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Quintessence International



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Quintessence Int 50 (2019), No. 5     12. Apr. 2019
Quintessence Int 50 (2019), No. 5  (12.04.2019)

Page 412-417, doi:10.3290/j.qi.a42327, PubMed:30957114

Molar incisor hypomineralization: supplementary, restorative, orthodontic, and esthetic long-term treatment
Baroni, Chiara / Mazzoni, Annalisa / Breschi, Lorenzo
Objective: This article describes the esthetic results in a paradigmatic case of hypomineralized enamel correction on both anterior and posterior teeth to establish a minimal intervention protocol for similar cases.
Clinical considerations: The subject was initially provided with casein-calcium-phosphate mineral supplementation. Unpublished laboratory images collected as part of a previously published study depict the results of initial calcium-phosphate supplementation on molar incisor hypomineralization (MIH) molar enamel morphology and indicate that this procedure is mandatory in moderate/severe cases. Prior to defect restoration, in-office bleaching of the anterior segment was conducted with bioactivated Opalescence Boost. Filtek Supreme Ultra Universal Restorative was used as a masking agent, and Filtek A2 enamel was applied as the final layer.
Conclusion: An 8-year follow-up period is necessary in most moderate/severe MIH cases involving orthodontics and bleaching.

Keywords: MIH diagnosis, MIH supplementation, MIH treatment, molar incisor hypomineralization (MIH), orthodontic treatment, restorative treatment