Affecting at least one permanent first molar—and frequently involving permanent incisors—this systemic condition impacts approximately one in seven children globally, creating substantial long-term therapeutic and restorative demands.
Clinically, MIH presents along a broad spectrum of severity, ranging from mild white or yellow-brown demarcated opacities to severe post-eruptive enamel breakdown, hypersensitivity, and accelerated carious destruction.
Managing affected teeth poses complex clinical hurdles, including difficulties in achieving adequate local anesthesia, compromised adhesive bonding to porous hypomineralized enamel, and significant aesthetic distress in young patients.
This comprehensive narrative review, "Molar Incisor Hypomineralisation: Current Knowledge and Practice" by Rodd et al., synthesizes contemporary evidence surrounding the multifactorial etiology, diagnostic frameworks, and evidence-based management of MIH.
From early risk assessment and hypersensitivity management to conservative restorative strategies and strategic treatment planning, this paper delivers a vital clinical blueprint designed to help general dental practitioners and pediatric specialists navigate the ongoing complexities of MIH care.
📖 Full Document Access: To explore the comprehensive review of current diagnostic indices, detailed management pathways, and evidence-based restorative protocols for MIH-affected teeth, you are invited to access the full open-access research article on ScienceDirect.
