MOLAR INCISOR HYPOMINERALIZATION IN MONOZYGOTIC TWINS: A CASE REPORT
Case Reports control of moisture is not possible, but are shown to have very poor retention rates. 8, 13 In mild MIH-affected molars with small carious lesions involving 1 to 2 surfaces, composite resins are the restorations of choice and in carious teeth involving 2 or more surfaces with increased or spontaneous sensitivity, full coronal coverage with prefabricated stainless steel crowns is the preferred treatment option. 3, 8, 13 Composite restorations bonded with a self etching primer adhesive are shown to be successful in mildly affected MIH lesions. 12 In some cases of teeth with severe MIH where the teeth are non restorable and have a poor prognosis, extraction may be the only option. In such cases, an orthodontic evaluation is necessary to determine the timing of the extraction as well as future orthodontic intervention. 17 MIH-affected incisors pose an esthetic concern for the child and their parents and may respond to microabrasion and bleaching based on the color and thickness of the opacity. The yellowish brown lesions are full thickness and respond better to bleaching with carbamide peroxide. 8 In the present case, the incisors were mildly affected and posed no esthetic concern to either the children or the parents and were closely monitored at every recall visit for caries or enamel breakdown. The MIH-affected molars, in both MB and SB, were initially asymptomatic and treated with pit and fissure sealants to prevent decay formation. The patients were instructed to continue to maintain good oral hygiene practices
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4. Conclusion The diagnosis of MIH is largely based on the clinical appearance of the teeth and is often supported by a history of systemic illnesses during the developmental stages of the ameloblasts. Early, accurate diagnosis and long term follow-up is essential in order to avoid sequelae such as post eruptive enamel breakdown, caries formation and sensitivity of these teeth. Management options vary and are based on the extent and severity of the affected enamel.
Author Contributions Equal contribution to the paper. Acknowledgments The authors declare no conflict of interest related to this study. There are no conflicts of interest and no financial interests to be disclosed.
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