Molar-incisor hypomineralization: Therapeutic challenge to paediatric dentistry practice

Uvod: Molarno-incizivna hipomineralizacija označava pojavu hipomineralizacije gleđi sistemskog porekla, koja zahvata od 1-4 prva stalna molara, a koja je često udružena sa promenama na stalnim sekutićima. Varijacije u kliničkoj manifestaciji, uz često prisutnu asimetriju, su razlog velikih varijacija u potrebama za terapijskim tretmanom ovih strukturnih gleđnih defekata. Prikaz slučajeva: Prikazana su dva pacijenta sa dijagnozom molarnoincizivne hipomineralizacije. Prvi pacijent, devojčica stara 6 godina, kod koje je dijagnostikovana blaga klinička forma, se stomatologu javila odmah nakon erupcije prih stalnih molara. Rana dijagnoza i blagovremena primena preventivno-profilaktičkih mera, uz blagu kliničku formu, su razlozi sprečavanja nastanka karijesa i daljeg širenja poseruptivnog odlamanja gleđi na zahvaćenim prvim stalnim molarima. Nasuprot prvom, drugi pacijent, devojčica stara 7,5 godina, je sa dijagnozom umerene molarnoincizivne hipomineralizacije. Kod nje je došlo do pojave karijesa na zubu 46, kao i komplikacija karijesa karijesa na zubu 36, koji je ekstrahiran vrlo brzo nakon erupcije. Zaključak: Rana dijagnoza i težina kliničke slike su najznačajni faktori koji utiču na terapijski ishod u zbrinjavanju molarno-incizivne hipomineralizacije.

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