{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T20:51:59Z","timestamp":1781988719493,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":169,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Molar\u2013incisor hypomineralisation (MIH) is a prevalent dental condition that poses significant management challenges. This case report details the multidisciplinary management of an 11\u2010year\u2010old female patient diagnosed with MIH, presenting with severe pain associated with the lower right first molar. Clinical examination revealed extensive enamel defects, characterised by demarcated yellowish and whitish hypomineralised areas on her incisors and molars, alongside significant dental caries. A comprehensive treatment plan was developed, involving preventive measures such as oral hygiene education and dietary counseling, alongside restorative interventions. Initial management focused on alleviating pain and restoring function, which included the extraction of nonrestorable teeth and the placement of resin restorations in affected molars. Additionally, the application of fluoride varnishes, and casein phosphopeptide\u2013amorphous calcium phosphate (CPP\u2010ACP) was implemented to enhance enamel remineralisation. Behavioural management strategies were introduced to address the patient\u2019s dental anxiety, stemming from previous negative experiences with anaesthesia. Follow\u2010up appointments were scheduled to monitor the effectiveness of treatments and to reinforce oral hygiene practices. The patient\u2019s symptoms improved, root canal and restorative procedures were successfully completed and orthodontic treatment was initiated. She remains under regular follow\u2010up, demonstrating good cooperation and stable progress. This case emphasises the importance of early diagnosis and a collaborative approach in the management of MIH. By integrating restorative dentistry, preventive care and psychological support, the management plan is aimed not only at addressing the immediate dental concerns but also at improving the patient\u2019s overall quality of life and long\u2010term dental health.<\/jats:p>","DOI":"10.1155\/crid\/5535412","type":"journal-article","created":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T04:28:44Z","timestamp":1781929724000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrated Management of Molar\u2013Incisor Hypomineralisation in a Paediatric Patient: A Case\u2010Based Perspective"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4094-8678","authenticated-orcid":false,"given":"Kodikara Mudiyanselage Chathurika","family":"Padmakumari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6570-3343","authenticated-orcid":false,"given":"Chandra Godamunne","family":"Herath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3158-5467","authenticated-orcid":false,"given":"Hasanthi Sandamala Kumari","family":"Ratnatilake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1159\/000047479"},{"key":"e_1_2_13_2_2","first-page":"114","article-title":"Molar Incisor Hypomineralisation (MIH)","volume":"4","author":"Weerheijm K. L.","year":"2003","journal-title":"European Journal of Paediatric Dentistry"},{"key":"e_1_2_13_3_2","first-page":"1613","article-title":"Therapy of Molar Incisor Hypomineralisation Under Difficult Circumstances. A Concept for Therapy","volume":"62","author":"Steffen R.","year":"2011","journal-title":"Quintessenz"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-017-0293-9"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.03.013"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2008.00966.x"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2004.31.1.9"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2013.05.005"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03262715"},{"key":"e_1_2_13_10_2","first-page":"22","article-title":"Adjuncts to Traditional Local Anesthesia Techniques in Instance of Hypomineralized Teeth","volume":"77","author":"Discepolo K. E.","year":"2011","journal-title":"New York State Dental Journal"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-015-0209-5"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781118998199.ch12"},{"key":"e_1_2_13_13_2","first-page":"7","article-title":"The Assessment of and Treatment Options for the Buried Maxillary Canine","volume":"23","author":"McSherry P. F.","year":"1996","journal-title":"Dental Update"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cji068"},{"key":"e_1_2_13_15_2","first-page":"121","article-title":"Molar Incisor Hypomineralisation: Restorative Management","volume":"4","author":"Fayle S. A.","year":"2003","journal-title":"European Journal of Paediatric Dentistry"},{"key":"e_1_2_13_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2018.814"},{"key":"e_1_2_13_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2011.05.002"},{"key":"e_1_2_13_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2017.08.003"},{"key":"e_1_2_13_19_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-0707.124085"},{"key":"e_1_2_13_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03262686"},{"key":"e_1_2_13_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2017.10.004"},{"key":"e_1_2_13_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-013-0042-7"},{"key":"e_1_2_13_23_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2014.1053"},{"key":"e_1_2_13_24_2","first-page":"633","article-title":"Minimally Invasive Treatment of White Spot Enamel Lesions","volume":"38","author":"Ardu S.","year":"2007","journal-title":"Quintessence International"},{"key":"e_1_2_13_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ortho.2013.02.014"},{"key":"e_1_2_13_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-221442"},{"key":"e_1_2_13_27_2","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2013.40.9.770"},{"key":"e_1_2_13_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/25.6.585"},{"key":"e_1_2_13_29_2","first-page":"415","article-title":"Resorption of Incisors After Ectopic Eruption of Maxillary Canines: A CT Study","volume":"70","author":"Ericson S.","year":"2000","journal-title":"Angle Orthodontist"},{"key":"e_1_2_13_30_2","first-page":"17","article-title":"Pubertal Spurts in Cranial Base and Mandible: Comparisons Within Individuals","volume":"55","author":"Lewis A.","year":"1985","journal-title":"Angle Orthodontist"},{"key":"e_1_2_13_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-5406(98)70232-X"},{"key":"e_1_2_13_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9416(83)90225-7"},{"key":"e_1_2_13_33_2","doi-asserted-by":"publisher","DOI":"10.23804\/ejpd.2024.2130"},{"key":"e_1_2_13_34_2","doi-asserted-by":"publisher","DOI":"10.22514\/jocpd.2024.137"}],"container-title":["Case Reports in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/5535412","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crid\/5535412","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/5535412","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T20:43:56Z","timestamp":1781988236000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crid\/5535412"}},"subtitle":[],"editor":[{"given":"Andrea","family":"Scribante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crid\/5535412"],"URL":"https:\/\/doi.org\/10.1155\/crid\/5535412","archive":["Portico"],"relation":{},"ISSN":["2090-6447","2090-6455"],"issn-type":[{"value":"2090-6447","type":"print"},{"value":"2090-6455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-09-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5535412"}}