Abordaje terapéutico de la hipomineralización incisivo molar. Revisión bibliográfica.

Abstract

Introduction: Since the last decade, another acquired anomaly has worried dentists around the world, the alteration of enamel mineralization that affects the first permanent and incisor molars, called Molar Incisor Hypomineralization (IMH). These defects require expensive treatment in many cases, since they cause cosmetic problems and increase the risk of caries. Objective: Determine the therapeutic approach of molar incisor hypomineralization. Method: It corresponds to a qualitative study of systematic reviews of literature with the application of descriptive methods either by journals and scientific articles. Results: The preference for the use of pastes with 8% arginine (66.7%) and fluoride varnishes (96.7%) to control hypersensitivity was highlighted; the selection of sealants based on glass ionomers for the occlusal seal of the newly erupted molar (80%) and; the preference of composite resins as restorative material for molars with posteruptive fracture (86.7%) using the deproteinization technique prior to acid etching (70%). Conclusion: The use of pit and fissure sealants, glass ionomers in restoration, fluorine applications and the use of remineralizing toothpastes are the main protection against fractures and cavities that may result from this enamel defect.