Aesthetic Management of Molar Incisor Hypomineralization: Staged Strategies for Affected Incisors

Minimally Invasive Therapy for Treating White Spot Lesions on Anterior Teeth in Molar Incisor Hypo Mineralization

“…-Microabrasion: For an ultra-conservative approach, the removal of superficial enamel layers was attempted to expose the lesions. A total of 10 cycles of microabrasion were performed, reducing the enamel thickness by 25 to 200 μm, which proved to be insufficient to reach the ceiling of the lesions [27].…”

“…In certain situations, such as in our case, the use of composite resin above the infiltrated areas is necessary to achieve an optimal result. Placing composite resin without deep infiltration will result in the inability to mask the lesion, a highly unsatisfactory aesthetic outcome, and insufficient application of the composite resin due to the limited space unless the lesion is removed down to the dentin, which goes against the principle of tissue preservation [3,13,27].…”

“…Indeed, composite restorations have a limited lifespan, and marginal stains, wear, and fractures may occur. Long-term maintenance is therefore essential for the success of the treatment [24,13,27].…”