Over the past decade there has been increased awareness and interest in molar-incisor hypomineralisation (MIH), a prevalent develop-mental condition affecting the six year old molars and often the permanent incisors of around 15% of the population worldwide. 

Now we realise that all teeth can have hypo-mineralised enamel just like MIH and that having primary teeth affected increases the chance of affected permanent teeth. MIH often influences caries risk, treatment planning, orthodontic care, and behaviour – so it is a challenging condition to deal with. Stainless Steel crowns are used routinely by Paediatric Dentists to preserve the first permanent molars in cases of MIH. 
The skill and confidence to place these crowns will extend the available options for general dentists in the management of these cases.

Participants will learn the diagnosis and management of hypomineralised teeth from minimal intervention through to the appropriate use of stainless steel crowns.

Topics include

• What causes MIH? What are your treatment options?
• Treatment planning for the affected child
• When and how to place Stainless Steel crowns

Learning Objectives

• To explain the pathogenesis, prevalence and clinical features of hypomineralised enamel
• To discuss the clinical consequences of hypomineralised enamel on treatment planning and clinical care; and to demonstrate clinical options for improved outcomes for affected teeth and the development of the occlusion
• To gain the knowledge and skill to determine when and how to place Stainless Steel crowns in the management of these case.