MOLAR INCISOR HYPOMINERALIZATION

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Time and Circumstances for Extraction of Molar Incisor Hypomineralization-Affected Teeth?

Gökçe Elif ERDAYANDIa , Ramazan KÖYMENa
aAntalya Bilim University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Antalya, Türkiye

Erdayandı GE, Köymen R. Time and circumstances for extraction of molar incisor hypomineralization-affected teeth?. In: Şen Tunç E, ed. Molar Incisor Hypomineralization. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.79-81.

ABSTRACT
Molar incisor hypomineralization (MIH) is a developmental disorder typically affecting the permanent first molars, characterized by a reduction in the inorganic components of the enamel. The management of MIH is challenging due to variability in clinical presentation and treatment needs. Early diagnosis can facilitate more effective treatment and lower costs. Tooth extraction in MIH-affected teeth is indicated in cases of excessive crown destruction, pulp involvement with material loss, or infection due to abscess formation. Timing of extraction is critical to prevent complications such as lateral movement of adjacent teeth or overeruption of the opposing teeth. Extraction timing should be determined based on clinical and radiographic evaluations. Additionally, compensation and balance extractions are employed to maintain occlusal harmony. These methods are applied depending on the level of malocclusion and the current status of the teeth. The ideal timing for extraction in MIH treatment should be planned according to the child’s age, the degree of tooth mineralization, and individual needs.

Keywords: Dental enamel hypoplasia; time-to-treatment; tooth extraction

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