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(02) 9181 2226

It Starts With a Smile.

What is Molar Incisor Hypomineralisation and does my child have it?

Enamel hypomineralisation is a deficiency in the tooth substance quality resulting in opacities within the enamel.  Molar Incisor Hypomineralisation (MIH) describes the hypomineralisation of one to four of the first permanent molars and upper or lower incisor teeth.  Our dentists at Drummoyne Dental Practice routinely screen for this condition and encourage early intervention to stabilise the affected tooth/teeth as soon as possible.

The cause of MIH is difficult to determine, however often it is attributed to an illness or disruption experienced by your child at some time between 0 and 2 years old, when the first permanent molars and incisors are forming in the jaws.

How might the molars and incisor teeth appear if affected by this condition?

children's dentistry screening for hypomineralisation

  • abnormal translucency and opacity of enamel
  • variations in colour of enamel: white/cream, yellow/brown
  • very soft enamel
  • Affected teeth may be sensitive to cold and may be more susceptible to dental decay


Goals of Treatment

  • reduce pain and sensitivity
  • provide adequate filling that can protect and maintain existing tooth structure and prevent further breakdown 
  • improve aesthetics and
  • improve function

Treatment Options

  • protection of tooth structure
  • temporary restorations/fillings
  • permanent restorations/filling
  • removal of affected tooth - only in severe cases

Choice of treatment alternatives will be made in collaboration with the child and the parents.  

If you suspect that your child's teeth may be affected by this condition, schedule an appointment with one of our dentists on 91812226.