News

Doctors: Discolored and crumbling children's teeth do not have to be caries

Doctors: Discolored and crumbling children's teeth do not have to be caries


We are searching data for your request:

Forums and discussions:
Manuals and reference books:
Data from registers:
Wait the end of the search in all databases.
Upon completion, a link will appear to access the found materials.

Molar incisive hypomineralization causes porous and discolored molars
If children's molars turn yellow and brown, this does not necessarily result from poor dental hygiene. Porous molars with yellow or brown discoloration can also be caused by a so-called molar incisive hypomineralization (MIH), according to a message from the University Hospital Freiburg. This enamel disorder on permanent teeth affects about ten percent of children.

According to the Freiburg University Clinic, some children struggle with broken molars in the posterior region despite daily teeth brushing and little sweets. Sometimes the new teeth come out of the jaw already damaged. Parents often think of classic tooth decay here, but the cause can also be a molar incisive hypomineralization. The dentist Dr. explains which remedies are available. Priska Fischer in the current press release from the Freiburg University Hospital.

Causes of MIH unclear
The MIH triggers are so far unclear, according to the expert. Scientists have not yet been able to find out scientifically whether the dental disease is inheritable or genetically determined or influenced by environmental factors. According to Dr. Fischer, dentist at the Clinic for Tooth Conservation and Periodontology at Freiburg University Hospital, only really got to know the MIH at the beginning of the 2000s, although there were first records of it in the 1980s and 1990s.

First permanent molars and incisors affected
MIH mostly affects the first permanent molars and the first permanent incisors, explains the dentist. Due to the low mineralization, the tooth enamel is so badly damaged that the tooth is not protected enough and can therefore crumble. It was not possible to prevent the disease. This is very important for the parents of affected children to know, because many of them “are concerned and feel guilty that their children's teeth are so bad,” reports Dr. Fisherman. "It is important to take away the guilt feelings from the parents, to explain them well and to advise them," the expert continued.

Consult a dentist if there are signs of MIH
If parents notice brownish and beige discoloration on their children's teeth and the teeth are also porous, a dentist should be consulted with the child immediately. Because there are certainly ways to minimize the consequences of MIH. First of all, dental hygiene needs to be given even greater importance and fluoridation of the tooth enamel, reports the Freiburg University Hospital. Fluoride varnishes protect the teeth and "sealing around the tooth and on the occlusal surface is another method to protect the teeth," explains Dr. Priska Fischer. Furthermore, regular checks are of great importance to prevent tooth decay.

Treatment options
According to the university hospital, the teeth in many children suffering from MIH are extremely sensitive to cold. If there is a higher severity of the melt pattern disorder, there is the possibility of treating the affected teeth with filling therapy or treatment with special children's crowns. "This usually leads to a reduction in sensitivity to cold," reports Dr. In individual cases, however, the hypersensitivity may be so severe that local anesthesia does not work and therefore outpatient treatment is not possible. Therapy of the teeth under general anesthesia remains the last option. (fp)

Author and source information



Video: How Does A Dentist Fill A Cavity? (May 2022).