Akademik Veri Yönetim Sistemi
16th International Hippocrates Congress on Medical and Health Sciences, 4 - 05 Ekim 2024, ss.52, (Özet Bildiri)
Molar incisor hypomineralization (MIH) is defined as a qualitative defect of systemic origin in enamel. The etiology of MIH is not fully known, but it is thought that localized and asymmetric lesions seen on the outer surface of the tooth are caused by deterioration in the amelogenesis process that occurs in the early maturation phase of the enamel or in the late secretion phase, and are of systemic origin. Many factors have been suggested in the literature, including low birth weight, perinatal complications, oxygen deficiency, calcium and phosphate metabolism disorders, respiratory tract infections, dioxins, childhood diseases, and long-term breastfeeding. MIH, which affects one or more permanent first molars, is also associated with permanent incisors. The worldwide prevalence of MIH varies between 2.4% and 40%. In studies conducted in Turkey, the prevalence of MIH was reported to be 9.1%–14.9%. MIH not only negatively affects the child patient but also creates problems for the dentist. The rapid development of caries in permanent first molars and the inability to provide adequate anesthesia to these teeth during treatment are the most common problems encountered by dentists. Children affected by MIH experience pain and sensitivity during brushing, even if their tooth enamel is intact. In addition, these children usually complain of the appearance of their incisors. Teeth affected by MIH in the mouth and performing their restorations is the preferred treatment method. Although the treatment methods for teeth in the anterior and posterior regions vary, they include preventive dentistry applications such as topical fluoride gel/varnish or casein phosphopeptide amorphous calcium phosphate, microabrasion, etch-bleach-seal technique, glass ionomer cements, amalgam, composite restorations and composite veneers, stainless steel or porcelain veneers, and extraction and orthodontic treatment approaches. To improve the quality of life, MIH should be diagnosed as early as possible, treated, and followed up regularly.
Keywords: Molar Incisor Hypomineralisation, MIH, Dental Caries