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

• Are Hypomineralized Primary Molars and Canines Associated with Molar-Incisor Hypomineralization? (PDF)
• Hypomineralised first permanent molars and the orthodontist (PDF)
• Dental Growth and Development - Logan Chart (PDF)
• Molar Incisor Hypomineralization: Review and Recommendations for Clinical Management (PDF)

Full Conversation (11.11")