Molar incisor hypomineralisation and bilateral radix entomolaris in mandibular first permanent molars: a rare case report and literature review Dhote VS1,*, Padawe DS2, Takate VS3, Dighe KS4, Tanna M5, Dharmadhikari PM6 1Assistant Professor, Department of Pedodontics; Govt Dental college and Hospital, Mumbai, India 2Professor and Head, Department of Pedodontics; Govt Dental college and Hospital, Mumbai, India 3Assistant Professor; Department of Pedodontics, Govt Dental College and Hospital, Mumbai, India 4Assistant Professor, Department of Pedodontics, Govt Dental College and Hospital, Mumbai, India 5Dental Surgeon, Department of Pedodontics; Govt Dental College and Hospital, Mumbai, India 6Consultant Pedodontist Mumbai, India *Corresponding Author: Dr Vijaya Sanjay Dhote, (MDS Pedodontics and Preventive Dentistry) Assistant Professor Government Dental College and Hospital, Mumbai, P Demello Road, Saint Georges Hospital campus: Fort., Mumbai.400001, India E-mail: drvijayadhote68@gmail.com Tel: +919823786679, Fax: + 91-022-22620789
Online published on 18 March, 2019. Abstract Molar incisor hypomineralisation (MIH) is a commonly occurring developmental disorder of teeth, resulting in typical enamel defects in first permanent molars and permanent incisors. These defects vary in severity and are evident immediately at the eruption. It has a great clinical importance due to its complicated clinical management in terms of high dentinal sensitivity and weak enamel structure that often concerns physicians, general dentists and paediatric dentists. Restorative intervention using stainless steel crowns provides improvement in both appearance and function of affected permanent teeth. Radix entomolaris (RE) is the extra root present in mandibular molars. Early diagnosis of both MIH and RE is essential to prevent acute symptoms and complications and failure in treatment. The purpose of this article is to report a case with an unusual rare presentation of MIH associated with bilateral RE in first permanent molars along with its clinical management. MIH in terms of its definition, synonyms, etiology, clinical presentation and clinical management with special emphasis on clinical implications and recommendations has also been reviewed. Top Keywords Enamel Hypoplasia Endodontic treatment, Molar incisor hypomineralisation, Radix entomolaris, Stainless steel crowns. Top |