The Würzburg MIH concept: the MIH treatment need index (MIH TNI) : A new index to assess and plan treatment in patients with molar incisior hypomineralisation (MIH)

Eur Arch Paediatr Dent. 2017 Oct;18(5):355-361. doi: 10.1007/s40368-017-0301-0. Epub 2017 Sep 14.

Abstract

Aim: This was to create a new easy-to-use index for the treatment of MIH.

Methods: An international MIH working group developed a new MIH index as an epidemiological screening procedure for assessing MIH treatment needs (MIH-TNI), and also for the screening and monitoring of individuals by dental practitioners.

Results: The MIH TNI assesses in particular the extent of the destruction of tooth structure in combination with any hypersensitivity occurring in MIH. The MIH-TNI is suggested as a basis for individual dental examinations covering all MIH typical problems or treatment planning. In addition, this index shall be the basis for decision-making in any MIH therapy studies already planned.

Conclusion: After the validation of the MIH TNI it may be possible to create a standardised approach for dental treatment for MIH.

Keywords: Enamel and dentine hypoplasia; Index; MIH; Molar-Incisor-Hypomineralisation; Odontogenic disorders.

MeSH terms

  • Algorithms
  • Child
  • Clinical Decision-Making
  • Dental Enamel Hypoplasia / classification
  • Dental Enamel Hypoplasia / diagnosis*
  • Dental Enamel Hypoplasia / therapy*
  • Humans
  • Incisor
  • Molar
  • Patient Care Planning*
  • Severity of Illness Index*