Association of dental hypersensitivity and anxiety in children with molar-incisor hypomineralisation (MIH)

Vicioni-Marques, Fernanda; Carvalho, Milena Rodrigues; Raposo, Frederico; Paula-Silva, Francisco Wanderley Garcia; Queiroz, Alexandra Mussolino de; Leal, Soraya Coelho; Manton, David J.; Carvalho, Fabrício Kitazono de

doi:10.1007/s40368-023-00803-4

Cited by 8 publications

(5 citation statements)

References 40 publications

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“…Examining the effect of MIH on DFA is difficult as it is difficult to separate the impact of treatment, particularly in severely affected groups, as one of the most complex and multi-faceted contributions to DFA. More recently, authors reported no evidence of an association between MIH and DFA, confirming the results of Jälevik and Klingberg's landmark study and challenging pervasive clinical dogma [39][40][41][42].…”

Section: Dental Fear and Anxietysupporting

confidence: 53%

The Impact of Molar Incisor Hypomineralisation on Children and Adolescents: A Narrative Review

Shields,

Chen,

Crombie

et al. 2024

Healthcare

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Molar incisor hypomineralisation (MIH) is a qualitative developmental enamel defect with a prevalence of 13% worldwide. This review aims to outline the current evidence regarding the impact of MIH on children’s oral health and, more broadly, their day-to-day activities. MIH is associated with negative sequelae, including hypersensitivity, post-eruptive breakdown, the rapid development of carious lesions and poor aesthetics. Other concerns pertain to the clinical management of MIH and include difficulty in achieving local anaesthesia, increased dental fear and anxiety (DFA) and increased behaviour management problems. Oral health-related quality of life (OHRQoL) is the most standardised measure of patient impact; however, no instruments have been validated for use in MIH populations. The few existing observational studies investigating the impact of MIH on OHRQoL in children have produced conflicting results. Interventions to alleviate hypersensitivity and improve aesthetics had a positive impact on the OHRQoL of MIH-affected children. Multiple methodological issues make it difficult to measure the impact of MIH, including heterogeneity in the MIH severity classification, an overlap in the indices used to diagnose dental caries and MIH as well as the subjectivity of outcome measures for hypersensitivity and DFA.

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Section: Dental Fear and Anxietysupporting

confidence: 53%

The Impact of Molar Incisor Hypomineralisation on Children and Adolescents: A Narrative Review

Shields,

Chen,

Crombie

et al. 2024

Healthcare

Self Cite

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“…All studies that investigated the management of hypersensitivity revealed a reduction after therapy, according to a recent systematic review. However, none of these tactics can be entirely advised due of the moderate-to-high bias risk of the research, short follow-up periods, and small sample sizes [5,23,29].…”

Section: Hypersensitivity Remineralization and Pain Management In Mihmentioning

confidence: 99%

“…The pulp is not adequately protected from external stimuli as hypomineralized enamel is a poor insulator, and the tooth becomes susceptible to hot and cold conditions as a result. Chronic pulp stress causes an inflammatory reaction inside the pulp and pH changes at the periapical tissue level, resulting in hypersensitive pulp nerve tissue that activates with less stimulation than is typically required [29]. Multiple solutions have been proposed in the literature to address this problem.…”

Section: Hypersensitivity Remineralization and Pain Management In Mihmentioning

confidence: 99%

“…In contrast, studies comparing their effectiveness in infiltration anesthesia revealed that articaine was significantly more effective. Providing dental treatment under rubber dam isolation can avoid sensitivity from other teeth, and using a saliva ejector instead of high-volume suction for hypersensitive teeth could be a more comfortable choice [1,29].…”

Section: Hypersensitivity Remineralization and Pain Management In Mihmentioning

confidence: 99%

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Contemporary Understanding of the Etiology and Management of Molar Incisor Hypomineralization: A Literature Review

2023

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Molar incisor hypomineralization (MIH) is a significant health problem that can affect the child’s quality of life by negatively affecting their esthetics and function. This review aimed to summarize the etiology and pathogenesis of MIH. It also aimed to summarize the recent studies on MIH in children and adolescents, focusing on diagnosis, prevention, and clinical management. An electronic search on the PubMed, Cochrane Database of Systematic Reviews, MEDLINE, MedlinePlus, WHO reports, and Google Scholar databases was performed. The volume of research on the etiology, presentation, and clinical management of MIH is still expanding. The creation and validation of indices for the diagnosis and management of MIH, as well as any potential genetic aspects appear to be the main areas of current research. Notably, MIH was linked to childhood illnesses, the use of antibiotics, and early childhood fever. Although many studies discuss the different options for managing MIH lesions, evidence-based studies that address the long-term outcomes of MIH are still lacking. Indeed, future clinical studies should be directed to evaluate the impact of each systemic etiological factor and its different types of management on normal amelogenesis. Regarding the diagnosis, future research should focus on the pre-eruption diagnosis and early approaches to prevent the post-eruption breakdown and caries. Regarding the treatment of MIH, future investigations should emphasize further improvements in adhesion and the use of new materials and techniques, such as digital dentistry.

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“…MIH is putatively caused by multiple etiological factors [1,2]. MIH is a signi cant concern in modern Pediatric Dentistry due to its high prevalence, impact on the quality of life of affected children and challenges in treatment, particularly in severe cases with dental hypersensitivity, post-eruptive enamel breakdown and/or atypical caries lesions [3,4] The evaluation of mastication di culties and food intake problems in children with MIH have been conducted in a few studies. Ebel et al used speci c questions related to dietary/functional domains from the CPQ 8-10 questionnaire and found that children with severe MIH experienced greater di culty with cold and hard foods [5].…”

Section: Introductionmentioning

confidence: 99%

Unilateral Molar Incisor Hypomineralization influences the chewing side? An observational study in children

Cardoso-Silva,

Gomes,

Melo

et al. 2024

Preprint

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Objective: This observational study aims to compare the chewing patterns of children with Unilateral Mild and Severe MIH to those without MIH, based on the hypothesis that children with unilateral MIH may prefer to chew on the side opposite to the defect. Methods: A total of 121 children were included in the study and evaluated for their Preferred Chewing Side (PCS). This comprised 45 children with Unilateral Mild MIH (G1), 42 with Unilateral Severe MIH (G2), and 34 children in the control group (CG) who lacked MIH but had unilateral chewing complaints. Results: The PCS pattern differed among the groups, with 31% of children with MIH and 55.9% of the CG showing bilateral chewing. Chewing deviation prevalence was 24% in the CG and 52% in G2 (χ2 test; p = 0.03). Binomial logistic regression analysis revealed that both severities of MIH influenced the likelihood of chewing deviation (χ2 = 7.33, p = 0.026). Children with Unilateral Severe MIH were found to have 3.57 times higher odds of experiencing chewing deviation than those without MIH. Conclusions: Unilateral MIH affects children's masticatory patterns, increasing the risk of chewing deviation. Clinical Relevance: Unilateral chewing may be associated with various health issues, such as temporomandibular disorders (DTM), decreased hearing, and vision problems. Unilateral MIH could be considered a potential risk factor for unilateral chewing.

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Association of dental hypersensitivity and anxiety in children with molar-incisor hypomineralisation (MIH)

Cited by 8 publications

References 40 publications

The Impact of Molar Incisor Hypomineralisation on Children and Adolescents: A Narrative Review

The Impact of Molar Incisor Hypomineralisation on Children and Adolescents: A Narrative Review

Contemporary Understanding of the Etiology and Management of Molar Incisor Hypomineralization: A Literature Review

Unilateral Molar Incisor Hypomineralization influences the chewing side? An observational study in children

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