Dental hypomineralisation - MOLAR INCISOR HYPOMINERALISATION

The front and/or back teeth may appear yellow/cream/brown and discoloured. They may be sensitive or painful, sometimes crumbly. This is because the enamel is soft, they are prone to developing decay. 

We typically conduct a complete examination and routine x-rays to evaluate the health of the teeth. We also ask about medical history, including medications taken during childhood, and family history to identify potential causes and to rule out any other factors contributing to enamel issues.

Commonly the first adult molars and first adult incisors are most commonly affected, Hence the name "Molar Incisor hypomineralisation". Sometimes other teeth can also be affected. Molars are usually worst affected and sometimes need removal been the age of 8-10 years. 

If the teeth have not broken down or are minimally affected they can be treated conservatively with regular application of topical Fluoride. Where teeth have broken down minimally above the gum line they can be restored with direct composite ( white filling material). In cases where teeth are highly sensitive Silver Stainless Steel crowns may be placed on the teeth. When teeth are severely affected  and have broken down beyond repair, treatment is centred around keeping the child free of pain with SDF and temporary fillings until timely extraction can be planned. The extractions are carefully planned around the age of 8-10 years to increase the chances of the second molars growing into the space of the first molars. This aims to minimise any gaps left in the dentition but is not always possible. 

Children with MIH or demineralisation need to be seen regularly to apply topical Fluoride every 3 months. Sometimes a toothpaste called "Toothmousse" is also recommended in addition to their Flouride toothpaste if the teeth are sensitive. Toothmouse is available in a range of fruity and minty flavours.