Molar Incisor Hypomineralization

My child’s molars have no enamel and are sensitive to eating and brushing – what is happening?

Some children can have enamel that does not form properly- it is soft and chalky and prone to rapid breakdown. This can be caused by many things including illnesses, birth trauma, fevers as well as developmental defects. It is very important that if you suspect this has happened that you visit your paediatric dentist as soon as possible, to discuss prevention of further breakdown and treatment so your child no longer has sensitive painful teeth.

Depending on the severity of the enamel loss, sealants or restorations may be recommended and sometimes a protective crown may be necessary to make your child comfortable.

Baby second molars, six year old molars and incisors (front teeth) are all forming around the time of birth, so any medical issues around this time can affect the quality of the teeth.

It is important to note that if baby second molars are affected, six year old molars also may be involved, so parents should be watching as the permanent teeth start to erupt. Early sealants and the use of a remineralizing paste such as Tooth Mousse can help with sensitivity as new six year old molars are erupting.