Behavior management and pain control in treatment of children with molar incisor hypomineralization

Molar incisor hypomineralization (MIH) describes the clinical picture of more or less strongly hypomineralized first permanent molars with or without the involvement of permanent anterior teeth. In the meantime, however, MIH-typical substance defects were found on every possible tooth. Affected teeth can be hypersensitive. This hypersensitivity can only be treated when complete pain control is ensured. With the awareness of possible causes of hypersensitivity and the help of a correct behavior management and anesthesia technique as well as sometimes with the help of sufficient premedication and compassion for our patients, it should be possible to treat most of these hypersensitive teeth affected by MIH. With the therapy-appropriate formulations of the adequate anodyne, it is also possible to control the symptoms of chronically inflammatory MIH molars (pain protocol; pain algorithms). Sedation with nitrous oxide/oxygen allows a more intensive use of behavior management techniques. As a last treatment option, the patient could be brought to rehabilitation under general anesthesia.