[Tips for private practice on molar-incisor hypomineralisation therapy]

Area of Science:

• Dentistry
• Pediatric Dentistry
• Restorative Dentistry

Background:

• Molar-incisor hypomineralisation (MIH) poses treatment challenges due to hypersensitivity, pulpitis, and compromised adhesion.
• Restoring MIH-affected teeth requires specialized approaches to ensure long-term success.
• Limited temporary restoration options exist for severely affected teeth, complicating clinical management.

Purpose of the Study:

• To provide practical, evidence-based recommendations for managing severe molar-incisor hypomineralisation (MIH).
• To consolidate therapeutic strategies from leading pediatric dental organizations and university concepts.
• To address the need for diverse temporary restoration options in everyday dental practice.

Main Methods:

• Review and synthesis of therapy recommendations from the European Academy of Pediatric Dentistry (EAPD).
• Inclusion of established treatment concepts, such as the Würzburg MIH Concept.
• Discussion of established therapeutic methods from the Universities of Bern and Zurich.

Main Results:

• Identification of key challenges in treating severe MIH, including patient sensitivity and reduced bond strength.
• Evaluation of various temporary restoration techniques suitable for compromised dental structures.
• Integration of multiple clinical guidelines to form comprehensive treatment recommendations.

Conclusions:

• Effective management of severe MIH requires a multifaceted approach considering tooth sensitivity and restorative material limitations.
• Adoption of established European guidelines and university-developed concepts can enhance treatment outcomes for MIH.
• Developing a wider range of temporary restoration options is crucial for successful long-term MIH management in clinical settings.