Molar Incisor Hypomineralization with Emphasis on the Current Treatment Evidence

MIH is a common developmental defect that affects both the permanent incisors and first molars, which has significant esthetic, functional along with psychological implications. The condition has a complex etiology that includes genetic, environmental, and systemic factors, but its precise mechanisms are currently unknown. The diagnosis and treatment of MIH are made more difficult by its clinical manifestations, which include opacities, hypersensitivity, post-eruptive breakdown, and atypical restorations. As the lesion severity, patient's age and cooperation are the guide for preventive, non-invasive, and restorative therapies. Advancements including AI-assisted imaging and photobiomodulation provide encouraging opportunities for specific, individualized conservative treatment. Standardizing the treatment protocols, establishing long-term durability, and incorporating new materials into daily practice remain difficult tasks despite the emerging advancements. The clinical management of MIH with a focus on evidence is the main topic of this study.