Skip to main content
SpringerLink
Log in

Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH)

An EAPD Policy Document

  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

BACKGROUND: The European Academy of Paediatric Dentistry (EAPD) has long recognised the necessity of promoting further research and knowledge regarding the dental defect described as molar-incisor-hypomineralisation (MIH). Following the establishment by EAPD of the defect diagnostic criteria in 2003, the publication of various papers and a whole issue assigned to the defect in the European Archives of Paediatric Dentistry (2008), an Interim Seminar and Workshop on MIH was organized in Helsinki in 2009. RESULT: The outcome of this event is the present consensus paper on the prevalence, diagnosis, aetiology and treatment for children and adolescents presenting with MIH. A clear diagnostic proposal and a treatment decision-making guide are presented together with suggestions on aetiology and guidance forfuture research. CONCLUSION: MIH is an important clinical problem that often concerns both the general dental and specialist paediatric dentists; the present ‘best clinical practice guidance’ aims to further help clinicians dealing with the condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Alaluusua S. Aetiology of Molar-Incisor Hypomineralisation. A systematic review. Eur Archs Paediatr Dent 2010; 10: 53–58

    Google Scholar 

  • American Academy of Paediatric Dentistry. Guideline on Paediatric Restorative Dentistry. Reference Manual 2008; 163–169.

  • Azarpazhooh A, Limeback H. Clinical efficacy of casein derivatives: a systematic review of the literature. J Am Dent Assoc. 2008; 139(7): 915–24.

    PubMed  Google Scholar 

  • Fagrell TG, Lingström P, Olsson S, Steiniger R Norén JG. Bacterial invasion of dentinal tubules beneath apparently intact but hypomineralized enamel in molar teeth with molar incisor hypomineralisation. Int J Paediatr Dent. 2008; 18(5): 333–40.

    Article  PubMed  Google Scholar 

  • Fayle SA. Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent. 2003; 4: 121–126.

    PubMed  Google Scholar 

  • Innes NP, Stirrups DR, Evans DJ, Hall N, Leggate M. A novel technique using preformed metal crowns for managing carious primary molars in general practice — a retrospective analysis. Br.Dent J. 2006; (8): 451–454.

  • Jälevik B, Noren J G. Enamel hypomineralisation of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent 2000; 10: 278–289.

    Article  PubMed  Google Scholar 

  • Jälevik, B. Klingberg G. A. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralisation of their permanent first molars. Int J Paediatr Dent 2002; 12(1): 24–32.

    PubMed  Google Scholar 

  • Jälevik B, Moller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralised permanent first molars. Int J Paediatr Dent 2007; 17: 328–335.

    Article  PubMed  Google Scholar 

  • Jälevik B. Prevalence and Diagnosis of Molar-Incisor-Hypomineralisation (MIH). A systematic review. Eur Archs Paediatr Dent 2010; 10: 59–64

    Google Scholar 

  • Joiner A. The bleaching of teeth: A review of the literature. J Dent. 2006; 34: 412–419.

    Article  PubMed  Google Scholar 

  • Koch MJ, Garcia-Godoy F. The clinical performance of laboratory-fabricated crowns placed on first permanent molars with developmental defects. J Am Dent Assoc 2000; 131(9): 1285–90.

    PubMed  Google Scholar 

  • Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management of first permanent molars in children with Molar-Incisor Hypomineralisation. Eur J Paediatr Dent 2005; 6(4): 179–84.

    PubMed  Google Scholar 

  • Lygidakis NA, Chaliasou A, Siounas G. Evaluation of composite restorations in hypomineralised permanent molars: a four-year clinical trial. Eur J Paediatr Dent 2003; 4(3): 143–148.

    PubMed  Google Scholar 

  • Lygidakis NA, Dimou G, Stamataki E. Retention of fissure sealants using two different methods of application in children with hypomineralised molars (MIH): A 4 year clinical study. Eur Arch Paediatr Dent. 2009; 10(4): 223–6.

    Article  PubMed  Google Scholar 

  • Lygidakis NA. Treatment modalities in children with teeth affected by molarincisor-hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent. 2010; 11: 65–74

    PubMed  Google Scholar 

  • Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralisation. Compend Contin Educ Dent 2006; 27(11): 604–10.

    PubMed  Google Scholar 

  • Mejare I, Bergman E, Grindefjord M. Hypomineralized molars and incisors of unknown origin: treatment outcome at age 18 years. Int J Paediatr Dent 2005; 15: 20–28.

    Article  PubMed  Google Scholar 

  • Sapir S, Shapira J. Clinical solutions for developmental defects of enamel and dentin in children. Pediatr Dent 2007; 29(4): 330–6.

    PubMed  Google Scholar 

  • Shen P, Cai F, Nowicki A, Vincent J, Reynolds E C. Remineralisation of enamel subsurface lesions by sugar-free chewing gum containing Casein Phosphopeptide-Amorphous calcium phosphate. J Dent Res 2001; 80: 2066–2070.

    Article  PubMed  Google Scholar 

  • Sundfeld RH, Croll TP, Briso AL, de Alexandre RS, Sundfeld Neto D. Considerations about enamel microabrasion after 18 years. Am J Dent. 2007; 20(2): 67–72.

    PubMed  Google Scholar 

  • Weerheijm KL. Molar incisor hypomineralisation (MIH): clinical presentation, aetiology and management. Dent Update 2004; 31(1): 9–12.

    PubMed  Google Scholar 

  • Weerheijm KL, Duggal M, Mejare I, et al. Judgement criteria for Molar-Incisor-Hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003. Eur Archs Paediatr Dent 2003; 3: 110–113.

    Google Scholar 

  • William V, Burrow MF, Palamara JE, Messer L. Microshear bond strength of resin composite to teeth affected by molar hypomineralisation using 2 adhesive systems. Pediatr Dent 2006; 28: 233–241.

    PubMed  Google Scholar 

  • Williams JK, Gowans AJ. Hypomineralised first permanent molars and the orthodontist. Eur J Paediatr Dent 2003; 4: 129–132.

    PubMed  Google Scholar 

  • Willmott NS, Bryan RA, Duggal MS. Molar-incisor-hypomineralisation: a literature review. Eur Arch Paediatr Dent. 2008; 9(4): 172–9.

    PubMed  Google Scholar 

  • Wong FS, Winter GB Effectiveness of microabrasion technique for improvement of dental aesthetics. Br. Dent. J. 2002; 193(3): 155–158.

    Article  Google Scholar 

  • Wray A, Welbury R UK National Clinical Guidelines in Paediatric Dentistry: Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents. Int J Paediatr Dent 2001; 11(4): 309–15

    Article  PubMed  Google Scholar 

  • Wright JT. The etch-bleach-seal technique for managing stained enamel defects in young permanent incisors. Pediatr Dent 2002; 24: 249–252.

    PubMed  Google Scholar 

  • Zagdwon AM, Fayle SA, Pollard MA. A prospective clinical trial comparing preformed metal crowns and cast restorations for defective first permanent molars. Eur J Paediatr Dent 2003; 4: 138–142.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. 2 Papadiamantopoulou Street, Athens, 11528, Greece

    N. A. Lygidakis

Authors
  1. N. A. Lygidakis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. Wong
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Jälevik
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. M. Vierrou
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S. Alaluusua
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. I. Espelid
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to N. A. Lygidakis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lygidakis, N.A., Wong, F., Jälevik, B. et al. Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH). Eur Arch Paediatr Dent 11, 75–81 (2010). https://doi.org/10.1007/BF03262716

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03262716

Key Words

Search

Navigation