Tooth, rehabilitation, resin Treatment of Primary Molars with Hypomineralization Using the Table-Top Technique

Abstract

Introduction: Enamel hypomineralization is a qualitative alteration that affects tooth structure, predisposing to sensitivity, enamel fractures, rapid progression of carious lesions, and restorative complications. Although it occurs most frequently in the permanent dentition, it can also occur in primary molars, particularly second molars, compromising the patient's function and well-being. Depending on the degree of involvement, the rehabilitation decision will depend on the patient. The table-top technique with composite resin represents a conservative and effective restorative option, both functionally and aesthetically. Case report: A 3-year-old female patient presented with discomfort in the lower posterior region. Clinical examination revealed enamel hypomineralization in both lower second deciduous molars, with partial loss of occlusal anatomy and a positive response to thermal stimuli. Restorative treatment using the table-top technique with light-cured composite resin was planned. The procedure was performed in two sessions, under complete isolation and using controlled physical restraint, due to the patient's young age and level of cooperation (Frankl 2). Conclusions: The table-top technique with composite resin is a viable and effective alternative for the restorative management of primary molars affected by hypomineralization. This approach allows for the recovery of masticatory function, reduces tooth sensitivity, and maintains the structural integrity of the dental organs, within a comprehensive treatment plan that considers both the clinical and behavioral aspects of the pediatric patient.