STOMATOLOGY EDU JOURNAL 2017, Volume 4, Issue 3 SEJ_3-2017_Online - Page 72

MOLAR INCISOR HYPOMINERALIZATION IN MONOZYGOTIC TWINS: A CASE REPORT control of moisture is not possible, but are shown to have very poor retention rates. 8,13 In mild MIH-affected molars with small carious lesions involving 1 to 2 surfaces, composite resins are the restorations of choice and in carious teeth involving 2 or more surfaces with increased or spontaneous sensitivity, full coronal coverage with prefabricated stainless steel crowns is the preferred treatment option. 3,8,13 Composite restorations bonded with a self etching primer adhesive are shown to be successful in mildly affected MIH lesions. 12 In some cases of teeth with severe MIH where the teeth are non restorable and have a poor prognosis, extraction may be the only option. In such cases, an orthodontic evaluation is necessary to determine the timing of the extraction as well as future orthodontic intervention. 17 MIH-affected incisors pose an esthetic concern for the child and their parents and may respond to microabrasion and bleaching based on the color and thickness of the opacity. The yellowish brown lesions are full thickness and respond better to bleaching with carbamide peroxide. 8 In the present case, the incisors were mildly affected and posed no esthetic concern to either the children or the parents and were closely monitored at every recall visit for caries or enamel breakdown. The ԔffV7FVB'2&F"B4"vW&RFǒ7FF2@G&VFVBvFBBf77W&R6VG2F&WfV@FV6f&FFRFVG2vW&R7G'V7FVBF6FVRFFvB&vVR&7F6W0vFFRW6RbfV&FFVBFF7FRCSФbBvW&R6&W67&&VBԒ7FRbt2F&WfVB6V6FfGvVFVWFbBCb66W2"B4 &W7V7FfVǒFWfVVB6V6FfGB6vV@6v2b6ƖvB7BW'WFfR'&VFv7FW727FVV7&v2vW&R&V6VFVB2FPG&VFVBb66RFfBgW'FW"6V6FfGB&FV7BFRVVg&gW'FW"7BW'WFfP'&VFvFR&VrFVWF6FVVBF&V7FF2vFFR6VG2&VpF7BFRFVG26FVVBF&V6&W2g&VR@FRffV7FVBFVWF&VVB7FF2@7V'6WVVB&V6f6G2B66W6FRFv62bԔ2&vVǒ&6VBFP6Ɩ6V&6RbFRFVWFB2gFV7W'FVB'7F'b77FV֖2W76W2GW&pFRFWfVVF7FvW2bFRV&7G2V&ǒ67W&FRFv62BrFW&frW2W76VF&FW"FfB6WVVR7V627@W'WFfRVV'&VFv6&W2f&F@6V6FfGbFW6RFVWFvVVBF0f'B&R&6VBFRWFVBB6WfW&G`FRffV7FVBVVWF"6G&'WF0WV6G&'WFFFRW"6vVFvVG0FRWF'2FV6&R6fƖ7BbFW&W7B&VFV@FF27GVGFW&R&R6fƖ7G2bFW&W7B@f6FW&W7G2F&RF666VB&VfW&V6W0"2BRbr## vVW&V:FWf"WW7V2"֖66 ֖W&Ɨ6F6&W2&W2#3RR33gVFWBƖ5V$VEХ6"26&6Ɩ66WF2f"FWfVVFFVfV7G2bVVBFVF6G&VVFG"FVB#s#B3333bgVFWBƖ5V$VEХvGB2''$RGVvv2"֖66"Ц֖W&Ɨ6FƗFW&GW&R&WfWrWW"&6VFG FVB#Bs"sV$VEФWW7V2WFwb"֖66"֖W&Ɨ6F㠦77FVF2&WfWrWW"&6VFG"FVB#"S2УSV$VEФǖvF2FRr&RB"֖66"Ц֖W&Ɨ6FԔ&WG&7V7FfR6Ɩ67GVGw&VV6G&V76&RVF6WFv6f7F'2WW"&6VFG"FVB#B#r#rV$VEФ:FWf"&WfV6RBFv62b"֖66"Ц֖W&Ɨ6FԔ77FVF2&WfWrWW"&6VFG"FVB#"ScBV$VEФǖvF2FRr'&6VRR"֖66"Ц֖W&Ɨ6FԔ&WG&7V7FfR6Ɩ67GVGw&VV6G&V&WfV6RBFVfV7B6&7FW&7F72WW"&6VFG"FVB#B##bV$VEФǖvF2vrb:FWf"WB&W7B6Ɩ6&7F6PwVF6Rf"6Ɩ62FVƖrvF6G&V&W6VFpvF"Ԗ66"ԇ֖W&Ɨ6FԔT@Ɩ7F7VVBWW"&6VFG"FVB#"sRУV$VEФWW7V2Vf'FVBWBǖ6&FVBF&VF2BF&WgW&2fFW.( 2֖Ʋ6W6RFWfVVFFVfV7G26N( 0FVWFVf&F6&6c22rgVFWBƖ5V$VEУǖvF2FRr7FFR&WFVFbf77W&P6VG2W6rGvFffW&VBWFG2bƖ6FFVWFvF֖W&Ɨ6VB'2ԔBV"6Ɩ67GVGWW"&6VFG"FVB#B##2##bॵV$VEУ66&R6bWWBWr&6W0FV6VB&V֖W&ƗFbFFVVठFV@&W2#rrFsr##3CS3scCbgVFWBƖ5V$VEУ"&'&Rb&V&BV&ǒ6'&V7FbFW&"7&76&FW377FVF2&WfWr'FB#32sRBFsCcS3#CCC2gVFWBƖ5V$VEУ2ǖvF2G&VFVBFƗFW26G&VvFFVWFffV7FVB'"֖66"VV֖W&Ɨ6FࢄԔ77FVF2&WfWrWW"&6VFG"FVB#"cRsBV$VEУBvVW&V"66"֖W&Ɨ6FԔWW"VFG"FVB#3B2B#V$VEУRvVW&VGVvvV:&RWBVFvVV@7&FW&f""66"֖W&Ɨ6FԔWFV֖v27GVFW37V'bFRWW&VVWFrԔVBFV2#2WW"VFG"FVB#3B22V$VEУb&FBB&76FRdFbV7FGW2`֖W&ƗVBW&VB'2VFG"FVB#s#bSBS#gVFWBƖ5V$VEУr:FWf"Ɩv&W&rtFVFG&VFVBFVFfV B&Vf"vVVB&&V26G&VvF6WfW"VV֖W&ƗFbFV"W&VBf'7@'2BVFG"FVB##"#B3"gVFW@Ɩ5V$VEХ7FVGR#sB2###0GGwwr7FVGV6