Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH): An EAPD Policy Document

Eur Arch Paediatr Dent. 2010 Apr;11(2):75-81. doi: 10.1007/BF03262716.


Background: The European Academy of Paediatric Dentistry (EAPD) has long recognised the necessity of promoting further research and knowledge regarding the dental defect described as molar-incisor-hypomineralisation (MIH). Following the establishment by EAPD of the defect diagnostic criteria in 2003, the publication of various papers and a whole issue assigned to the defect in the European Archives of Paediatric Dentistry (2008), an Interim Seminar and Workshop on MIH was organized in Helsinki in 2009.

Result: The outcome of this event is the present consensus paper on the prevalence, diagnosis, aetiology and treatment for children and adolescents presenting with MIH. A clear diagnostic proposal and a treatment decision-making guide are presented together with suggestions on aetiology and guidance for future research.

Conclusion: MIH is an important clinical problem that often concerns both the general dental and specialist paediatric dentists; the present 'best clinical practice guidance' aims to further help clinicians dealing with the condition.

Publication types

  • Consensus Development Conference

MeSH terms

  • Academies and Institutes
  • Adolescent
  • Anti-Bacterial Agents / adverse effects
  • Caseins / therapeutic use
  • Child
  • Dental Enamel Hypoplasia / diagnosis
  • Dental Enamel Hypoplasia / epidemiology
  • Dental Enamel Hypoplasia / etiology
  • Dental Enamel Hypoplasia / therapy*
  • Dental Restoration, Permanent / methods
  • Enamel Microabrasion
  • Female
  • Fever / complications
  • Fluorides / therapeutic use
  • Genetic Predisposition to Disease
  • Humans
  • Organizational Policy
  • Pit and Fissure Sealants / therapeutic use
  • Practice Guidelines as Topic*
  • Pregnancy
  • Prenatal Exposure Delayed Effects
  • Tooth Extraction


  • Anti-Bacterial Agents
  • Caseins
  • Pit and Fissure Sealants
  • casein phosphopeptide-amorphous calcium phosphate nanocomplex
  • Fluorides