Molar incisor hypomineralization (MIH) is a common developmental condition affecting primarily one or more first permanent molars. The central incisors may be affected as well, but this usually occurs to a lesser extent. Great varieties in severity exist, ranging from mild opacities to post eruptive enamel breakdown.
Currently, the etiology of MIH is still unknown. Some correlations with prenatal, perinatal, and postnatal illness, exposure to antibiotics or chemicals such as dioxin, bisphenol A and polychlorinated biphenyl have been described, but sufficient evidence is still lacking.
It is essential to adapt the treatment of MIH to the individual patient’s conditions and interventions are especially suited for each individualized treatment.1
One treatment solution for MIH is MI PasteONE Kids from GC America. MI Paste ONE Kids is an initial intervention. The teeth should be brushed twice a day with a toothpaste containing at least 1,000 ppm fluoride. Fluoride content should be age-appropriate; in older patients’ higher levels of fluoride may be desirable. MI Paste ONE Kids is an anti-cavity toothpaste with bio-available calcium, phosphate and 1,100 ppm sodium fluoride.
When fluoride is used with RECALDENT† (CPP-ACP), the peptide preferentially combines with, and stabilizes, fluoride to create the ideal source for building fluorapatite. Using bio-available calcium and phosphate, the full potential of fluoride to help protect and repair teeth can be achieved. Making RECALDENT (CPP-ACP) an effective delivery vehicle for fluoride.2
An important part of the preventive strategy is the home care. It is crucial to motivate and educate the child/caregiver because they are the ones who will have to implement good oral hygiene habits and healthy dietary intake. This is important to ensure the compliance in the long term and to ensure life-long, healthy functioning.
References:
1. Baroni, C. & Marchionni, S. MIH supplementation strategies: Prospective clinical and laboratory trial. J. Dent. Res, 2011;90: 371–376.
2. Wierichs, R. J., Stausberg, S., Lausch, J., Meyer-Lueckel, H. & Esteves-Oliveira, M. Caries-Preventive Effect of NaF, NaF plus TCP, NaF plus CPP-ACP, and SDF Varnishes on Sound Dentin and Artificial Dentin Caries in vitro. Caries Res, 2018; 52: 199–211.
RECALDENT® and RECALDENT® Device are trademarks used under license. † RECALDENT® (CPP-ACP) is derived from milk casein. Do not use on patients with a milk protein or hydroxybenzoates allergy. In case of allergic reaction, stop use, rinse mouth with water, and seek medical advice.
