Molar Incisor Hypomineralisation Revision Questions

Question 1

What is MIH

Answer 1

Hypominerisation of 1-4 permanent molars associated with molars and inciors
Look cheesy and yellow coloured

Question 2

What is the critical period of formation of MIH?

Answer 2

first year of life

Question 3

What questions do you ask pre natal

Answer 3

ask mother about general health in 3rd trimester of pregnancy - pre-eclampsia, gestational diabetes

Question 4

What questions do you ask around time of birth

Answer 4

Ask if baby was a full term or premature baby

Find if birth was particular trauamtic - any emergency, forcep delivery

Question 5

What questions do you ask post natal

Answer 5

Prolonged breast feeding >6months of age
Fever
medication - repsiratory issues, chickenpox. mumps

Question 6

Clincial problems of MIH

Answer 6

Loss of tooth substance - breakdown of enamel, tooth wear, secondary caries
Sensitivity
Apearance

Question 7

What are treatment options for MIH?

Answer 7

Composite/GIC
SS crowns
Adhesively retained copings
XLA

Question 8

What can you do for affected incisors?

Answer 8

Acid pumice microabrasion
External Bleaching
localised comp placement
full comp veneers
full porcelain veneers