Glass Ionomer Cement Restoration Technique for Severe Molar Incisor Hypomineralization.

The management of molar-incisor hypomineralization is challenging as the clinical appearance and individual need for treatment vary widely, with a broad spectrum of treatment modalities available. The purpose of this report is to describe the treatment of an affected, carious permanent molar using glass ionomer cement (GIC) and an occlusal replica technique. An alginate impression of the mandibular arch was done and a partial diagnostic cast was fabricated, followed by diagnostic waxing and a silicone guide. Conventional GIC was used to fill the silicone impression, which was placed on the tooth. The excess material was removed and occlusion was checked. Twelve months after the procedure, the patient did not report any symptoms, the oral hygiene was adequate and restorative material was intact.