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Vol. 20 - Num. 78

Brief Reports

Molar-incisor hypomineralization syndrome

Ascensión Alfaro Alfaroa, Isabel Castejón Navasb, Rafael Magán Sánchezb, M.ª Jesús Alfaro Alfaroc

aOdontologa. CAP USBD 7. Albacete. España.
bFacultad de Odontología. Universidad de Murcia. España.
cEnfermera. Albacete. España.

Reference of this article: Alfaro Alfaro A, Castejón Navas I, Magán Sánchez R, Alfaro Alfaro MJ. Molar-incisor hypomineralization syndrome. Rev Pediatr Aten Primaria. 2018;20:183-8.

Published in Internet: 20-06-2018 - Visits: 105968


The hypomineralization of the incisors and molars is a developmental enamel defect affecting one to four permanent first molars frequently associated with affected incisors. The enamel breakdown is common in the affected mo­lars resulting in hypersensitivity and to dental caries development. The possible etiological factors are as­sociated with systemic cause occurring in pregnancy, around the time of birth or in the first childhood. The treatment of children affected by molar-incisor hypomineralization should be focused, first, on the diagnosis of the lesions and the establishment of caries risk. A comprehensive management of behavior and anxiety should be offered in patients with enamel cracks and exposed dentin in molars, in order to offer a painless treatment with long life restorations and proper oral health maintenance. It is also important to establish caries control procedures.


Dentition Tooth abnormalities Tooth demineralization



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