MIH

Question 1

What are the signs and symptoms of MIH?

Answer 1

Well demarcated opacities
Chalky brown, yellow, white patches
High caries rate
Poor bonding
Asymmetrical pattern

Question 2

What are the issues in treating MIH?

Answer 2

susceptible to caries
Poor bonding
Poor prognosis
Extensive future treatment likely

Question 3

What are the treatment options for molars affected by MIH?

Answer 3

Composite
GIC
SSC
XLA when appropriate

Question 4

What are the treatment options for anterior teeth affected by MIH?

Answer 4

Acid pumice microabrasion
Resin infiltration
External bleaching
Localised composite placement
Combination
Full composite/porcelain veneers

Question 5

What questions would you ask parent while investigating possible MIH?

Answer 5

Natural birth?
Severe illness in pregnancy?
Birth trauma?
Pre-term?
Prolonged breastfeeding?
Childhood medications?
Infections- chicken pox, measles mumps etc