Prosthodontics and Prosthodontology Commons^™

Molar-Incisor Hypomineralization: Diagnosis, Management, And Treatment, Giovana Anovazzi Medeiros Dds, Msc, Phd, Bahareh Enghiad Dmd, James R. Boynton Dds, Ms

The Journal of the Michigan Dental Association

Molar Incisor Hypomineralization (MIH) is a qualitative developmental enamel defect affecting at least one permanent first molar. Characterized by high porosity and reduced mineral content, MIH leads to hypersensitivity, post-eruptive breakdown, and increased caries susceptibility. The etiology is multifactorial, typically occurring between birth and four years of age. Management depends on severity, ranging from topical fluorides and sealants for mild cases to stainless-steel crowns or extractions for severe instances. Because porous enamel facilitates bacterial penetration and pulpal inflammation, achieving effective local anesthesia is often difficult, necessitating individualized behavioral management and early intervention to preserve tooth structure.

J Mich Dent Assoc January 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons. The January 2026 (Volume 108, No. 1) issue of the Journal is published in a print format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

This issue includes feature articles on Pediatric Dentistry and 2025 Life Membership recipients.

Regular monthly contributions include:

• Editorial …

What About Our Teen-Age Patients?, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

This editorial advocates for "mentally treating" teenage patients, specifically those around 14 years of age, as adults. By respecting their concerns and allowing age-appropriate decisions, clinicians can enhance a teen's dental IQ and self-esteem. This approach fosters confidence, communication, and independence, encouraging patients to take accountability for their treatment outcomes. Respectful dialogue leads to better compliance with home care, such as using rotary brushes or wearing retainers. Ultimately, treating teenagers with empathy and valuing their opinions helps them blossom into responsible adults while building lasting professional bonds.

Minimally Invasive Treatment Of Molar Incisor Hypomineralization Without Using Burs: Experiences Via A Case Series In Vietnam, Võ Truong Nhu Ngoc, Nguyen Phương Huyen, Le Khả Anh, Phan Thi Thu Hang, Hoang Kim Loan, Ta Thành Dong

Journal of Dentistry Indonesia

Mild form of molar-incisor hypomineralization (MIH) on anterior teeth are posing great challenges to dental practitioners as it can have a huge aesthetic impact. In terms of deep MIH-related lesion below the healthy enamel, highly invasive methods for approaching the lesion body and removing the entire hypomineralized enamel using burs could lead to failures including aesthetic problems and even further tooth structure damage to the affected teeth. Case report: To resolve t his issue, we have proposed a modified resin infiltration technique based on the minimally invasive philosophy. In this study, we would like to report three specific cases …

Clinical Features Of Anterior Teeth Affected By Molar Incisor Hypomineralization And Treatment Experiences Using Transilluminated Light: A Cross-Sectional Study, Phạm Thanh Ha, Nguyễn Phương Huyen, Phạm Kim Thanh, Lương Minh Hang, Trần Tuấn Anh, Võ Như Trương Ngoc, Lê Khả Anh, Trần Anh Tuan, Tạ Thành Dong

Journal of Dentistry Indonesia

Classification and resin infiltration treatment of MIH-related permanent anterior teeth are increasingly receiving attention nowadays. Objective: The study aims to evaluate the characteristics of these teeth; and to assess factors regarding treatment. Methods: A cross-sectional study was conducted using transilluminated and reflected light photographs, and the lesion was classified according to its color, size, type, heterogeneity and surface integrity. The data were analyzed using a chi-square test and multivariate logistic regression analysis to evaluate enamel craze lines (ECL), post-eruptive breakdown (PEB), and treatment procedures. Results: 73 teeth from 46 patients were included, in which 53 teeth had been treated. Size …

Measuring Accuracy Of Dolphin Imaging Software In Predicting Upper Jaw Soft Tissue Profile Changes In Class Ii Adult Patients Treated With Extraction Versus Non-Extraction., Amr Amin Arif, Esam Nasef, Amira Aboalnaga

Future Dental Journal

Abstract

Objective: To assess the accuracy of Dolphin Imaging software in predicting upper jaw profile changes in class II patients treated by extraction and non-extraction.

Methods: The records of 60 Class II div 1 patients were selected; 30 patients treated by extraction of upper first premolar and 30 patients treated by non-extraction. The Pre- and post-treatment lateral cephalometric x-rays of each patient were traced using Dolphin software. The actual hard tissue changes due to treatment were calculated and installed into the prediction module to generate the predicted profile. The soft tissue measurements of the actual post-treatment and predicted profiles were …

The Use Of Tissue Grafts Associated With Immediate Implant Placement To Achieve Better Peri-Implant Stability And Efficacy: A Systematic Review And Meta-Analysis, Enrico Maria Rondone, Bruno Leitão-Almeida, Miguel Silva Pereira, Gustavo Fernandes, Tiago Borges

MOSDOH Faculty Publications

Background: The goal of this systematic study and meta-analysis was to evaluate the efficacy of hard and/or soft tissue grafts associated with type-1 implants on healing and treatment outcomes. The primary outcomes studied were implant survival rate, pocket depth, marginal periimplant recession, bone loss, bone thickness (volumetric change), interproximal bone level, mesial and distal papilla migration, and radiographic evaluation; and the secondary parameters were Pink Esthetic Score (PES), vertical distance from implant shoulder and bone, Visual Analogue Score (VAS), Implant Stability Quotient (ISQ), and biological complications (fistulas, pain, mucositis, and peri-implantitis). Methods: The PICO strategy was used to formulate the …

Fibroblasts And Osteoblasts Behavior After Contact With Different Titanium Surfaces Used As Implant Abutment: An In Vitro Experimental Study, Jose Henrique Cavalcanti De Lima, Patricia Cristina Matos Robbs, Elena Mavropoulos Oliveira Tude, Piedad N. De Aza, Eleani Maria Da Costa, Antonio Scarano, Juan Carlos Prados-Frutos, Gustavo Fernandes, Sergio Alexandre Gehrke

MOSDOH Faculty Publications

Background: The goal of this in vitro study was to compare three different surfaces: two types of implant surfaces commercially available ([a] smooth/machined and [b] acid-treated surface) versus (c) anodized surface. Discs were manufactured with commercially pure titanium (CP) grade IV, which were subsequently analyzed by scanning microscopy and fibroblastic and osteoblastic cell cultures. Methods: Ninety-nine discs (5 × 2 mm) were manufactured in titanium grade IV and received different surface treatments: (i) Mach group: machined; (ii) AA group: double acid etch; and (iii) AN group: anodizing treatment. Three discs from each group were analyzed by Scanning Electron Microscopy (SEM) …

Minimally Invasive Periodontal Regeneration With The Buccal Approach: A Systematic Review And Meta-Analysis Of Clinical Studies, Elisa Pasqualini, Filipe Castro, Denise Curado, Ana Martelete, Artak Heboyan, Muhammad H. Saleh, Juliana Campos Hasse Fernandes, Gustavo Fernandes

MOSDOH Faculty Publications

OBJECTIVE: The aim of this study was to investigate clinical periodontal parameters after treatment using the Minimally Invasive Surgical Technique (MIST), Modified Minimally Invasive Surgical Technique (M-MIST), and/or any technique for papilla preservation, such as Entire Papilla Preservation (EPP), modified-papilla preservation technique (M-PPT), or simplified-papilla preservation technique (SPPT). METHODS: The focus question was “For patients with periodontal intrabony defects (P), what is the best minimally invasive regenerative approach (I), comparing MIST, M-MIST, and papilla preservation techniques’ outcomes (C) to improve PD, CAL, GR, and periodontal stability (O)?” An online search was conducted on PubMed, Cochrane Library, and Embase. Only randomized …

Is The Facial Bone Wall Critical To Achieving Esthetic Outcomes In Immediate Implant Placement With Immediate Restoration? A Systematic Review, Sergio Charifker Ribeiro Martins, Marcio Da Costa Marques, Michael Gomes Vidal, Pedro Henrique Moreira Paulo Tolentino, Roberto Galvão Dinelli, Gustavo Fernandes, Jamil Awad Shibli

MOSDOH Faculty Publications

Background. Rehabilitation in the anterior region requires specific conditions for success, such as the presence of papilla, emergence profile, and balance between pink and white esthetic. Objectives. This systematic review aimed to evaluate the esthetic risk associated with immediate implant placement with immediate restoration in the anterior superior area, where the facial bone plate may be absent or deficient. Materials and methods. The search was done in PubMed, Embase, Cochrane, Lilacs, Scopus, Scielo, and Google Scholar databases. The investigation involved clinical studies and observational studies published between January 2012 and July 2023. Studies were excluded if there was less than …

Critical-Size Defects Reconstruction With Four Different Bone Grafts Associated With E-Ptfe Membrane: A Histomorphometric Experimental In Vivo Study, Gustavo Fernandes, Filipe Castro, Rafael Martins Pereira, Wendel Teixeira, Sergio Gehrke, Julio Cesar Joly, Juan Blanco Carrion, Juliana Campos Hasse Fernandes

MOSDOH Faculty Publications

Objectives: The goal of this study was to assess the newly formed bone and the remnant biomaterial by comparing four different bone grafts used to treat critical-size defects, associated or not with the non-resorbable membrane.

Materials and methods: Two calvaria critical-size bone defects were created in 50 male Wistar rats. They were divided into blood (G1), autogenous (G2), bioglass (G3), hydroxyapatite (G4), and xenograft (G5) groups, associated or not with e-PTFE. The experimental periods were 15 and 45 days. Sections were prepared for histomorphometric assessment. All data were analyzed by the mixed-effects model with multiple comparisons (significance level, p < .05).

Results: …

Clinical Outcomes Of Primary Anterior Esthetic Crowns In Pediatric Dentistry, Jenan Alahmad

Theses and Dissertations

Clinical Outcomes of Primary Anterior Esthetic Crowns in Pediatric Dentistry - A Prospective Cohort Study

By: Jenan Alahmad, BDS

A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University.

Virginia Commonwealth University, 2024

Thesis Advisor: Parthasarathy Madurantakam, DDS, MDS, PhD

Department of Pediatric Dentistry

BODY

Purpose: This prospective cohort study aimed to compare the effectiveness of restoring maxillary anterior teeth in children (aged 3-6 years) with three different materials: Zirconia Crowns (ZC), Resin Composite Crowns (RC), and Pre-veneered Stainless-Steel Crowns (PVSSC). The study aims to assess the Oral …

The Effects Of Boric Acid On The Water Solubility Of Glass Ionomer Cements, Banu Cukurluoz Bayındır, İrem Bağ

Journal of Dentistry Indonesia

Changing the water solubility property of glass ionomer cement (GIC), which is frequently used in pediatric dentistry, is the starting point of this study. Objective: To evaluate the effects of boric acid on the water solubility (WS) of GIC. Methods: The samples were prepared as n=12 in each of four groups: GIC-Conventional glass ionomer cement; BGIC with 1:3 boric acid added to conventional GIC powder; RMGIC-resin-modified glass ionomer cement; BRMGIC with 1:3 boric acid added to RMGIC powder. Weight changes were compared 1, 3 and 24 h after keeping in distilled water. One sample in each group was …

Nanomaterials And Nanorobotics In Dentistry: A Review, Yelda Kasimoglu, Derya Tabakcilar, Zeynep A. Guclu, Seiko Yamamoto-Nemoto, Elif B. Tuna, Bugra Ozen, Tamer Tuzuner, Gökhan Ince

Journal of Dentistry Indonesia

Nanotechnology is a branch of science focusing on the manipulation of materials measured on the nanoscale (size = 1–100 nm). Recent advances in the field of nanodentistry have resulted in the development of alternative treatment plans for common dental problems, bringing about a paradigm shift in dentistry. Nanorobots, also known as “nanites” or “nanomachines,” are theoretical microscopic devices that may be used for the diagnosis and treatment of oral health problems. This paper aims to discuss the latest innovations in the field of nanodentistry.

Premaxillary Characteristics In Complete Bilateral Cleft Lip And Palate: A Predictor For Treatment Outcome, Noha Ibrahim Abdelrahman Professor, Islam Tarek Hassan Professor

Dentistry

Objectives:

The aim of the current study was to investigate how bilateral cleft lip and palate (BCLP) cases responded differently to presurgical orthopedics (PSO) and primary lip repair (LR) based on premaxillary characteristics. We suggest a clinically oriented descriptive classification for BCLP based on premaxillary characteristics.

Design and Setting:

A retrospective longitudinal comparative study where available records of all non-syndromic patients with complete BCLP attending the Cleft Clinic, affiliated to the Oral and Maxillofacial Surgery department, Ain-Shams University, Cairo, Egypt were assessed.

Sample Population and Methodology:

Twenty-two cases were collected over a 4-years period from 2008 to 2011 (15 boys …

Analysis Of Periapical Biopsies Submitted For Histopathological Evaluation: A Retrospective Study, Abdullah I. Alqaied

Master's Theses

Apical periodontitis is the most common pathological process in the periapical region. Disciplined clinical and radiographic evaluations and appropriate diagnostic tests can detect lesions related to apical periodontitis. Aside from this, lesions mimicking pulp-related pathology but unrelated to pulpal infection and necrosis are occasionally discovered in the periapical region. The objective of this study was two-fold: (1) to determine the prevalence of diverse periapically located pathological entities, and (2) to apply that information to evaluate the rationale for routine submission of surgically obtained tissue for histological examination and diagnosis. Methods: A 5-year retrospective analysis of pathology reports from the UCONN …

Evaluation Of Three Bonding Agents In The Repair Of Fractured Veneered Stainless Steel Crowns, Jennifer Liane Hoffer

Loma Linda University Electronic Theses, Dissertations & Projects

Dentists have long been challenged with finding an esthetic yet durable treatment option to restore badly carious anterior teeth. Veneered stainless steel crowns have become one of these options, but these restorations often return with the veneer fractured. To help restore esthetics, the crown may either be replaced or the veneer must be repaired. The purpose of this study was to evaluate the use of three bonding agents (PQ1, C&B Metabond, and Panavia) and one restorative material (Filtek Z250, 3M) in the repair of these fractured stainless steel crown veneers. The clinical significance is to determine the best methods of …