Restorative Management of Permanent Teeth Enamel Defects in Children and Adolescents

  • Suzanne M. Hanlin
  • Lucy A. L. Burbridge
  • Bernadette K. DrummondEmail author


The clinical challenges associated with the restorative management of developmental defects of enamel (DDE) have been well documented and include managing sensitivity and caries risk, loss of occlusal determinants, and the negative impact on individual self-worth and social interaction. This chapter outlines management options for DDE associated with molar incisor hypomineralization (MIH), amelogenesis imperfecta (AI), fluorosis, and intrinsic discoloration in permanent teeth. Many materials and techniques may be used to manage DDE. The complexity of intervention is dictated by the severity and nature of the disturbances including color (brown/cream/yellow/white opacities – hypomineralization), structure (hypoplasia – pits, grooves), pre-eruptive resorption, post-eruptive breakdown, the patient’s individual circumstances, and the age and stage of development.


Dental enamel defects Restorative management of permanent teeth with DDE Bleaching Microabrasion Veneers Onlays Overlays Preformed crowns Composite resin Stainless steel Polymethyl methacrylate resin Zirconia Gold 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Suzanne M. Hanlin
    • 1
  • Lucy A. L. Burbridge
    • 2
  • Bernadette K. Drummond
    • 3
    Email author
  1. 1.Department of Oral Rehabilitation, Faculty of DentistryUniversity of OtagoDunedinNew Zealand
  2. 2.Paediatric Dental DepartmentNewcastle Dental HospitalNewcastle Upon TyneUK
  3. 3.Department of Oral Sciences, Faculty of DentistryUniversity of OtagoDunedinNew Zealand

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