Transillumination-aided infiltration for stabilising MIH-affected molars

Studies show that infiltration treatment can improve the integrity of hypomineralised enamel and reduce the risk of fractures and caries. Reductions in hypersensitivity have also been reported.

In the case series entitled “Transillumination-Aided Infiltration of MIH-Affected Molars: Evaluation of the Clinical Workflow”, Marouane et al. demonstrate how transillumination can effectively support the infiltration process on MIH-affected molars.

Six hypomineralised lesions on first molars in adolescent patients were treated. Transillumination enabled precise identification of lesion boundaries, targeted removal of the pseudo‑surface layer and real-time assessment of infiltration progress. Two lesions were fully infiltrated, while four were partially infiltrated – without any complications or postoperative sensitivity.

The case series illustrates that transillumination can also prove valuable when treating molars, to achieve optimum infiltration and thereby improve the stability of enamel areas affected by MIH.

The complete article in the International Journal of Paediatric Dentistry is free to access and can be found here.

Information on the DMG treatment concept for developmental enamel opacities can be found here.