• Bonding to MIH-affected teeth still a mystery.

    January 10, 2020
    by Dr Nobert Kramer, Germany.
    3M Background Pattern 3M Background Pattern

    Bonding to MIH-affected teeth still a mystery.

    Investigations are currently underway to solve the problem of bonding MIH-affected enamel in restorative treatment. The current clinical recommendation is to extend cavity preparations into healthy tooth enamel for long-term success.

    by Dr Nobert Kramer, Germany.

    Bonding to MIH-affected teeth still a mystery.

    Investigations are currently underway to solve the problem of bonding MIH-affected enamel in restorative treatment. The current clinical recommendation is to extend cavity preparations into healthy tooth enamel for long-term success.

    by Dr Nobert Kramer, Germany.

    Bonding to MIH-affected teeth still a mystery.

    Investigations are currently underway to solve the problem of bonding MIH-affected enamel in restorative treatment. The current clinical recommendation is to extend cavity preparations into healthy tooth enamel for long-term success.

    by Dr Nobert Kramer, Germany.

    • One of the biggest challenges of managing teeth with Molar-Incisor Hypomineralisation (MIH) is bonding MIH-affected enamel in restorative treatment. Chemical bonding does not work with MIH-affected teeth as there is a limited availability of calcium, and accordingly, no chance for stable micromechanical interlocking. Recent testing has not yet overcome this problem with alternative treatment approaches and further investigations are underway. The current clinical recommendation is, whenever feasible and without sacrifice too much tooth structure, to extend cavity preparations into healthy enamel. For now, this is the only way to ensure the longevity of direct adhesive restorations in MIH-affected patients.

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