376 - Combination of Articaine and N2O for Pediatric Patients with MIH

Saturday, May 27, 2023

10:00 AM – 10:15 AM

Location: Exhibit Hall

Has Audio

Presenting Author(s)

Celiany Lopez Rivera, DMD

2nd Year Resident
University of Puerto Rico
Bayamon, Puerto Rico

Co-Author(s)

CP

Cheryl Paulo Malave, DMD

University of Puerto Rico, Medical Sciences Campus

Program Director(s)

EA

Emilio M. Agrait Defillo, DMD

Pediatric Dentist
University of Puerto Rico
San Juan, Puerto Rico, United States

Molar Incisor Hypomineralization (MIH) is a frequently faced dental condition worldwide. It is a developmental condition of systemic origin resulting in enamel defects in one or more first permanent molars (FPMs) associated regularly with affected incisors. MIH patients present with tooth hypersensitivity due to pulpal inflammation triggered by porous enamel and exposed dentin; the difficulty in attaining local anesthesia due to altered nerve potential affects the success of the treatment and the patient’s behavior. Early diagnosis and planning are crucial since rapid destruction of tooth structure may occur. This case will present another challenging encounter by pediatric dentists when treating young patients, such as dental fear, odontophobia, dental anxiety, and other behavior problems. The indication of moderate sedation considered these clinical difficulties. This article aims to report a clinical case combining the use of articaine and nitrous oxide as the clinical strategy in managing MIH pediatric patients during dental treatment.