Endemic Molar Incisor Hypomineralization: a Pandemic Problem That Requires Monitoring by the Entire Health Care Community

Schneider, Paul M.; Silva, Margarita

doi:10.1007/s11914-018-0444-x

Cited by 39 publications

(22 citation statements)

References 18 publications

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“…In a study of the burden of MIH in the world, it was estimated that the number of MIH cases was about 900 million in 2015 (Schneider & Silva, ). It is necessary to raise the awareness of the public, government authorities, and dental health professionals, particularly pediatric dentists, to give the due attention this condition requires.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the changes in molar incisor hypomineralization prevalence: A comparison of two cross‐sectional studies in two elementary schools in Mexico City between 2008 and 2017

Camacho

Villanueva-Gutiérrez

Castaño-Séiquer

et al. 2019

Clinical & Exp Dental Res

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Background Little information is available on the trends over time of the prevalence of molar incisor hypomineralization (MIH). This condition may be preventing dental caries decline. Aim (a) To compare the prevalence of MIH, in Mexico City schoolchildren, evaluated in 2008 with a group evaluated in 2017, (b) to identify the association of MIH with dental caries, and (c) to assess the mother's perception of her child's oral health status. Design Two cross‐sectional studies performed in 2008 and in 2017 were compared. The oral examiner and the selected schools were the same in both surveys. Results A total of 549 schoolchildren were evaluated. The prevalence of MIH in the first survey was 20.3%, and 31.9 % in the second survey, (p = .002). Children with MIH were more likely to have dental caries. The odds ratio was 2.24 (p = .036) and 4.18 (p ˂ .001) in the first and second surveys, respectively. Mothers of children with MIH perceived worse oral health status of their children than the mothers whose children did not have MIH (odds ratio = 4.47, p ˂ .001). Conclusion The findings portray a clear increase in prevalence of MIH and highlight the need for increased awareness about this condition among dentists and the general population.

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Section: Discussionmentioning

confidence: 99%

Evaluating the changes in molar incisor hypomineralization prevalence: A comparison of two cross‐sectional studies in two elementary schools in Mexico City between 2008 and 2017

Camacho

Villanueva-Gutiérrez

Castaño-Séiquer

et al. 2019

Clinical & Exp Dental Res

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“…More recently, authors provided a comprehensive manual to assist researchers in planning epidemiological studies of MIH in current populations, with particular reference to outcome measurement (Ghanim et al, ). Nowadays, the MIH global prevalence varies, mean 13.1% (Schwendicke et al, ), and damage caused to functionally essential teeth makes it a major public health problem (Schneider & Silva, ). MIH may impact on the well‐being of young patients in a crucial period of infant development (Dantas‐Neta et al, ; Leal, Oliveira, & Ribeiro, ).…”

Section: Introductionmentioning

confidence: 99%

Differential diagnoses of enamel hypomineralisation in an archaeological context: A postmedieval skeletal collection reassessment

Garot

Couture‐Veschambre

Manton

et al. 2019

Intl J of Osteoarchaeology

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Developmental enamel defects (DDE) are often used as indicators of general health in past archaeological populations. DDE include three common types of lesions: hypoplasia, diffuse, and demarcated opacities. Molar incisor hypomineralisation (MIH) was defined in 2001 as a qualitative enamel defect affecting first permanent molars and often permanent incisors. The European Academy of Paediatric Dentistry established criteria to diagnose MIH in current populations as demarcated white or yellow‐brown opacities of enamel with or without posteruptive breakdown. MIH is prevalent in current populations (average 14.2%) and may cause important damage to first permanent molars. Aetiological factors are uncertain. The discovery of MIH in archaeological skeletal collections based on macroscopic examination has been reported previously, in particular by Ogden and colleagues (2008). If MIH exists in past populations, there are profound implications regarding current aetiological hypotheses. Aims of the present study were to (a) reassess the London postmedieval archaeological collection from which the first cases of MIH were reported and evaluate the reliability of MIH diagnosis criteria in past populations and (b) differentially diagnose developmental defects of enamel and post mortem discoloration in the teeth. Contrary to the reported prevalence in the original study (93.2%), among 47 subadult (>18 years) individuals, a low MIH prevalence was determined (27%). Reliability of MIH diagnosis was tested with three MIH experts who were also physical anthropologists. Our study highlighted that the reliability of a macroscopic diagnosis of MIH in past populations is fair (Cohen's kappa = 0.35 ± 0.11; Fleiss's kappa = 0.3). It could explain the large differential in prevalence values in studies performed in archaeological collections. Pathological and taphonomic agents can produce enamel modifications indistinguishable from one another, even to an “experienced eye.” Here, we examined the literature to highlight potential differential diagnoses of MIH (taphonomic discoloration, amelogenesis imperfecta, fluorosis, rachitic teeth, etc.). Employing nondestructive analyses to characterise and diagnose tooth discoloration in past populations is highly recommended.

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“…Finalmente, en el caso 3, el tratamiento de mayor elección fue "Remover todo el esmalte afectado con HIM y dejar el borde de la preparación en esmalte sano" con un porcentaje de 52.32% (79 encuestados), siendo el tratamiento de menor elección "ninguna de las anteriores (N.A)" con un porcentaje de 5.30% (8 personas Así también, nos explica la importancia de mantener mayor esmalte dentario debido a que se trabaja en una estructura donde no existen prismas dispuestos de manera adecuada y con alto contenido proteico 15,16,35 .…”

Section: 97% (6 Encuestados)unclassified

“…Asimismo, explica que se debe conservar mayor cantidad de esmalte dentario. Con esto podemos concluir que aún en la actualidad existen diferentes maneras de manejar la información sobre la preparación cavitaria de una pieza con HIM, debido a los conocimientos obtenidos con la diferente formación de cada país [31][32][33][34][35] Por otro lado, se demostró que existe diferencia Evaluación del manejo terapéutico en estudiantes de pregrado en piezas con hipomineralización…”

Section: 97% (6 Encuestados)unclassified

Evaluación del manejo terapéutico en estudiantes de pregrado, egresados y docentes en piezas con hipomineralización incisivo-molar (HIM) en una universidad privada de Lima

Castilla

Ramı́rez

2021

spor

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Objetivo: Evaluar el manejo terapéutico elegido por los estudiantes de pregrado, egresados y docentes de una Universidad privada de Lima en piezas dentarias con HIM. Materiales y métodos: En este estudio se trabajó con 151 participantes, siendo estudiantes de pregrado, egresados y docentes entre los 20 a 42 años de una Universidad Privada en Chorrillos, Lima-Perú. Se les aplicó un cuestionario, el cual se subdividió en 2 fases: tipo de material y tipo de preparación cavitaria con 3 casos de HIM con diferente grado de severidad. Para el análisis univariado, se procedió a obtener la estadística descriptiva, frecuencias absolutas y relativas. Para análisis bivariado se realizó la prueba de Chi cuadrado (P<0.05). Resultados: En el caso 1, el tratamiento de mayor elección por todos los encuestados fue “Sellante de fisuras a base de material de ionómero de vidrio. En el caso 2, el tratamiento de mayor elección fue “corona preformada”. En el caso 3, hubo diferencias en la elección de preparación cavitaria. También, se observa que hubo diferencia significativa entre el nivel de formación con manejo terapéutico. (p=0,000). Conclusiones: En base a los resultados encontrados es posible concluir que se encontraron diferencias en la elección del manejo terapéutico entre los tres grupos de participantes ante los casos de HIM.

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Endemic Molar Incisor Hypomineralization: a Pandemic Problem That Requires Monitoring by the Entire Health Care Community

Cited by 39 publications

References 18 publications

Evaluating the changes in molar incisor hypomineralization prevalence: A comparison of two cross‐sectional studies in two elementary schools in Mexico City between 2008 and 2017

Evaluating the changes in molar incisor hypomineralization prevalence: A comparison of two cross‐sectional studies in two elementary schools in Mexico City between 2008 and 2017

Differential diagnoses of enamel hypomineralisation in an archaeological context: A postmedieval skeletal collection reassessment

Evaluación del manejo terapéutico en estudiantes de pregrado, egresados y docentes en piezas con hipomineralización incisivo-molar (HIM) en una universidad privada de Lima

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