Direct and Indirect Restoration of Deformed Teeth for a Patient with Molar-Incisor-Hypoplasia: A Case Report

Abstract

Background: molar incisor hypoplasia is a rare condition affecting the permanent first molars and anterior teeth compromising function and esthetics. Purpose: this case report was done to discuss the proper treatment for MIH patients with crowns and composite veneers to restore the missing tooth structure, lack of function & poor esthetics. Methods: patient came to outpatient clinic suffering from low self-confidence and inability to chew food. Upon examination and investigations, she was diagnosed with MIH where her anterior teeth and first molars in both maxilla and mandible were affected. Conclusions: A detailed treatment plan was made starting with periodontal therapy followed by full ceramic crowns in upper anterior teeth, direct veneers in lowers followed by endodontic treatment in the molars and implants in the missing lower left molar and a bridge on the lower right side. The chosen treatment plan yielded great results and restored both the function and esthetics of the patient.