To evaluate the prevalence and the characteristics of Molar Incisor Hypomineralisation (MIH) in 7-12-year-old children in Tunis, Tunisia. Material and Methods: This study was designed as a crosssectional study, in which school children aged 7 to 12 years were included. A total of 510 children (257 girls and 253 boys) who had their first permanent molar and incisors were evaluated using the 2003 European Academy of Paediatric Dentistry (EAPD) recommendation criteria were examined. Descriptive data analysis and Pearson's chi-squared test were performed (p<0.05). Results: A total of 510 children were included in the study. MIH was present in 35.4 % of our study population. Boys exhibited slightly higher MIH (19,4%) and Post Eruptive Breakdown (PEB) (7,3%) prevalence compared to girls, but the difference was not statistically significant (p=0.07). Moreover, demarcated opacities were more prevalent than PEB. More precisely, the main prevalence without PEB was MIH with white/creamy demarcated opacities, which was more frequent than yellow/brown demarcated opacities (p<0.05). Conclusion: The prevalence of MIH in Tunis was 35.4%, with no difference between girls and boys. The main MIH type prevalence was white/creamy demarcated opacities without PEB.
To assess the attitudes, experiences, training levels, and interest in future education regarding the use of hypnosis by dentists working in Dental Clinic of Monastir, Tunisia. Material and Methods: A cross-sectional study was conducted among 330 dentists working in Dental Clinic of Monastir in November 2019. Students, internship, residents, and professors were randomly selected. This was a survey with a structured questionnaire mailed to all dentists. The questionnaire was pre-fabricated, simple, and closeended. Data were analyzed using SPSS 24.0 statistical software. Results: A total of 202 dentists respond to this survey. 54% of the participants were interns with a female predominance (66.5%). Findings revealed that beliefs toward hypnosis in the sample were generally positive. Using a visual analogue scale, dentists reported having moderate acknowledge in hypnosis (3.4). 60% of the participants in our study consider that hypnosis is useful in dentistry and, more particularly, in pediatric dentistry. 78.2% of respondents want to follow training courses in hypnosis. Conclusion: Our survey highlights the weak knowledge of participants in hypnosis and reveals certain misconceptions about this procedure. More efforts are required to better educate dentists about hypnosis's benefits in their practice.
Most of periapical lesions usually result from microbial infection with oral microorganisms originating from the degenerated pulp tissue. These lesions are commonly painless and incidentally found on routine radiographic examinations. Treating these cases using non-surgical root canal is the fruit of the innovative techniques, tools and root medicaments as well as the tendency toward minimally invasive treatment. The healing process of the infected area is conditioned by a proper diagnosis, a treatment that follows good clinical practice under aseptic environment including cleaning, shaping and root filing. The aim of the present clinical case report was to report non-surgical healing of a periapical lesion of endodontic origin associated with maxillary left central incisor, observed over a period of 2 years.
MIH is defined as a qualitative enamel defect from systemic origin. It affects one to four permanent first molars and can affected also the permanent incisors with variable severity. Nowadays, the aetiology is unknown and there is a wide range of prevalence of MIH. Therefore, the early detection of the lesions offers to set up appropriate means of prevention as quickly as possible. Besides etiopathogenic investigations, this work is highlighting the therapeutic approach of MIH in children and adolescents. Preventive guidelines are invoked to extract sensibility and remedy either the high risk of caries or functional problems encountered most often.
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