Prof. Dr. Ferranti Wong

Molar Incisor Hypomineralisation – Current concept and management

Molar Incisor Hypomineralisation (MIH) is an enamel defect affecting mainly the incisors and first permanent molars. Its prevalence is worldwide, and its aetiology is elusive. Apart from causing pain and sensitivities, aesthetics is the major concern for the patients. There are confusions of what management options are the most appropriate with minimal damage to these teeth. The European Academy of Paediatric Dentistry has recently published an evidence based review of this condition. This lecture aims to update the audience of the current concept, supplemented by clinical cased on the challenges and management of these cases in children. The objectives are:

  • To give an overview of the prevalence of MIH
  • To give an overview of the aetiology of MIH
  • To present the modalities and types of MIH to aid diagnosis
  • To present the aesthetic management of anterior teeth for children/adolescents with MIH
  • To present treatment options of posterior teeth for children with MIH

Ferranti See Leng Wong,
Qualifications: PhD, MSc, BDS FDSRCSEd, FHEA

Present Appointment:
Professor/Honorary Consultant of Paediatric Dentistry
Head of Paediatric Dentistry
Barts and the London School of Medicine and Dentistry
Queen Mary University of London
Turner Street, London, E1 2AD

Present responsibilities

  • Head of Paediatric Dentistry
  • Course Director of Doctor of Clinical Dentistry (PaedDent)
  • Chair of Constitutional Committee, European Academy of Paediatric Dentistry
  • Member of Dental Council, FDSRCSEd
  • Member of Tricollegiate Board of Paediatric Dentistry
  • Examiner of MPaedDent for Royal College of Surgeon, Edinburgh
  • External Examiner of BDS Sheffield University
  • Member Registry of the Department: Dentistry of Aristotle, University of Athens and Thessaloniki

Previous Appointments:
2017–2018: Interim Dean/Director for Dentistry
Institute of Dentistry, Barts and the London School of Medicine, QMUL

2012-2017: Head of Centre for Oral Growth and Development
Institute of Dentistry, Barts and the London SMD, QMUL.

2008-2011: Associate Dean of Postgraduate Dentistry
London Deanery, 32, Russell Square, London WC1 5DN

Research Interest:

  • Prevention, progression, and management of Dental Caries including Clinical Trials
  • Dental Traumatology
  • Dental Material
  • X-ray Microtomography

Recent 10 Publications:

  1. Kotsanos N., Wong F. (2022) Restoration of Carious Hard Dental Tissues. In: Kotsanos N., Sarnat H., Park K. (eds) Pediatric Dentistry. Textbooks in Contemporary Dentistry. Springer, Cham.
  2. Lygidakis, NA, Garot, E, Somani, C, Taylor, GD, Rouas, P and Wong, FSL (2021). Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document. Eur Arch Paediatr Dent. 2021.>
  3. Garot E, Rouas P, Somani C, Taylor GD, Wong F, Lygidakis NA. An update of the aetiological factors involved in molar incisor hypomineralisation (MIH): a systematic review and meta-analysis. Eur Arch Paediatr Dent. 2021.>
  4. Somani C, Taylor GD, Garot E, Rouas P, Lygidakis NA, Wong FSL. An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review. European Archives of Paediatric Dentistry. 2021.>
  5. Johal, A., Wong, F., Zou, L. F., & Shahdad, S. (2021). The influence of mild versus severe hypodontia on the facial soft tissues? A 3-dimensional optical laser scanning-based Cohort study. J Orthod 48:33-41.>
  6. Al-Eesa, NA, Fernandes, SD, Hill, RG, Wong, FSL, Jargalsaikhan, U and Shahid, S (2021). Remineralising fluorine containing bioactive glass composites. Dental Materials.>
  7. Khalid, H., Aleesa, N., Grosjean, M., Hill, R. & Wong, F. (2021). Characterisation of a Bioactive SiO2-CaO-CaF2-Na2O Glass Used in Composites. Dent Mater, 37:1-9.>
  8. Freeman, R, Maguire, A, Ryan, V, Wilson, N, Innes, NPT, Clarkson, JE, Mccoll, E, Marshman, Z, Robertson, M, Abouhajar, A, Chadwick, B, Deery, C, Wong, F and Douglas, GVA (2020). The FiCTION trial: Child oral health-related quality of life and dental anxiety across three treatment strategies for managing caries in young children. Community Dent Oral Epidemiol 48:328-337.>
  9. Maguire, A, Clarkson, JE, Douglas, GVA, Ryan, V. Homer, T. Marshman, Z. McColl, E, Wilson, N, Vale, L, Robertson, M, Abouhajar, A, Holmes, RD, Freeman, R, Chadwick, B, Deery, C, Wong, F & Innes, NPT (2020). Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT. Health Technol Assess, 24 (1).>
  10. Innes, N. P., Clarkson, J. E., Douglas, G. V. A., Ryan, V., Wilson, N., Homer, T., Marshman, Z., Mccoll, E., Vale, L., Robertson, M., Abouhajar, A., Holmes, R. D., Freeman, R., Chadwick, B., Deery, C., Wong, F. & Maguire, A (2020). Child Caries Management: A Randomized Controlled Trial in Dental Practice. J Dent Res 99: 36-43.>

Previous experience and responsibilities:

  • Chair of Specialty Advisory Board in Paediatric Dentistry, FDSRCSEd
  • Member of Accreditation Committee of EAPD
  • Chair of Consultant Group in Paediatric Dentistry
  • STC Chair and TPD for Paediatric Dentist
  • Expert Working Group member for Human Resource Grouping project for Department of Health
  • Academic Board Member for Queen Mary University of London
  • Book review editor to the International Journal of Paediatric Dentistry (2000-2005).
  • Secretary for National Clinical Effectiveness and Policy Committee for Paediatric Dentistry (1998-2004)
  • VT liaison officer (1998 – 2000)
  • Chairman of British Society of Paediatric Dentistry SE Branch (2003-2004)
  • Specialty representatives for North Thames Postgraduate Board (1998 – 2002).
  • Committee member of British Society of Paediatric Dentistry SE Branch (1992 -1995)
  • Regional Specialty Advisor in Paediatric Dentistry for the Faculty of Dental Surgery, Royal College of Surgeons of England. (2002-2007)
  • Chairman of Specialty Training Committee in Paediatric Dentistry (since 2002).
  • Unit Training Director (1997-2008) for Paediatric Dentistry - overseeing training programme of junior staff (SpR and SHO).
  • Clinical Effectiveness/Governance Clinical Lead for the Dental Hospital (1998-2008) - represent the Dental Hospital to the Trust Clinical Effectiveness Committee.
  • Clinical Dental Tutor (1998-2008) - I am responsible for a budget of about £55,000 each year to provide Continuing Professional Education (Section 63) for General Dental Practitioners. In the past two years since I took on this duty, I have successfully bided for over £100,000 to provide educational equipment to run these courses.
  • Chairman for National Policy and Clinical Effectiveness Committee for Paediatric Dentistry (2004-2007) - This is under the auspices of the Royal college of Surgeons England and British Society of Paediatric Dentistry. The committee is responsible in collaborating national clinical audit, production of guidelines and audit recipes. I am an author of a number of Audit Recipes.
  • Member of Barts and The London Trust Policy working Group (2005-2008)
  • Module Convenor for Preparation for Vocational Training in the 1999 Dental Curriculum – developing, planning and implementing the teaching of this new module. The new curriculum has just completed its first cohort and the student evaluation for this module is good (1999-2008).