Manejo clínico de los defectos de desarrollo del esmalte.

Abstract

Enamel developmental defects are alterations that occur during the amelogenesis of primary and permanent teeth. These can be quantitative, qualitative and morphological. Several alternatives have been proposed for handling these defects. The objective was to describe strategies for the clinical management of developmental enamel defects. The research had a documentary design and was carried out under the principles of systematic reviews. Eight articles published between 2016 and 2022 were included for the review. The main developmental enamel defects are enamel hypoplasia, amelogenesis imperfecta, dental fluorosis, and molar incisor hypomineralization. Several options have been proposed for the management of enamel development defects, among which resin infiltration, microabrasion, remineralization, bleaching, macroabrasion, the use of veneers and porcelain stand out. The dentist must be aware of all therapeutic options and provide the patient with the best available option.