Restauraciones indirectas para el manejo de la Hipomineralización de Molares e Incisivos: un abordaje conservador.

Laura Velásquez Baena; Manuel Restrepo Restrepo; Juan Diego Mejía Roldan

doi:10.47990/alop.v13i.584

Authors

Laura Velásquez Baena Odontóloga. Residente del postgrado de Odontopediatría y Ortodoncia interceptiva. Universidad CES, Medellín. Colombia https://orcid.org/0000-0002-4913-2165
Manuel Restrepo Restrepo Odontólogo, Magister, Doctor y Post-doc en Odontopediatría. Profesor. Universidad CES, Medellín. Colombia
Juan Diego Mejía Roldan Odontólogo, Especialista en Odontopediatría, Magister en Ciencias Odontológicas. Profesor. Universidad CES, Medellín. Colombia https://orcid.org/0000-0002-8911-3305

DOI:

https://doi.org/10.47990/alop.v13i.584

Keywords:

dental enamel, dental enamel hypomineralization, dental aesthetics, Pediatric Dentistry, molar

Abstract

Introduction: Contemporary adhesive techniques allow the conservative and aesthetic rehabilitation of teeth affected by dental caries, dentoalveolar trauma, and enamel development defects. For the restorative treatment of hypomineralization of molars and incisors (HMI), indirect restorations have been recommended. Case report: Symptomatic female patient, 8 years old, with severe HMI and slightly negative behavior. Teeth 16, 36, and 46 presented marked opacities associated with provoked pain. The treatment focused on educating the family regarding the HMI, guiding behavior, controlling the symptoms, and restoring the function and aesthetics of the teeth affected by the HMI. Due to the extension, severity, and location of the defects in teeth 16, 36, and 46, it was decided to perform indirect restorations with composite resin. After 12 months, the patient presented definitively positive behavior, and did not report painful symptoms, the restorations were without color change, well adapted, with good gingival health and adequate occlusal anatomy, smooth and without signs of dental caries lesions. Conclusion: In this case of severe MHI, indirect resin restoration was an esthetic, conservative, viable, and effective strategy during a 12-month follow-up period.

References

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