Keywords
Enamel Disease
Aesthetic Treatment
Dental Demineralization
MIH Etiology
How to Cite
Abstract
Dental enamel is a mineralized tissue that covers and protects the damaged element. It is primarily responsible for preventing problems such as cavities and even tooth sensitivity, but it can undergo several changes during different phases of amelogenesis, which can be configured in hypoplasia and/or hypomineralization. The Hypomineralization of Molar Incisor (HMI) which is a change designated as qualitative, which informs that the cells were affected during the stages of calcification and/or enamel maturation, increasing the prospect of occurrence of dental caries and sensitivity, in addition to aesthetic impairment. This study aims to describe the clinical case of a patient diagnosed with HMI, addressing the clinical characteristics, differential diagnosis and indicated treatment. The same complaint presented of change in the color of molars and incisors. This is a descriptive, cross-sectional study with a qualitative approach, presented in the format of a clinical case report carried out at the Clínica da Face in the city of Francisco Beltrão/PR. Therefore, this report develops broader views on the diagnosis and treatment of molar-incisor hypomineralization and thereby increases the quality of life of patients.
References
Domingos PA, Ricci-Donato HA, Nonato CN, De Souza ÉO, Da Silva VJ. Hipomineralização molar-incisivo: revisão de literatura. J Res Dent. 25 jun 2019;7(1):8.
Farias L, et al. Hipomineralização molar-incisivo: etiologia, características clínicas e tratamento. Rev Ciênc Méd Biol. 2018;17(2):211-219.
Sé, M. J. S. F. et al. Are Hypomineralized Primary Molars and Canines Associated with Molar-Incisor Hypomineralization.Pediatric Dentistry. v. 39, p. 445-449, 2017.
Lygidakis N. A. Treatment modalities in children with teeth affected by molar-incisor enamel hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent. 2010;11:65-74.
Resende P, Favretto C. Desafios clínicos no tratamento de hipomineralização molar incisivo. J Oral Investig. 2019;8(2):73-83.
Garg N, et al. Essentiality of early diagnosis of molar incisor hypomineralization in children and review of its clinical presentation, etiology and management. Int J Clin Pediatr Dent. 2012;5(3):190-196.
Moura, Gomes AP. Santos PR. Hipomineralização molar-incisivo: da etiologia ao tratamento. Trabalho de Conclusão de Curso faculdade de odontologia - Universidade Aracaju/SE, 2018.
Restrepo M, Jeremias F, Santos-Pinto L, Cordeiro RC, Zuanon AC. Effect of Fluoride Varnish on Enamel Remineralization in Anterior Teeth with Molar Incisor Hypomineralization. J Clin Pediatr Dent. 2016;40(3):207-10.
Lustosa PA, Ferreira RB, Vieira LDS. Hipomineralização molar incisivo: revisão de literatura. R Odontol Planalt Cent. 2020. Disponivel em: https://dspace.uniceplac.edu.br/bitstream/123456789/486/1/Poliana%20Almista%20Lustosa_0002725.pdf
Gizani, S. et al. (2020). Is Bleaching Effective in Managing Post-orthodontic White-spot(), pp. Lesions? A Systematic Review. Oral Health & Preventive Dentistry, 18(1), pp. 1-10.
Gu X, Wang Y, Yang Y, et al. Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial. Angle Orthod. 2019;89(3):372-377.
MATOS, Adriana Bona; TURBINO, Míriam Lacalle; MATSON, Edmir. Effects of enamel microabrasion techniques: scanning electron microscopy study. 1998. 10 f. Revista de Odontologia da Universidade de São Paulo, Brasil, 1998. Acesso em: 28 abr. 2023.
Bezamat M, et al. Gene-environment interaction in molar-incisor hypomineralization. PLoS One. 2021;16(1):98-103.
Barzotto I, Rigo L. Clinical decision making for diagnosis and treatment of dental enamel injuries. J Hum Growth Dev. 2018;28(2):189-198.
Alves MC de O, Camargos BS de F, Carvalho T de A, Machado FC. Clinical protocols in molar-incisor hypomineralization (MIH): an integrative literature review. Res Soc Dev. 2021;10(13):e561101321605. doi: 10.33448/rsd-v10i13.21605.
Carvalho SMC, Yugo De Souza M. Hipoplasia do esmalte: do diagnóstico aos protocolos de tratamento: revisão de literatura. Rev Ciênc Odontol. 2021;5(1):38-45.
Sampson V, Sampson A. Diagnosis and treatment options for anterior white spot lesions. Br Dent J. 2020;229(6):348-352.
Guzmán-Armstrong S, Chalmers J, Warren JJ. White spot lesions: Prevention and treatment. Am J Orthod Dentofacial Orthop. 2010;138(6):690-696.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Júlia Caroline Muller
