Diagnosis and treatment of deciduous molar hypomineralization in twins: Case report

Abstract

Dental enamel defects in the primary dentition are common in children with a history of prematurity and low birth weight. One of the causes of prematurity is twin pregnancy, which causes most cases to be premature due to restricted intrauterine growth. The objective of this work is to relate the importance of a correct and early diagnosis of Deciduous of Molar Hypomineraliation (DMH) in premature twins and as treatment possibilities. Materials and methods: two children, 5 years old, female, univitelinas who had the same HMD pattern in their teeth 55,65,75,85 with a long history of destruction and sensitivity. As they have already received dental care, only one of the sisters received restorative treatment, a second sister did not use treatment, behavioral management techniques were used, but it was not possible to carry out operational procedures. In clinical and radiographic examination, the possibility of performing the technique on teeth 55.65 of female 1 and 85 of female 2 was found. Results: Teeth 75 and 85 of female 1 were diagnosed clinically and radiographically with restoration restored in composite resin. , as they had provisional and asymptomatic restorations. Teeth 55 and 65 of twin 2 receive ionomeric restorations and tooth 75 pulpectomy and steel crown. Conclusion: Hall Technique is very welcome when it comes to rehabilitation in hypoplasia, especially with regard to the middle age, there are still diagnostic errors when examining an HMD (Deciduous Molar Hypomineralization)