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Article: Volume 44 Number 11 Page 1049 - December 2017

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  Dent Update 2017; 44: 1049-1056

Restorative dentistry:  Management of Enamel Defects: A Case Report of Identical Twins with Enamel Defects of the Permanent Dentition

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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.

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

Author notes: James Chesterman, BDS, MJDF RCS(Eng), StR Restorative Dentistry and 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.

Objective: To understand the importance of monitoring and providing early preventive intervention of enamel defects to minimize post-eruptive breakdown and caries.

Belmont