Aesthetic protective coverage on molars with MIH: Case report

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.