View related articlesView Crossmark data percentage of 13%. Regarding the relation of the changes with the gender, age, DMFT index, and distribution by quadrants, did not show statistically significant differences (p > .05). Discussion and Conclusions: In this study, the prevalence of IA was higher than in other studies that revealed values of 0.3%, 0.5% and 0.27% [2-4], but close to Temilola et al. found 16.1% of cases of IA in a paediatric population in Nigeria [5]. There was no statistically significant relationship between DMFT and IA in the present study (p ! .05). Other studies have demonstrated a relationship between hyponeralization of the enamel and increased risk of caries [2,3]. The high prevalence of AI found in this study may be due to the fact that the majority of patients, with suspected rare alterations of the dental tissues, are frequently sent, to the consultation of the Egas Moniz Dental Clinic by family doctors, paediatrics and other dentists. When the dentist attends these cases, he must establish the diagnosis, inform the patient, and recommend the therapeutic approach that may have a multidisciplinary involvement.