Table 4: A clinical management approach for permanent first molars affected by MIH

Steps		Recommended procedures
Risk identification		Assess medical history for putative etiological factors
Early diagnosis		Examine at risk molars on radiograph if possible Monitor these teeth during eruption
Remineralization and desensitization		Apply localized topical fluorides
Prevention of dental caries and PEB		Institute through oral hygiene home care program Reduce cariogenicity and erosivity of diet Place pit and fissure sealants
Restorations and extractions		Place intracoronal (resin composite) bonded with self-etching primer adhesive or extracoronal restorations (stainless steel crowns). Consider orthodontic outcomes postextraction
Maintenance		Monitor margins of restorations for PEB Consider full coronal coverage restorations in the long-term