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Open Access Guidance for Permanent First Molar Extraction in Molar-Incisor Malformation: Report of Two Cases

This article is Open Access under the terms of the Creative Commons CC BY licence.

Molar-incisor malformation (MIM) is a newly described dental developmental anomaly that predominantly affects primary second molars, permanent first molars, and, in some cases, permanent central incisors. Diagnosis is usually made upon radiographic examination. The molars usually present with significant cervical constriction, flattened pulp chambers, and absent or thin, short, and narrow roots, whereas the incisors usually exhibit coronal dilaceration. Loss of these compromised teeth in the long term may be inevitable. Thus, clinicians should be aware of this condition and the factors to consider to advise their patients as early as possible. The purpose of this paper is to present two cases of MIM and discuss the factors clinicians should take into consideration to make a care plan in these cases.


Document Type: Case Report

Affiliations: 1: Dr. Korte, Adjunct Faculty, Department of Pediatric Dentistry, Children???s Hospital of Wisconsin, Milwaukee, Wis, USA 2: Dr. Angelopoulou, Clinical Instructor, Department of Pediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Greece 3: Dr. Yfanti, Pediatric Dentist in Private Practice, School of Dentistry, National and Kapodistrian University of Athens, Greece

Publication date: January 1, 2022

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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