Molaren-Inzisiven-Hypomineralisation – Klinisches Bild, Diagnostik und Würzburger Konzept

Zusammenfassung

Die Molaren-Inzisiven-Hypomineralisation (MIH) beschreibt einen qualitativen Defekt des Schmelzes an einem bis zu vier bleibenden ersten Molaren mit oder ohne Beteiligung der permanenten Inzisiven. Charakteristisch sind Opazitäten, ggf. fortschreitende posteruptive Schmelzeinbrüche und das Auftreten von Hypersensibilitäten. Mit den Kriterien der European Academy of Paediatric Dentistry (EAPD) ist es sehr gut möglich, eine MIH in der Praxis sicher zu diagnostizieren. Differentialdiagnostisch müssen genetische Strukturanomalien des Schmelzes, postnatale Entwicklungsstörungen oder exogen bedingte Dysplasien ausgeschlossen werden. Das Würzburger Konzept bietet eine Möglichkeit, MIH-betroffene Zähne in Schweregrade einzuteilen und eine darauf abgestimmte Therapie zu finden.

Abstract

Molar incisor hypomineralization (MIH) describes a qualitative defect of the enamel of one to four permanent first molars with or without the involvement of permanent incisors. Characteristics are opacities, posteruptive breakdowns and the existance of hypersensitivities. With the criteria of the European Academy of Paediatric Dentistry (EAPD) it is possible to diagnose MIH reliably in practice. Differentially, genetic structural abnormalities of the enamel, postnatal developmental disorders or exogenously induced dysplasia must be excluded. The Würzburg concept offers a possibility to classify MIH-affected teeth into degrees of severity and to find a therapy that is adapted to them.

Schlüsselwörter

Molaren-Inzisiven-Hypomineralisation - Diagnostik - Klassifikation - Würzburger Konzept

Key words

Molaren-Inzisiven-Hypomineralisation - diagnosis - classification - Wuerzburg concept

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