Management of molar-incisor hypomineralisation by general dental practitioners - part one: diagnosis

Humphreys, Judith; Jarad, Fadi; Albadri, Sondos

doi:10.1038/s41415-021-2735-3

Cited by 3 publications

(4 citation statements)

References 24 publications

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“…Although MIH is a common condition (Bandeira et al, 2021), with an overall worldwide pooled prevalence of 11.8%–15.8% (Schwendicke et al, 2018), this study indicates that the condition is still a challenging clinical problem. The findings are also in keeping with the dental literature, showing that dentists find the diagnosis and management of MIH-affected molars challenging (Humphreys et al, 2021; Hussein et al, 2014; Kalkani et al, 2016).…”

Section: Discussionsupporting

confidence: 85%

Decision making regarding management of compromised first permanent molars in patients with molar incisor hypomineralisation: A comparison of orthodontists and paediatric dentists

et al. 2021

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Objectives: To obtain the views and opinions of specialist members of the British Orthodontic Society (BOS) and British Society of Paediatric Dentistry (BSPD) in relation to (1) the multidisciplinary management of patients affected by molar incisor hypomineralisation (MIH) and (2) the diagnosis and management of MIH-affected first permanent molars (FPMs) in four clinical scenarios, and compare the responses to those of an expert panel consensus. Design: A prospective cross-sectional study. Setting: Part 1: Eastman Dental Institute and part 2: online questionnaire. Methods: Four clinical scenarios showing patients with differing severities of MIH affected FPMs were considered by a panel of orthodontists and paediatric dentists to agree on the severity of MIH and management. A 21-item online questionnaire sent to both specialist groups, after pilot study. The questionnaire covered demographics, access to multidisciplinary clinics, clinicians’ opinions on various management aspects, and questions relating to the management of the same 4 clinical scenarios. Results: The overall response was 21.9% (20% of the orthodontists and 45% of the paediatric dentists). Approximately half of the respondents from both groups felt that these patients should be managed through a multidisciplinary treatment type clinic (49.0% of the orthodontists and 47.2% of the paediatric dentists). Only 40.3% of the orthodontists and 35.0% of the paediatric dentists agreed completely with the panel consensus on all management options. When assessing overall agreement on all four FPMs for all scenarios, agreement was predicted by severity of MIH (P<0.001) and complexity of malocclusion (P<0.001) where more complex malocclusions and more severe MIH resulted in poorer agreement, but specialty was not a significant predictor (P=0.21). Conclusion: The majority of the respondents from both groups, felt that managing patients with MIH affected FPMs is challenging. Approximately half of the orthodontists and the paediatric dentists, felt that MIH affected patients should be managed through a multidisciplinary type clinic. Managing more severe cases on multidisciplinary clinics is indicated, to incorporate specialist input into decision making.

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Section: Discussionsupporting

confidence: 85%

Decision making regarding management of compromised first permanent molars in patients with molar incisor hypomineralisation: A comparison of orthodontists and paediatric dentists

et al. 2021

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“…5 In addition, GDPs working in the UK have reported uncertainties around diagnosis and decision-making for some young patients with this enamel condition. 6 The general view in the UK is that children with mild MIH can be managed wholly in primary care by GDPs, whereas moderate and severe presentations will usually require input from specialists in paediatric dentistry (PD) and/or orthodontics (O). 7 In cases of affected individuals requiring complex restorative care, including planning for a transition to adult dental services, input from specialists in restorative dentistry (RD) may also be beneficial.…”

Section: Introductionmentioning

confidence: 99%

“…Surveys of specialists in PD and GDPs across Europe, the Middle East, South America, Oceania and Asia have mainly focussed on ascertaining their perceived confidence in the diagnosis and management of MIH. 6,[10][11][12][13][14][15][16] Most studies found that only around half of GDPs felt confident in diagnosing MIH. It is paramount, therefore, to appraise what dental undergraduates are currently being taught about MIH.…”

Section: Introductionmentioning

confidence: 99%

Molar incisor hypomineralisation: Teaching and assessment across the undergraduate dental curricula in the UK

Humphreys,

Graham,

Rodd

et al. 2024

Int J Paed Dentistry

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BackgroundNo consensus exists on how molar incisor hypomineralisation (MIH) should be covered by the undergraduate dental curricula.AimTo assess the current teaching and assessment of MIH in the UK.DesignA piloted questionnaire regarding the teaching and assessment of MIH was disseminated to paediatric, restorative and orthodontic teaching leads in each UK dental school (n = 16). Data were analysed using descriptive statistics, chi‐squared and Kruskal–Wallis tests.ResultsResponse rates from paediatric, restorative and orthodontic teams were 75% (n = 12), 44% (n = 7) and 54% (n = 8), respectively. Prevention of caries, preformed metal crowns, anterior resin composites and vital bleaching were taught significantly more by paediatric teams (p = .006). Quality of life and resin infiltration were absent from restorative teaching. Orthodontic teaching focussed on the timing of first permanent molar extractions.Paediatric teams were mainly responsible for assessment. Risk factors, differential diagnoses for MIH and defining clinical features were more likely to be assessed by paediatric teams than by others (p = .006). All specialities reported that students were prepared to manage MIH.ConclusionMolar incisor hypomineralisation is primarily taught and assessed by paediatric teams. No evidence of multidisciplinary or transitional teaching/assessment existed between specialities. Developing robust guidance regarding MIH learning in the UK undergraduate curricula may help improve consistency.

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“…This can be justified by the fact that the most population with MIH has low severity, as showed in some sample studies on MIH(DA COSTA-SILVA et al, 2010;RAPOSO et al, 2019b;HUMPHREYS;JARAD;ALBADRI, 2021).…”

Section: Discussionmentioning

confidence: 99%

Influence of the severity of Molar-Incisor Hypomineralization on the accumulation of dental biofilm and gingival bleeding

Bisaia

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AGRADECIMENTOSA Deus, que é a certeza, a perfeição e a vida, quem me abriu caminhos e me manteve forte para chegar aonde estou. Obrigada meu Pai! Agradeço à minha família:A minha mãe, Marinilda Paschoina Pinto Bisaia que com todo seu amor se dedicou muito para eu crescer como pessoa e como profissional, sem ela não estaria aonde cheguei. Ela quem me apoiou durante a graduação, mesmo estando em outra cidade sempre esteve perto.Ao meu pai, Wagner Alcides Bisaia o qual trabalhou duro para me manter na faculdade e o qual eu me orgulho e me espelho todo dia para ser uma profissional dedicada e apaixonada pela profissão como ele.Ao meu irmão, Rodrigo Pinto Bisaia, que desde o Ensino Fundamental sempre me ajudou com as matérias e durante o ano intenso do cursinho me apoiou e acreditou em mim, além de um grande professor é meu melhor amigo.

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Management of molar-incisor hypomineralisation by general dental practitioners - part one: diagnosis

Cited by 3 publications

References 24 publications

Decision making regarding management of compromised first permanent molars in patients with molar incisor hypomineralisation: A comparison of orthodontists and paediatric dentists

Decision making regarding management of compromised first permanent molars in patients with molar incisor hypomineralisation: A comparison of orthodontists and paediatric dentists

Molar incisor hypomineralisation: Teaching and assessment across the undergraduate dental curricula in the UK

Influence of the severity of Molar-Incisor Hypomineralization on the accumulation of dental biofilm and gingival bleeding

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