Current Strategies for the Management of Molar Incisor Hypomineralization (MIH) in Pediatric Dentistry: A Comprehensive Review

Abstract Molar Incisor Hypomineralization (MIH) is a prevalent developmental enamel defect that presents considerable clinical challenges in pediatric dentistry. This condition is characterized by compromised enamel quality, heightened susceptibility to caries, and significant tooth hypersensitivity. This comprehensive review aims to synthesize the current understanding of MIH, encompassing its complex etiology, varied global prevalence, distinct clinical features, and diagnostic approaches. It critically evaluates the diverse management strategies available to clinicians, including preventive interventions, methods for managing hypersensitivity and pain, and various restorative techniques, from minimally invasive aesthetic treatments to full-coverage crowns. The article also addresses the inherent complexities of treating MIH-affected teeth, such as difficulties in achieving effective local Anesthesia and ensuring durable restorations. Ultimately, this review emphasizes the necessity of a tailored, multidisciplinary approach to MIH management and identifies crucial areas for future research to improve the oral health and quality of life for affected children.