Molar Incisor Hypomineralisation Patient Assessment: Comprehensive Oral, Clinical Records and Behavior Evaluation

• Published in: Monographs in oral science Vol. 32; p. 68
• Main Authors: Restrepo, Manuel, de Farias, Aline Leite, Cárdenas, Juan Manuel, Bussaneli, Diego G, Yupanqui, Kasandra Verónica, Santos-Pinto, Lourdes
• Format: Journal Article
• Language: English
• Published: Switzerland 2024
• Subjects: Cone-Beam Computed Tomography; Dental Enamel Hypoplasia - diagnosis; Humans; Molar Hypomineralization; Oral Hygiene; Quality of Life
• ISSN: 1662-3843
• DOI: 10.1159/000538872

Comprehensively evaluating molar incisor hypomineralisation (MIH) involves the integration of anamnesis and clinical data to diagnose, create a care plan, and predict prognoses. Anamnesis reveals relationships between defects and time, patient expectations, and impacts on the quality of life. Clinical studies emphasize posteruptive breakdown in yellow-brown opacities, highlighting the importance of identifying risk factors. The classification and recording of the clinical features associated with MIH are essential and allow for the longitudinal follow-up of the patient. Assessment of dental caries lesions, oral hygiene, and pain guides the care plan. Depending on the severity of MIH and associated symptoms, intraoral radiographs and cone beam computed tomography may be necessary. In cases of scheduled extractions, extraoral radiographs, photographs, and study models are indicated. Evaluations of the quality of life, aesthetic perception, and dental fear and anxiety provide valuable insights into the patient's emotional status and guide empathetic practice. A positive dental experience is based on communication with the patient, trust, and the proper use of behavior guidance techniques.