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Supporting Your Practice

Managing an Unrestorable Hypomineralized Permanent First Molar

Dr. Jennifer MacLellan
Pediatric Dentist, Halifax NS

Enamel hypomineralization can occur for many reasons, but is commonly observed in children with chronic systemic medical conditions or those who have suffered a febrile systemic illness during the period of enamel formation. A diagnosis of chronological enamel hypomineralization of permanent first molars often leads to difficult treatment planning discussions especially when extraction of a permanent tooth in a young child is recommended as a treatment option.

In this episode of CDA Oasis Live, Dr. John O’Keefe, Director of Knowledge Networks CDA, welcomes Dr. Jennifer MacLellan, Pediatric Dentist from Halifax and President of the Canadian Academy of Pediatric Dentists, to discuss the management of hypomineralized permanent first molars in young children.

In this concise interview, Dr. MacLellan offers her expert insight into the treatment of a relatively common condition, and offers advice on how and when to plan extractions as a treatment option.

We hope you find the conversation useful. We welcome your thoughts, questions and/or suggestions about this post and other topics. Leave a comment in the box below or send us your feedback by email.

Until next time!
CDA Oasis Team

Resources

 

Full Conversation (11.11")

3 Comments

  1. Doug Cowdrey January 20, 2021

    Hello would it be possible to get some before and after radiographs/clin photos to give us guidelines, I find “unrestorable” somewhat confusing and arbitrary, thank you

    Reply
  2. Vasant Ramlaggan January 20, 2021

    Thank you Dr. MacLellan for the info on hypomineralization of molars. I would think that you refer these children to their physicians for testing for systemic illnesses?

    Thanks Oasis for the summary pdf: Much easier for time.

    Thanks!

    Reply
  3. Stacey Matheson January 27, 2021

    Thank you. Very informative.
    Thank you as well for the resources.

    Reply

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