Article: Volume 46 Number 6 Page 546 - June 2019

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  Dent Update 2019; 46: 546-553

Paediatric dentistry:  Treatment Options for Deciduous Molar Hypomineralization: a Report of Three Cases

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Abstract: Deciduous molar hypomineralization (DMH) is an enamel defect of systemic and multifactorial origin that affects the second deciduous molar. Currently, its treatment is based on guidelines for Molar Incisor Hypomineralization (MIH), a disturbance that affects permanent molars and may or may not be associated with permanent incisors. To date, there are no guidelines for DMH. Therefore, three different therapeutic approaches are presented to treat DMH, emphasizing the relevance of early diagnosis, differential diagnosis and treatment options, and tailored to take into account each patient’s and parents’ specific needs, as well as the involved tooth, severity of DMH, patients’ symptoms and behaviour.

Clinical relevance: To understand the clinical implications of DMH since the diagnosis and delayed treatment of this enamel alteration could have important complications in both the primary and permanent dentition.

Author notes: Yasmy Quintero, DDS, PhD student at São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil (email: yquintero@ces.edu.co), Manuel Restrepo, DDS, MSD, PhD, Professor at CES University, Medellin, Colombia, Jenny Angélica Saldarriaga, DDS, PhD student at São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil, Alexandra Saldarriaga, DDS, MSD, PhD student at São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil, Lourdes Santos-Pinto, DDS, MSD, PhD, Professor at São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil.

Objective: To present three DMH cases and to describe the individual treatment implemented based on severity of disease and type of patient.

 

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