The treatment of severe molar-incisor hypomineralisation (MIH) is often a challenge for both the patient and the practitioner. Factors such as hypersensitivity, pulpitis, partially erupted molars, and reduced adhesive bond strength make dental work more difficult and reduce long-term success. It is particularly important for everyday practice that there is a wide range of temporary restoration options even for teeth that are difficult to restore. The present paper deals with the practical recommendations for the therapy of MIH. Therapy recommendations from the European Academy of Pediatric Dentistry (EAPD) and the Würzburg MIH Concept are considered. In addition, established therapy methods from the Universities of Bern and Zurich will be discussed.
Keywords: Molaren-Inzisiven-Hypomineralisation; Milchmolaren-Hypomineralisation; Hypersensibilität; posteruptiver Schmelzverlust; Angst; Prämedikation; Sedation; Anästhesieversager; provisorische Versorgung; definitive Restauration; Infiltration; Extraktionszeitpunkt.