Current View on the Diagnosis and Treatment of Molar Incisor Hypomineralization

Year 2016, Volume: 6 Issue: 1, 28 - 34, 13.05.2016

Şirin Güner , Dilara Salcıoğlu

Abstract

Molar incisor hypomineralization (MIH) is defined as the hypomineralization of one or more first permanent molars with or without the involvement of the maxillary and mandibular permanent incisors. Although the etiology of MIH remains unclear, several etiological factors, such as the genetic and environmental factors and systemic disturbance during pre-, peri-, and postnatal period, can cause enamel defects and their occurrence. The prevalence of MIH is reported to be between 2.4% and 25% in different communities. Teeth with MIH are extremely hypersensitive, prone to rapid caries development, and can be difficult to manage in young patients, and thus, dentists may have difficulties during diagnosis, treatment planning, and managing children with MIH during treatment. Early diagnosis is essential because rapid breakdown of tooth structure may occur, resulting in acute symptoms and complicated treatment. This study aimed to review the diagnosis and etiological factors involved in the occurrence of MIH and to evaluate treatment approaches in the management of MIH. 

Keywords

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Büyük Azı Keser Hipomineralizasyonu’na Güncel Bakış: Teşhis ve Tedavi Yaklaşımları

Abstract

Büyük azı keser hipomineralizasyonu (BAKH), bir veya birden fazla sürekli birinci büyük azı dişinin ve genellikle sürekli keser dişlerin de etkilenebildiği hipomineralizasyon olgusu olarak tanımlanır. Etiyolojisi tam olarak bilinmemekle birlikte, genetik faktörlerin yanı sıra, doğum öncesinden doğum sonrası belirli bir döneme kadar geçen süre içerisinde, çocuğun karşılaştığı çeşitli sistemik, tıbbi, çevresel faktörlerin de bu anomalinin oluşum nedenleri arasında yer alabileceği göz önünde bulundurulmalıdır. Değişik toplumlarda BAKH görülme sıklığının %2,4 ile %25 oranında değişim gösterdiği bildirilmiştir. BAKH görülen çocukların tedavi sürecinde diş hekimleri sıklıkla BAKH’nin teşhis edilmesi, doğru tedavi yöntemine karar verme, tedavi sırasında çocukların uyumlandırılması ve bu dişlerin anestezisinin sağlanması aşamasında problem yaşamaktadırlar. Bu derlemenin amacı, BAKH tanısının, toplumlarda görülme sıklığının, meydana gelmesinde rol oynayan etiyolojik faktörlerin ve tedavi seçeneklerinin detaylı bir şekilde değerlendirilmesidir. 

Keywords

Molar keser hipomineralizasyonu, çocuk, keser diş, azı dişi

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