Adhesión en molares permanentes hipomineralizados. Puesta al día

Resumo

The molar incisor syndrome (MIH) is described as a hypomineralization of systemic origin affecting 1 to 4 of the first permanent molars that is frequently associated with alterations of the incisors, and its appearance is increasing. Affected teeth will file a raise of its protein content and decreased mineral content. The treatment of MIh is a challenge for the dentist. The clinical features of this disorder, as posteruptive rupture or the formation of atypical cavities complicate obtaining a lasting result. Recent studies suggest that selfetching adhesive systems achieve a greater adhesion force than other systems. Pretreatment of injury may result in increased adhesive strength, although the observed results do not allow to standardize this procedure. The most promising options are sodium hypochlorite and infiltrating resins. The best therapeutic option for MIh is currently performing a reconstruction with composite resin using a self-etching adhesive system, seeing the possibility of pretreatment with sodium hypochlorite or infiltrating resins.