Jul 4, 2019


Room: Cancun II

1:30 hours

M. Elfrink &  N. Kramer.

“MIH: How can the present data improve the future?”


Time Presenter Title 
14:30 – 15:10 Norbert Krämer New Aspects in the Treatment of MIH
15:10 – 15:50 Marlies Elfrink HSPM – an increasing problem?” “Epidemiology and Management of HSPM”
15:50 – 16:00 All presenters of the whole session Discussion


Molar Incisor Hypomineralization (MIH) is a growing worldwide burden. Due to the micromorphological changes of tooth hard tissues and pain history of respective children the treatment of the teeth is a challenge in the practice. New MIH Treatment concepts, adhesives, filling materials, and crowns for an adequate treatment are introduced in the last years. That is the background of the symposium on 4th of July 2019 in Cancun. The presenters cover following topics:

N. Krämer: New Aspects in the Treatment of Molar Incisor Hypomineralization (MIH)  

What is New?

Restoration of teeth suffering molar incisor hypomineralization (MIH) is problematic due to both micromorphological changes of tooth hard tissues and pain history of respective children. A new MIH Treatment Need Index (TNI MIH) supports the adequate treatment of the defective structured teeth.


What are the Learning Objectives?

– gain knowledge to graduate MIH-teeth

– deepen the knowledge of the therapeutic MIH-concept based on the individual examination of the defective structured teeth.


M. Elfrink: “HSPM – an increasing problem? Epidemiology and Management of HSPM”


What is new:


More prevalence studies are available now about HSPM and the prevalence seems to increase. Reasons for this will be discussed. An update on the possible aetiological factors of HSPM. New research on the enamel of HSPM gives starting points for the treatment / management of HSPM-molars


Learning objects:


– to gain more insight into the global prevalence of HSPM,


– to know the possible etiological factors of HSPM and


– to learn how to make treatment decisions in HSPM children

  • Norbert Krämer (Germany)

  • Ashima Goyal (India)

  • Mihiri Silva (Australia)

  • Marlies Elfrink (Netherlands)

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