Description

Molar-incisor hypomineralisation (MIH) affects a significant proportion of the population (approximately 15% worldwide), however teeth in the primary dentition are also affected. In the past two decades MIH has attracted attention, both clinically and in research and more recently hypomineralised second primary molars (HSPM) have been identified as commonly affected (4 - 9%) and they are also risk factors for MIH. Both HSPM and MIH may have a profound impact on the oral health of the affected child, with early diagnosis being important to allow appropriate management to prevent post-eruptive breakdown of the affected enamel. The pathogenesis, diagnosis and treatment of HSPM/MIH affected teeth will be discussed.

Learning objectives:

● To understand the pathogenesis and characteristics of demarcated hypomineralised lesions of enamel.

● To be able to diagnose MIH and HSPM accurately.

● To understand the preventive, restorative and orthodontic implications of hypomineralised enamel.

Prof. David Manton

Graduated BDSc (Melb) in 1984 and worked in general practice until 1991 when he undertook an MDSc in Paediatric Dentistry. He was dental advisor to the Federal Government from 1994 – 1996 and won the KG Sutherland Prize of the ...

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