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Article: Volume 49 Number 6 Page 483 - June 2022

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  Dental Update 501: 483-488

Paediatric dentistry:  Management of Molar–Incisor Hypomineralization and Hypodontia in Monozygotic Twins: A Case Report

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Abstract: Molar–incisor hypomineralization (MIH) is the hypomineralization of permanent first molars and is often associated with similarly affected incisors. This can lead to caries development and post-eruptive enamel breakdown. Early diagnosis and management are of prime importance to prevent premature loss of these molars at a young age, and to mitigate against negative changes on the patient’s quality of life. This is particularly true when the patients also present with hypodontia. Wherever possible, conservative management in primary care should be undertaken. This case report explores the presentation and on-going treatment of MIH, and hypodontia, illustrated in monozygotic twin males.

Clinical relevance: It is important to consider factors involved in the early identification of MIH and hypodontia and to develop strategies to treat the patient.

Author notes: Nikita Joshi, BSc, BDS, Foundation Dentist, Fairwater Green, Cardiff. Claire McLoughlin, BDS, Clinical Supervisor, University of Central Lancashire. email:

Objective: The reader should understand the clinical implications and treatment strategies of both MIH and hypodontia.

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