Switch to Dark theme

References

Jalevik B, Klingberg G, Barregard L, Noren JG. The prevalence of demarcated opacities in permanent first molars in a group of Swedish children. Acta Odontol Scand. 2001; 59:255-260
Vieira AR, Kup E. On the etiology of molar-incisor hypomineralization. Caries Res. 2016; 50:166-169
Crawford PJ, Aldred M, Bloch-Zupan A. Amelogenesis imperfecta. Orphanet J Rare Dis. 2007; 2
Welbury R, Duggal MS, Hosey M-T.Oxford: Oxford University Press; 2005
Weerheijm KL, Jälevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001; 35:390-391
Weerheijm KL. Molar incisor hypomineralization (MIH): clinical presentation, aetiology and management. Dent Update. 2004; 31:9-12
Koch G, Poulsen S.Oxford: Wiley-Blackwell; 2009
Williams PT, Jackson DG, Bergman W. An evaluation of the time-dependent dimensional stability of eleven elastomeric impression materials. J Prosthet Dent. 1984; 52:120-125
Elfrink ME, ten Cate JM, Jaddoe VW, Hofman A, Moll HA, Veerkamp JS. Deciduous molar hypomineralization and molar incisor hypomineralization. J Dent Res. 2012; 91:551-555
Laisi S, Ess A, Sahlberg C, Arvio P, Lukinmaa PL, Alaluusua S. Amoxicillin may cause molar incisor hypomineralization. J Dent Res. 2009; 88:132-136
Phipps KR. No evidence to support the claim that amoxicillin causes molar-incisor hypomineralization. J Evid Based Dent Pract. 2010; 10:112-114
Jan J, Vrbic V. Polychlorinated biphenyls cause developmental enamel defects in children. Caries Res. 2000; 34:469-473
Gao Y, Sahlberg C, Kiukkonen A Lactational exposure of Han/Wistar rats to 2,3,7,8-tetrachlorodibenzo-p-dioxin interferes with enamel maturation and retards dentin mineralization. J Dent Res. 2004; 83:139-144
Seow WK. A study of the development of the permanent dentition in very low birthweight children. Pediatr Dent. 1996; 18:379-384
Aine L, Backstrom MC, Maki R Enamel defects in primary and permanent teeth of children born prematurely. J Oral Pathol Med. 2000; 29:403-409
Paul SP, Kirkham EN, John R, Staines K, Basude D. Coeliac disease in children – an update for general dental practitioners. Br Dent J. 2016; 220:481-485
de Carvalho FK, de Queiroz AM, Bezerra da Silva RA Oral aspects in celiac disease children: clinical and dental enamel chemical evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 119:636-643
Hall RK. Prevalence of developmental defects of tooth enamel (DDE) in a pediatric hospital department of dentistry population (1). Adv Dent Res. 1989; 3:114-119
William V, Messer LB, Burrow MF. Molar incisor hypomineralization: review and recommendations for clinical management. Pediatr Dent. 2006; 28:224-232
van Amerongen WE, Kreulen CM. Cheese molars: a pilot study of the etiology of hypocalcifications in first permanent molars. ASDC J Dent Child. 1995; 62:266-269
Kühnisch J, Thiering E, Heitmüller D Genome-wide association study (GWAS) for molar–incisor hypomineralization (MIH). Clin Oral Investig. 2014; 18:677-682
Crombie F, Manton D, Kilpatrick N. Aetiology of molar-incisor hypomineralization: a critical review. Int J Paediatr Dent. 2009; 19:73-83
Alaluusua S. Aetiology of molar-incisor hypomineralisation: a systematic review. Eur Arc Paediatr Dent. 2010; 11:53-58
Jälevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent. 2002; 12:24-32
Seale NS, Randall R. The use of stainless steel crowns: a systematic literature review. Pediatr Dent. 2015; 37:145-160
Toman M, Toksavul S. Clinical evaluation of 121 lithium disilicate all-ceramic crowns up to 9 years. Quintessence Int. 2015; 46:189-197
Huettig F, Gehrke UP. Early complications and performance of 327 heat-pressed lithium disilicate crowns up to five years. J Adv Prosthodont. 2016; 8:194-200
Politano G, Fabianelli A, Papacchini F, Cerutti A. The use of bonded partial ceramic restorations to recover heavily compromised teeth. Int J Esthet Dent. 2016; 11:314-336
Pieger S, Salman A, Bidra AS. Clinical outcomes of lithium disilicate single crowns and partial fixed dental prostheses: a systematic review. J Prosthet Dent. 2014; 112:22-30
Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs). Dent Mater. 2015; 31:603-623
Anadioti E, Aquilino SA, Gratton DG 3D and 2D marginal fit of pressed and CAD/CAM lithium disilicate crowns made from digital and conventional impressions. J Prosthodont. 2014; 23:610-617
Guess PC, Selz CF, Steinhart YN, Stampf S, Strub JR. Prospective clinical split-mouth study of pressed and CAD/CAM all-ceramic partial-coverage restorations: 7-year results. Int J Prosthodont. 2013; 26:21-25
Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Clin Pediatr Dent. 2011; 21:241-248
Garg N, Jain AK, Saha S, Singh J. Essentiality of early diagnosis of molar incisor hypomineralization in children and review of its clinical presentation, etiology and management. Int J Clin Pediatr Dent. 2012; 5:190-196
Wallace A, Deery C. Management of opacities in children and adolescents. Dent Update. 2015; 42:951-958
Nixon PJ, Gahan M, Robinson S, Chan MFWY. Conservative aesthetic techniques for discoloured teeth: 1. The use of bleaching. Dent Update. 2007; 34:98-107
Saunders WP, Saunders EM. Prevalence of periradicular periodontitis associated with crowned teeth in an adult Scottish subpopulation. Br Dent J. 1998; 185:137-140
Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002; 87:503-509

Management of enamel defects: a case report of identical twins with enamel defects of the permanent dentition

From Volume 44, Issue 11, December 2017 | Pages 1049-1056

Authors

James Chesterman

Restorative Department, Leeds Dental Institute, The Leeds Teaching Hospitals NHS Trust, Leeds, UK

Articles by James Chesterman

Kathryn Durey

BDS, MFDS, MSc ClinDent(Rest), FDS (Rest Dent)

Consultant in Restorative Dentisty, Restorative Department, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK

Articles by Kathryn Durey

Abstract

Abstract: Enamel defects have a wide range of aetiology and can be challenging to diagnose. Largely, the management of enamel defects is determined by the severity. As most patients with enamel defects present at a young age, conservative treatment is a priority. Nevertheless, indirect restorations have a role in restoring severely broken down teeth. This article discusses the diagnosis and management of identical twins with molar-incisor hypomineralization (MIH). Many of the techniques discussed can be applied to a wide presentation of enamel defects and are not limited to the management of MIH.

CPD/Clinical Relevance: The restorative management of enamel defects can be challenging but priority should be given to conservative treatment techniques for young patients.

Article

Enamel development may be affected by intrinsic or extrinsic factors. These factors can result in defects of enamel structure (hypoplasia) or composition (hypomineralization) (Table 1). Clinical presentation often involves a combination of hypoplasia and hypomineralization which may be present in varying degrees of severity across the dentition.

Diagnosis of these defects is often challenging and requires a thorough history, clinical and radiographic assessment. The differential diagnoses of enamel defects are described in Table 2.

Cases 1 and 2 show the dentition of identical twins with enamel defects (Figures 1 and 3). No aetiological factors were identified in the history taken from the patients or their mother.

The white mottling, brown staining and heavily broken down mandibular molars represent an array of enamel defects including molar-incisor hypomineralization (MIH), chronological hypoplasia and amelogenesis imperfecta (Table 2). Specifically, there are hypomineralized patches, pitting and severely broken down first molars.

Register now to continue reading

Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available

Already have an account? Sign in here