Aesthetic resolution of molar-incisor hypomineralisation lesions: A conservative approach
The objective of the present case report is to describe the restorative approach for removal of enamel opaque white spots resulting from Molar-Incisor hypomineralization (MIH) due to aesthetic reasons. The patient came for treatment complaining of aesthetic dissatisfaction in her smile, reporting dislike of the dental color and of the presence of white spots in her teeth. Clinical examination revealed HMI-like white spots on elements 11, 21, 16, and 26 and teeth color close to VITA Bleachedguide 3D-Master scale 3M3 palette (Vita Zahnfabrik). After exposure of the planning to the patient, the treatment plan was initiated and consisted of tooth whitening by home technique, followed by removal of the white spots by deep infiltration (milling followed by with resin infiltration) and then by direct restoration with resin-based composite. The treatment execution was based on the conservative restorative dentistry principles and performed in order to attend the patient’s aesthetic dissatisfaction complaint.