Endodontic management of young permanent first molars affected by molar-incisor hypomineralisation [Manejo endodóntico de primeros molares permanentes jóvenes afectados por Hipo mineralización molar-incisivo]
DOI:
https://doi.org/10.62574/7pptzd10Keywords:
dental enamel hypoplasia, endodontics, paediatric dentistry, (Source, DeCS).Abstract
Objective: Describe the endodontic management of a young permanent first molar with severe molar-incisor hypomineralisation. Method: Clinical case. Results: Nine-year-old male patient with pain and hypersensitivity in tooth #26 due to deep caries and extensive loss of dental tissue. Pulp therapy was performed with relative isolation, chamber opening, haemostasis with Otopren, application of calcium hydroxide and TheraCal, followed by restoration with glass ionomer. The treatment took into account the fragility of the hypomineralised enamel, the presence of open apices and the behavioural management of the paediatric patient. Regular check-ups every 3 months were recommended to monitor apical closure. Conclusion: Therapeutic success requires conservative techniques, appropriate biomaterials, effective behavioural management and long-term follow-up.
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