Published August 30, 2025 | Version v1

Current Strategies for the Management of Molar Incisor Hypomineralization (MIH) in Pediatric Dentistry: A Comprehensive Review

  • 1. International Journal of Dental Science and Innovative Research (IJDSIR)

Description

Abstract

Molar Incisor Hypomineralization (MIH) is a prevalent developmental enamel defect that presents considerable clinical challenges in pediatric dentistry. This condition is characterized by compromised enamel quality, heightened susceptibility to caries, and significant tooth hypersensitivity.

This comprehensive review aims to synthesize the current understanding of MIH, encompassing its complex etiology, varied global prevalence, distinct clinical features, and diagnostic approaches. It critically evaluates the diverse management strategies available to clinicians, including preventive interventions, methods for managing hypersensitivity and pain, and various restorative techniques, from minimally invasive aesthetic treatments to full-coverage crowns. The article also addresses the inherent complexities of treating MIH-affected teeth, such as difficulties in achieving effective local Anesthesia and ensuring durable restorations.

Ultimately, this review emphasizes the necessity of a tailored, multidisciplinary approach to MIH management and identifies crucial areas for future research to improve the oral health and quality of life for affected children.

Files

MADHUR.pdf

Files (758.5 kB)

Name Size Download all
md5:6513625dfd13328c251b4ba60de39f79
758.5 kB Preview Download

Additional details

References

  • 1. International Journal of Dental Science and Innovative Research. Available from: https://www.ijdsir.com/ 2. International Journal of Dental Science and Innovative Research. Author Guidelines. Available from:https://www.ijdsir.com/index.php?/submission/author_guidelines 3. International Journal of Dental Sciences & Research. Ethics Policy. Available from: https://ijdsr.com/ethics-policy.php 4. International Journal of Dental Science and Innovative Research. Peer Review Policy. Available from:https://www.ijdsir.com/Latest_issue/peer_review_policy 5. Instructions for Authors - Dentistry Journal - MDPI. Available from: https:// www.mdpi.com/ journal/dentistry/instructions 6. International Journal of Dental Science and Innovative Research. Current Issues. Available from: https://www.ijdsir.com/issue/current 7. Achari Chinnuru R. Molar Incisor Hypomineralisation in Permanent and Deciduous Teeth: A Review of Literature. Saudi J Oral Dent Res. 2025 Feb 20;10(2):132-141. 8. Linner T, Lygidakis NA, Lygidakis PP, Lygidakis NA. Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review. Dent J (Basel). 2024 Feb 1;4(1):7. 9. Molar-incisor hypomineralisation - Etiology, prevalence, clinical picture and treatment - Review. Research Gate. Available from: (https:// www. researchgate.net/ publication/ 287463858_Molar-incisor_hypomineralisation_Etiology_prevalence_clinical_picture_and_treatment-_Review) 10. American Academy of Pediatric Dentistry. Policy on Molar-Incisor Hypomineralization. Pediatr Dent. 2023;45(6):109-115. 11. Al-Hussaini A, Al-Mutairi A, Al-Dhafiri M, et al. Restorative management of permanent teeth affected by molar incisor hypomineralization: a survey of dentists in Saudi Arabia. BMC Oral Health. 2024;24(1):1-10. 12. Preemptive analgesia is an important strategy used in pediatric dentistry to intercept pain signals in neural pathways early, thus mitigating the perception of pain and enhancing overall patient comfort. J Clin Pediatr Dent. 2024. Available from: https://www.jocpd.com/articles/10.22514/jocpd.2024.096 13. El-Housseiny AA, Farsi NM, Al-Mutairi A, et al. Innovative Approaches to the Management of Molar Incisor Hypomineralization: A Narrative Review. Children (Basel). 2020;7(5):40. 14. Dental caries prevention in pediatric patients with molar incisor hypomineralization: a scoping review. Res Gate. Available from: ((https:// www.researchgate.net/ publication/ 372157930_ Dental_caries_prevention_in_pediatric_patients_with_molar_incisor_hypomineralization_a_scoping_review)) 15. Minimally Invasive Treatment for Molar Incisor Hypomineralization. Decisions in Dentistry. Available from: https:// decisionsindentistry.com/ article/minimally-invasive-treatment-for-molar-incisor-hypomineralization/ 16. Desensitization treatment in MIH-affected teeth: a systematic review. Res Gate. Available from:(https:// www.researchgate.net/publication/383091572_Desensitization_treatment_in_MIHaffected_teeth_a_systematic_review) 17. Treatment Alternative of Molar Incisor Hypomineralisation for Young Permanent Teeth: A Scoping Review - Dove Medical Press. Available from: (https://www.dovepress.com/treatment-alternative-of-molar-incisor-hypomineralisation-for young-pe-peer-reviewed-fulltext-article-CCIDE) 18. Molar incisor hypomineralization (MIH) is an entity to describe the enamel defects of the first permanent molars with the involvement of one or more incisors due to an underlying systemic cause. J Clin Diagn Res. 2017;11(1):ZE01-ZE04.