Case Report


Aesthetic protective coverage on molars with MIH: Case report

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1 Post-Doctoral Researcher at School of Dentistry of Ribeirão Preto, University of São Paulo (USP)–Ribeirão Preto, São Paulo, Brazil and Professor of Pediatric Clinic and Patients with Disabilities at the Catholic University of Brasilia and IESB University Center, Brasilia, Brazil

2 CEO from Fenelon, Dental Radiographic Diagnosis, Brasília, Brazil

3 Department of Pediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo (USP)–Ribeirão Preto, São Paulo, Brazil

4 Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil

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Claudia Maria de Souza Peruch

SQS 116 Bloco C, apto 108, Brasilia, CEP 70386030, DF,

Brazil

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Article ID: 100047Z07CP2024

doi: 10.5348/100047Z07CP2024CR

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How to cite this article

Peruch CMS, Barriviera M, Barriviera FA, Borsatto MC, Santos-Pinto L. Aesthetic protective coverage on molars with MIH: Case report. J Case Rep Images Dent 2024;10(2):7–13.

ABSTRACT


Introduction: The management of molars affected with severe molar incisor hypomineralization (MIH) in young children has been one of the greatest challenges for the pediatric dentist. Determining the severity of the defect, behavior, patient acceptance, and parental expectations are determining factors in defining treatment strategies.

Case Report: The objective of this case report is to demonstrate an aesthetic alternative for preventing fractures of severely affected MIH teeth, using a temporary protective covering. This coverage was carried out using composite resin and a semi-direct technique. The patient’s 9-month follow-up showed favorable adaptation and occlusion and satisfaction from the patient and parents, who placed aesthetics as the main factor for treatment decision.

Conclusion: In this patient, the aesthetic factor was decisive for MIH treatment decision. It was performed an aesthetic protective coverage (APC) using an indirect composite technique.

Keywords: Clinical diagnosis, Molar hypomineralization, Secondary prevention, Therapeutics

SUPPORTING INFORMATION


Author Contributions:

Claudia Maria de Souza Peruch - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mauricio Barriviera - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Fernando Antunes Barriviera - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Maria Cristina Borsatto - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Lourdes Santos-Pinto - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Claudia Maria de Souza Peruch et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.