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The clinical management options for hypomineralised/hypoplastic teeth is dependant on the extent of the defects and the results of a caries risk assessment. Factors to be considered are; the degree of sensitivity, presence/absence of caries, motivation to comply with preventive measures, caries and treatment experience, access to care, willingness to co-operate with procedures and long-term viability of the teeth. Mildly effected molars in a caries-free, compliant and motivated patient can be managed with daily applications of remineralising agents for long-term retention of these teeth. Moderately effected molars in a similar patient can be fissure sealed or restored with glass ionomer cement or composite resin combined with the use of remineralising agents. Mildly or moderately effected molars in a non-compliant, high caries risk patient will require more aggressive management using stainless steel crowns for long-term retention of the teeth. Severely affected first permanent molars should be considered for extraction at the appropriate developmental stage. Early definitive treatment is preferable to temporary fixes, continued deterioration, negative dental experiences and eventual unplanned loss of teeth.

This course will improve your ability to diagnose acquired developmental defects and determine the treatment options best suited to your young patients. It will include hands-on demonstration of the process of fitting stainless steel crowns for both the primary and permanent dentition including both with and without (Hall Technique) tooth preparation.