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Molar incisor hypomineralization (MIH): The "Why, What and How" of decision making for orthodontists.
Vaiid, Nikhillesh; Venugopal, Adith; Gandedkar, Narayan; Farella, Mauro; Darendeliler, M Ali; Adel, Samar M; Nucci, Ludovica.
Afiliación
  • Vaiid N; Faculty of Dentistry, National University of Singapore, Singapore, Singapore.
  • Venugopal A; Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand; Adjunct Professor, Department of Orthodontics and Dentofacial Orthopedics, Dr D. Y. Patil Dental College and Hospital, Pimpri, Pune, India. Electronic address: adith.venugopal@otago.ac.nz.
  • Gandedkar N; The University of Sydney School of Dentistry, Faculty of Medicine and Health, Orthodontics, Sydney Dental Hospital, Sydney Local Health District, Sydney, Australia.
  • Farella M; Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
  • Darendeliler MA; The University of Sydney School of Dentistry, Faculty of Medicine and Health, Orthodontics, Sydney Dental Hospital, Sydney Local Health District, Sydney, Australia.
  • Adel SM; Department of Orthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
  • Nucci L; Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.
J World Fed Orthod ; 13(5): 240-249, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39289114
ABSTRACT
Molar-incisor hypomineralization (MIH) presents a significant clinical challenge in orthodontics, with its complex etiology, variable presentation, and profound impact on enamel homeostasis. Utilizing Simon Sinek's "Golden Circle" method, this article systematically explores the implications of MIH within orthodontic practice. The "Why" emphasizes the critical need for orthodontists to understand MIH, given its prevalence and potential to disrupt treatment outcomes. MIH affects up to 40.2% of the global population, and its association with increased caries risk, hypersensitivity, and restorative failures necessitates an informed approach to management. The "What" section addresses the importance of recognizing the phenotypic variability of MIH and its influence on oral health-related quality of life. MIH impacts social and psychological well-being, particularly when anterior teeth are involved, and complicates orthodontic treatment due to challenges in bonding, banding, and restorative protocols. The "How" provides practical guidelines for orthodontic management, including diagnostic considerations, tooth restoration strategies, and the complexities of first permanent molar extractions. Strategic planning is essential to avoid complications such as mesial drift, overeruption, or space loss, with a multidisciplinary approach often required. This article highlights the importance of long-term monitoring and patient-centered care in managing MIH-affected teeth, underscoring the evolving nature of clinical protocols. By framing the discussion through the Golden Circle, this critical review offers a structured and impactful approach to understanding and addressing MIH within orthodontic contexts, aiming to enhance treatment outcomes and patient quality of life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipoplasia del Esmalte Dental Límite: Humans Idioma: En Revista: J World Fed Orthod Año: 2024 Tipo del documento: Article País de afiliación: Singapur Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipoplasia del Esmalte Dental Límite: Humans Idioma: En Revista: J World Fed Orthod Año: 2024 Tipo del documento: Article País de afiliación: Singapur Pais de publicación: Estados Unidos