systemic origin of permanent first molars, frequently associated with affected incisors". MIH includes the presence of demarcated opacity, post eruptive enamel breakdown, atypical restoration. Тhe approach to management suggested: risk identification, early diagnosis, remineralization for prevention of caries and post eruption breakdown, restorations. The clinicians very seldom notice that children with MIH usually have both- hypomineralisation and malocclusions, and they do not discuss combine treatment plan. Aim. To present our interdisciplinary approach to a patient with MIH, combined with malocclusion. Material and methods. We are presenting 9 year old child with contusio and fractura coronae dentis noncomplicata, distal occlusion, overjet, overbite and retrusion. Two consecutive stages were defined: First stage: - Professional oral hygiene and local remineralisation therapy - Vital pulp therapy of tooth 21 - Space gaining for restoration of the lost height of the molars by the means of posterior bite-plane removable appliance - Restoration of the molars with metal inlays - Lingual tipping of the lower incisors Second stage: - Class II correction - Growth control Results. First phase: - The tooth 21 was restored with aesthetic composite material; - Occlusion was raised with occlusal restorations (inleys) and orthodontic appliance. Second phase: Medialisation of mandible and holding maxillary growth with functional appliance and occipital EOA until class one occlusal relations. Conclusion. Children with MIH should be examined and treated complex in collaboration with orthodontist and if necessary by other specialists too.
Authors and Affiliations
Rossitza Kabaktchieva, Vladimir Bogdanov
Keywords
Related Articles
- EP ID EP87882
- DOI 10.5272/jimab.2012182.174
- Views 123
- Downloads 0
TREATMENT OF ARTERIAL HYPERTENSION BY PHYSICAL METHODS
One of the most important symptoms in many nosological units in the past and present century is the arterial hypertension. It is a widespread symptom leading to very serious consequences, making it an important medical a...
ERK, p38 AND NF-kappaB SIGNALING IN MONOCYTE DERIVED DENDRITIC CELLS IN PATIENTS WITH MYELODYSPLASTIC SYNDROME.
We have previously demonstrated that in patients with myelodysplastic syndrome (MDS) monocyte-derived DCs (MoDC) exhibit some phenotypic and functional abnormalities. However, the mechanisms underlying the defectiv...
PATTERNS OF MAXILLOFACIAL INJURIES IN UNIVERSITY HOSPITAL ‘St. ANNA’, SOFIA.
Purpose: To compare the etiology, presentation, type of trauma in Department of maxillofacial surgery, University Hospital ‘St. Anna’, Sofia over a period of 4 years. Materials and methods: During the period of f...
MEDICAL DATA PROTECTION IN RELATION TO HUMAN GENETIC DISCRIMINATION
Information about a person's genetic status can lead to discrimination by excluding the person from particular jobs (for which a particular genetic trait might indicate a risk) or from health insurance (because of forese...
RARE CASE OF MULTIFOCAL EPITHELIAL HYPERPLASIA OF ORAL MUCOSA.
Introduction: Multifocal papilloma virus epithelial hyperplasia (MPVEH) is a rare disease of the oral mucosa associated with the human papilloma viruses (HPV) 13 and 32. It occurs at any age, but children have the highes...