Treatment of Children with MIH: A Challenge in Pain Control and Behaviour Management

Abstract

MIH (molar incisor hypomineralization) describes the clinical picture of more or less strongly hypomineralized first permanent molars and permanent anterior teeth. Some of these teeth are highly hypersensitive and can only be treated when complete pain control is ensured. Taking into consideration the possible causes of this hypersensitivity and the help of a correct behaviour control with correct anaesthesia technique, sometimes with the help of sufficient premedication and compassion for our patients, it should be possible to treat most of the teeth affected by MIH. With the therapy-appropriate formulations of the adequate anodyne, it is also possible to control the symptoms of chronically inflammatory MIH molars (pain protocol; pain algorithms). Sedation with nitrous oxide/oxygen allows an intensive application of behaviour management techniques. As a last treatment option, the patient could be brought to rehabilitation under general anaesthesia.