The impact of MIH/HSPM on the carious lesion severity of schoolchildren from Talca, Chile

Gambetta-Tessini, Karla; Mariño, Rodrigo; Ghanim, Aghareed; Calache, Hanny; Manton, David J.

doi:10.1007/s40368-019-00416-w

Cited by 28 publications

(47 citation statements)

References 22 publications

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“…MIH severity was classified as: mild, only color changes -cream, white, yellow, orange or brownand severe -fracture and/or atypical restoration/atypical caries/loss due to MIH (20). Dental caries and MIH severity in each child were defined by the most severe ICDAS code observed in dental elements and the most severe defect observed in first permanent molars and/or permanent incisors, respectively (22).…”

Section: Data Collectionmentioning

confidence: 99%

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

et al. 2020

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The aim of this study was to investigate the prevalence of dental fear and to evaluate its association with dental caries and molar incisor hypomineralization (MIH) in schoolchildren aged 8-10 years from a municipality in Northeastern Brazil. Data from 466 students enrolled in urban public schools in a cross-sectional study were collected. Parents/guardians answered a questionnaire addressing sociodemographic characteristics, dental fear was measured by means of the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) and clinical examinations were performed by three calibrated examiners for diagnosis of dental caries, using the International Caries Detection & Assessment System - ICDAS II and a previously validated index for MIH. Descriptive data analysis was performed, and associations between dental fear, dental caries and MIH were analyzed using robust Poisson regression for complex samples (p<0,05). The prevalence of dental fear was 21.6%, and the mean total CFSS-DS score was 29.97 (CI 95%=29.05-30.89). In the multivariate adjusted model, the prevalence of dental fear was associated to family income (PR=1.78; CI 95%=1.02-3.08; p= 0.041). Monthly family income was associated with dental fear in children, whereas dental caries and MIH were not associated with dental fear.

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Section: Data Collectionmentioning

confidence: 99%

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

et al. 2020

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“…The prevalence of enamel defects reported in the present study mirrors previous epidemiological studies undertaken in similar populations. [9][10][11]22 The present findings demonstrated that demarcated opacities were nearly three times more prevalent than diffuses opacities and hypoplasia. These numbers are similar to those obtained in a Poland study of children from primary schools.…”

Section: Discussionmentioning

confidence: 86%

“…1,9,11 HSPM has been explored in a single study reporting a prevalence of 5% in 6-to-12year old schoolchildren. 9 Traditional preventive and restorative management for normal teeth may not be effective on teeth affected by MIH/HSPM. 12 Therefore, early diagnosis and frequent clinical check-ups are key steps when treating MIHaffected children.…”

Section: Introductionmentioning

confidence: 99%

Underdiagnosis of enamel defects in Family Health Centres of Talca city, Chile.

et al. 2020

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Enamel defects (i.e. hypoplasia, diffuse and demarcated opacities), in particular Molar Incisor Hypomineralization (MIH), are alterations of dental enamel with underlying implications in affected children. A proper diagnosis and clinical dental records are needed to improve clinical management of enamel defects in primary health setting. This cross-sectional study aimed to determine the prevalence of enamel defects in 6-year-old children attending to Family Health Centres in Talca city and comparing the clinical diagnosis with that registered by general dental practitioners (GDPs) on the clinical dental records. Children (n=318) were evaluated by a calibrated examiner using the modified DDE index criteria. Almost half of children had enamel defects (47.5%; n=151). The proportion of children affected by demarcated opacities (36.8%; n=117) was higher than those effected by hypoplasia (13.8%; n=44) and diffuse opacities (12.6%; n=40). MIH prevalence was 19.8% (n=63) and 22% (n=14) of MIH-affected children presented the severe form. Clinical dental records registered by GDPs recorded 6.6% (n=10) of enamel defects, but the type of defect was not consistent with the clinical examination undertaken by the calibrated examiner. These findings suggest that enamel defects are prevalent in the studied population, but only few cases were registered in clinical dental records. To achieve diagnosis consensus, the registration section for enamel defects in the clinical dental record at Family Health Centres may need some improvement. Further diagnostic training for GDPs working in the public sector may also be necessary.

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“…Both MIH and DMH enamel lesions are classified as demarcated creamy-white or yellowishbrown opacities, which may be associated with a posteruptive breakdown, which facilitates dental development caries and extreme hypersensitivity that causes severe discomfort (Gambetta-Tessini et al, 2019). Significant relationships were observed between the severity and number of DMH-affected teeth and the resulting hypersensitivity, oral hygiene, and dietary restrictions, demonstrating a need to desensitize hypomineralized teeth to allow adequate oral hygiene and thus improve the oral and systemic health of affected children (Ebel et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Deciduous Molar Hypomineralization in Twins: A Case Report / Hipomineralização De Molares Decíduos Em Gêmeos: Um Relato De Caso

Moraes¹,

Medina²,

Filho³

et al. 2020

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The impact of MIH/HSPM on the carious lesion severity of schoolchildren from Talca, Chile

Cited by 28 publications

References 22 publications

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

Underdiagnosis of enamel defects in Family Health Centres of Talca city, Chile.

Deciduous Molar Hypomineralization in Twins: A Case Report / Hipomineralização De Molares Decíduos Em Gêmeos: Um Relato De Caso

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