The Korean Journal of Oral and Maxillofacial Pathology (대한구강악안면병리학회지)

Korean Academy of Oral and Maxillofacial Pathology (대한구강악안면병리학회)
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Removal of Maxillary Mesiodentes of Patient with Molar-Incisor Hypomineralization (MIH)

Molar-Incisor Hypomineralization에 이환된 환자의 상악 정중과잉치 발거

  • Bae, Sangyong (Department of Pediatric Dentistry and Research Institute of Dental Education, College of Dentistry, Wonkwang University) ;
  • Ra, Jiyoung (Department of Pediatric Dentistry and Research Institute of Dental Education, College of Dentistry, Wonkwang University) ;
  • Lee, Jewoo (Department of Pediatric Dentistry and Research Institute of Dental Education, College of Dentistry, Wonkwang University)
  • 배상용 (원광대학교 치과대학 소아치과학교실) ;
  • 라지영 (원광대학교 치과대학 소아치과학교실) ;
  • 이제우 (원광대학교 치과대학 소아치과학교실)
  • Received : 2018.11.21
  • Accepted : 2018.12.14
  • Published : 2018.12.31
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Abstract

The supernumerary tooth which is extra tooth in comparison to normal dentition is one of the developmental problems. The most common type of supernumerary tooth is mesiodens which may cause several complications like delayed eruption, crowding, spacing et al. Moral Incisor Hypomineralization (MIH) describes the clinical appearance of enamel hypomineralization of systemic origin affecting one or more permanent first molars that associated frequently with affected incisors. We report a case of a 6 - year - old boy who visited our clinic for removal of mesiodentes. The patient was diagnosed by mesiodentes and MIH by clinical examination and radiographic examination. Under local anesthesia, Mesiodentes were removed surgically. The demarcated opacities, a feature of MIH, were observed in the removed mesiodentes. After removal of mesiodentes, the maxillary central incisors erupted normally and in order to manage the teeth affected MIH, follow-up and fluoride varnish application were done every 3 months.

Keywords

Acknowledgement

Supported by : 원광대학교

References

  1. Garvey MT, Barry HJ, Blacke M: Supernumary teeth: an overview of classification, diagnosis and management. J Can Dent Assoc 1999;65:612-616.
  2. Alberti G, Mondani PM, Parodi V: Eruption of supernumerary permanent teeth in a sample of urban primary school population in Genoa, Italy. Eur J paediatr Dent 2006;7:89-92.
  3. Van BG, Bailleul-Forestier I: Mesiodens. Eur J Med Genet 2008;51:178-181. https://doi.org/10.1016/j.ejmg.2007.12.006
  4. Gorlin RJ, Cohen MM, Hennekam RC: Syndromes of the head and neck 4th ed. Oxford University Press 2001;547,1108.
  5. Weeheijm KL, Jalevik B, Alaluusua S: Molar-incisor hypomineralization. Caries Res 2001;35:390-391. https://doi.org/10.1159/000047479
  6. Jalevik B, Noren JGm Barregard L: Etiologic factors inflencing the prevalence of demarcated opacities in permanent first molars in a group of Swedish children. Eur J Oral sci 2001;109:230-234. https://doi.org/10.1034/j.1600-0722.2001.00047.x
  7. William V, Messer LB, Burrow MF: Molar Incisor Hypomineralization: Review and Recommendation for clinical management. Pediatric Dent 2006;28:224-232.
  8. Brook AH: A unifying aetiological explanation for anomalies of human tooth number and size. Arch Oral Biol 1984;29:373-378. https://doi.org/10.1016/0003-9969(84)90163-8
  9. Rotberg S, Kopel HM : Early versus late removal of mesiodens : a clinical study of 375 children. Com Contin Educat 1984;5:115-119.
  10. Barren MV : Surgical treatment of unerupted supernumerary tooth to an unerupted permanent incisor. Pediatric Dent 1983;5:83-84.
  11. Thoma KM, Goldman HM: Oral pathology, 5th ed, St Louis. The CV Mosby Company 1969;381-383.
  12. Weeheijm KL, Duggal M, Mejare I : Judgement criteria for molar incisor hypomineralization in epidemiologic studies: a summary of the European meeting on MIH. Eur J Paediatr Dent 2003;4:110-113.
  13. Jalevik B, Noren JG : Enamel hypomineralization of permanent first molars: A morphological study and survey of possible aetiological factors. Int J Paediatr Dent 2000;10:278-289.
  14. Fayle SA : Molar incisor hypomineralization: Restorative management. Eur J Paediatr Dent 2003;4:121-126.
  15. Reynolds EC : New modalities for a new generation: Casein phosphopeptide-amorphous calcium phosphate, a new remineralization technology. Synopses 2005;30:1-6.
  16. Mahoney EK : The treatment of localized hypoplastic and hypomineralized defects in first permanent molars. N Z Dent J 2001;101-105.