DOI: 10.3290/j.qi.a42327, PubMed ID (PMID): 30957114Pages 412-417, Language: EnglishBaroni, Chiara / Mazzoni, Annalisa / Breschi, LorenzoObjective: 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 Unpublished laboratory images collected as part of a previously published study depict the results of initial calcium-phosphate supplementation on molar incisor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