What Molar Incisor Hypomineralization is


  1. Now, you might have been told that you have this as a child, and the response, might be a blank look. It’s a big word, and it’s a condition that might be hard to understand. As an adult, you might have a child that has this, and you might wonder the same thing. While your Eugene dentist will do all that they can do to help you understand this, sometimes it’s easier to read up on it, and that’s what this article will do.
  2. Now MIH for short, is a condition that is seen in children that is actually a defect in the enamel of the incisors and the permanent molars when they erupt. It is a condition that is unfortunately irreversible, since the enamel is already deformed. That means that it can’t be healed. Now, early diagnosis is super important in this case, since it’ll help to prevent the enamel from breaking down. Now, the problem with MIH is the fact that hypomineralization during the enamel mineralization stage and maturation is often not looked at, since this is where it is formed, and when it is formed completely, it can’t be changed. Often, it leads to a translucency of the tissue and it even creates a yellow or brown or white area that has no variation in the thickness of it.
  3. There are a few key features of this, and they are as follows. First, you’ll be super sensitive. That also means that there is often a rapid caries progression because it’s super hard to brush because of the hypersensitivity of it. you might also notice that there are many demarcated opacities, such as those that are of a cream white, or even a yellow or brown in color. It also might have post-eruption enamel breakdown. Sometimes, if this happens, It’s because of this, other times it’s not. Now, if you have this, as a dentist, it’s going to be super hard to be anesthetize, because of the pulpal inflammation because of the enamel. Finally, the enamel surface is often hard, very smooth, and it’s got an oversaturation of minerals.
  4. Now, the actual etiology of this conditions isn’t totally clear, since there are often a lot of factors that go into this, such as various illnesses during the natal periods, a low birth weight because of antibiotic consumptions and toxins, problems with breastfeeding such as the toxins that might be absorbed from the mother to the child. This can all lead to MIH, but there isn’t a direct condition. Often, hypoxia is often another part of this too, because of the lack of oxygen during delivery of after that. It’s why they often tell the mother to breathe if there are problems with the delivery going on.
  5. Now, as said before, there isn’t a cure for this. However, this often makes it very hard to manage in many cases. For some parents, this means that it is hard to manage the child, a decreased cooperation from the child because the teeth aren’t anesthetized, restorations breaking down a lot because of the enamel, and the like. Often, the treatments are either done by preventative, such as giving the child means to help with this, direct restoration such as a composite resin restoration, a full-coverage restoration such as a steel crown to help with tooth deterioration, helping to control sensitivity, and other adhesives and onlays, and finally, an extraction is the tooth isn’t able to restore because of the hypomineralization, lesions, and space issues. It’s important to consider this if it’s becoming too hard on the child, and if you are going to get an extraction, make sure it’s around 8.5-9 years before you begin any orthodontic treatment.
  6. This is a condition that is very hard both on children and adults, since often the enamel is very hard to keep, and it can lead to other issues in the future. However, the best way to prevent this condition from getting worse, is to make sure that you see your Eugene dentist about this. They’ll tell you how to help rectify the condition, in order to help you live a better life and with healthier teeth as well.
  7. molar incisor hypomineralisation a literature review