Advertisement

European Archives of Paediatric Dentistry

, Volume 17, Issue 2, pp 107–113 | Cite as

Canines are affected in 16-year-olds with molar–incisor hypomineralisation (MIH): an epidemiological study based on the Tromsø study: "Fit Futures"

  • A. SchmalfussEmail author
  • K. R. Stenhagen
  • A. B. Tveit
  • C.-G. Crossner
  • I. Espelid
Article

Abstract

Aim

This was to determine the prevalence, distribution of affected teeth and severity of MIH in adolescents from Northern Norway.

Methods

It was part of a cross-sectional health survey Fit Futures including 16-year-olds from two neighbouring municipalities, Tromsø and Balsfjord.

Results

The prevalence of MIH was 13.9 % (110 of 794). The maxillary first permanent molars (FPMs) were 1.6 times more frequently affected than in the mandible (P < 0.001). The FPMs on the right side were 1.2 times more often affected than the FPMs on the left side (P = 0.038). The maxillary incisors were 2.5 times more often affected than the incisors in the mandible (P < 0.001). The proportions of participants whose canines and incisors were involved were 22.8 and 41.8 %, respectively. Altogether 201 FPMs were affected; 54.0 % of these had opacities only, 24.3 % had posteruptive breakdown (PEB), 18.8 % had atypical restorations, and 3.0 % had been extracted due to MIH. The buccal surfaces were most often affected in FPMs. More severe lesions were found in the mandibular FPMs compared with the maxillary FPMs (P = 0.002). In the lower canines, only opacities were recorded, while in the upper jaw 13.0 % of the affected canines showed PEBs. The distribution of MIH in the dentition was not symmetrical.

Conclusion

The prevalence of MIH (13.9 %) in the study population of 16-year-olds from Northern Norway is consistent with previous Scandinavian reports. The distribution pattern shows that one participant in four with MIH had at least one affected canine. Further studies are needed to describe the localisation of defects on the enamel surface and to relate these findings to enamel thickness and the duration of amelogenesis.

Keywords

Molar–incisor hypomineralisation Prevalence Epidemiology Norway 

Notes

Acknowledgments

The authors would like to thank Ioanna Dallari Jacobsen for clinical examination of all participants and Anniken Lorentzen for clinical photography.

References

  1. Alaluusua S, Lukinmaa PL, Koskimies M, et al. Developmental dental defects associated with long breast feeding. Eur J Oral Sci. 1996a;104(5–6):493–7.CrossRefPubMedGoogle Scholar
  2. Alaluusua S, Lukinmaa PL, Vartiainen T, et al. Polychlorinated dibenzo-p-dioxins and dibenzofurans via mother’s milk may cause developmental defects in the child’s teeth. Environ Toxicol Pharmacol. 1996b;1(3):193–7.CrossRefPubMedGoogle Scholar
  3. Allazzam SM, Alaki SM, El Meligy OA. Molar incisor hypomineralization, prevalence, and etiology. Int J Dent. 2014;2014:234508. doi: 10.1155/2014/234508.CrossRefPubMedPubMedCentralGoogle Scholar
  4. AlQahtani SJ, Hector MP, Liversidge HM. Brief communication: the London atlas of human tooth development and eruption. Am J Phys Anthropol. 2010;142(3):481–90. doi: 10.1002/ajpa.21258.CrossRefPubMedGoogle Scholar
  5. Bhaskar SA, Hegde S. Molar–incisor hypomineralization: prevalence, severity and clinical characteristics in 8- to 13-year-old children of Udaipur, India. J Indian Soc Pedod Prev Dent. 2014;32(4):322–9. doi: 10.4103/0970-4388.140960.CrossRefPubMedGoogle Scholar
  6. Brogardh-Roth S, Matsson L, Klingberg G. Molar–incisor hypomineralization and oral hygiene in 10- to-12-year-old Swedish children born preterm. Eur J Oral Sci. 2011;119(1):33–9. doi: 10.1111/j.1600-0722.2011.00792.x.CrossRefPubMedGoogle Scholar
  7. Chawla N, Messer LB, Silva M. Clinical studies on molar–incisor–hypomineralisation part 1: distribution and putative associations. Eur Arch Paediatr Dent. 2008;9(4):180–90.CrossRefPubMedGoogle Scholar
  8. Cho SY, Ki Y, Chu V. Molar incisor hypomineralization in Hong Kong Chinese children. Int J Paediatr Dent. 2008;18(5):348–52. doi: 10.1111/j.1365-263X.2008.00927.x.CrossRefPubMedGoogle Scholar
  9. da Costa-Silva CM, Jeremias F, de Souza JF, et al. Molar incisor hypomineralization: prevalence, severity and clinical consequences in Brazilian children. Int J Paediatr Dent. 2010;20(6):426–34. doi: 10.1111/j.1365-263X.2010.01097.x.CrossRefPubMedGoogle Scholar
  10. Dietrich G, Sperling S, Hetzer G. Molar incisor hypomineralisation in a group of children and adolescents living in Dresden (Germany). Eur J Paediatr Dent. 2003;4(3):133–7.PubMedGoogle Scholar
  11. Elfrink ME, Veerkamp JS, Aartman IH, Moll HA, Ten Cate JM. Validity of scoring caries and primary molar hypomineralization (DMH) on intraoral photographs. Eur Arch Paediatr Dent. 2009;10(Suppl 1):5–10.CrossRefPubMedGoogle Scholar
  12. Elfrink ME, ten Cate JM, Jaddoe VW, et al. Deciduous molar hypomineralization and molar incisor hypomineralization. J Dent Res. 2012;91(6):551–5. doi: 10.1177/0022034512440450.CrossRefPubMedGoogle Scholar
  13. Elfrink ME, ten Cate JM, van Ruijven LJ, Veerkamp JS. Mineral content in teeth with deciduous molar hypomineralisation (DMH). J Dent. 2013;41(11):974–8. doi: 10.1016/j.jdent.2013.08.024.CrossRefPubMedGoogle Scholar
  14. Elfrink ME, Ghanim A, Manton DJ, Weerheijm KL. Standardised studies on molar incisor hypomineralisation (MIH) and hypomineralised second primary molars (HSPM): a need. Eur Arch Paediatr Dent. 2015. doi: 10.1007/s40368-015-0179-7.PubMedCentralGoogle Scholar
  15. Fearne J, Anderson P, Davis GR. 3D X-ray microscopic study of the extent of variations in enamel density in first permanent molars with idiopathic enamel hypomineralisation. Br Dent J. 2004;196(10):634–8.CrossRefPubMedGoogle Scholar
  16. Garcia-Margarit M, Catala-Pizarro M, Montiel-Company JM, Almerich-Silla JM. Epidemiologic study of molar–incisor hypomineralization in 8-year-old Spanish children. Int J Paediatr Dent. 2013. doi: 10.1111/ipd.12020.PubMedGoogle Scholar
  17. Ghanim A, Morgan M, Marino R, Bailey D, Manton D. Molar–incisor hypomineralisation: prevalence and defect characteristics in Iraqi children. Int J Paediatr Dent. 2011;21(6):413–21. doi: 10.1111/j.1365-263X.2011.01143.x.CrossRefPubMedGoogle Scholar
  18. Jälevik B, Noren JG. Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent. 2000;10(4):278–89.CrossRefPubMedGoogle Scholar
  19. Jälevik B, Klingberg G, Barregard L, Noren JG. The prevalence of demarcated opacities in permanent first molars in a group of Swedish children. Acta Odontol Scand. 2001;59(5):255–60.CrossRefPubMedGoogle Scholar
  20. Jälevik B. Prevalence and diagnosis of molar–incisor–hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2010;11(2):59–64.CrossRefPubMedGoogle Scholar
  21. Jankovic S, Ivanovic M, Davidovic B, Lecic J. Distribution and characteristics of molar–incisor hypomineralization. Vojnosanit Pregl. 2014;71(8):730–4.CrossRefPubMedGoogle Scholar
  22. Jasulaityte L, Veerkamp JS, Weerheijm KL. Molar incisor hypomineralization: review and prevalence data from the study of primary school children in Kaunas/Lithuania. Eur Arch Paediatr Dent. 2007;8(2):87–94.CrossRefPubMedGoogle Scholar
  23. Jeremias F, de Souza JF, Silva CM, et al. Dental caries experience and molar–incisor Hypomineralization. Acta Odontol Scand. 2013;71(3–4):870–6. doi: 10.3109/00016357.2012.734412.CrossRefPubMedGoogle Scholar
  24. Koch G, Hallonsten AL, Ludvigsson N, et al. Epidemiologic study of idiopathic enamel hypomineralization in permanent teeth of Swedish children. Community Dent Oral Epidemiol. 1987;15(5):279–85.CrossRefPubMedGoogle Scholar
  25. Kopans DB. Double reading. Radiol Clin North Am. 2000;38(4):719–24.CrossRefPubMedGoogle Scholar
  26. Kühnisch J, Heitmüller D, Thiering E, et al. Proportion and extent of manifestation of molar–incisor–hypomineralizations according to different phenotypes. J Public Health Dent. 2014;74(1):42–9. doi: 10.1111/j.1752-7325.2012.00365.x.CrossRefPubMedGoogle Scholar
  27. Kühnisch J, Thiering E, Kratzsch J, et al. Elevated serum 25(OH)-vitamin D levels are negatively correlated with molar–incisor hypomineralization. J Dent Res. 2015;94(2):381–7. doi: 10.1177/0022034514561657.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Kukleva MP, Petrova SG, Kondeva VK, Nihtyanova TI. Molar incisor hypomineralisation in 7-to-14-year old children in Plovdiv, Bulgaria–an epidemiologic study. Folia Med (Plovdiv). 2008;50(3):71–5.PubMedGoogle Scholar
  29. Leppäniemi A, Lukinmaa PL, Alaluusua S. Nonfluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res. 2001;35(1):36–40. doi: 10.1159/000047428. CrossRefPubMedGoogle Scholar
  30. Liversidge HM. Crown formation times of human permanent anterior teeth. Arch Oral Biol. 2000;45(9):713–21.CrossRefPubMedGoogle Scholar
  31. Lygidakis NA, Dimou G, Briseniou E. Molar–incisor–hypomineralisation (MIH). Retrospective clinical study in Greek children I. Prevalence and defect characteristics. Eur Arch Paediatr Dent. 2008a;9(4):200–6.CrossRefPubMedGoogle Scholar
  32. Lygidakis NA, Dimou G, Marinou D. Molar–incisor–hypomineralisation (MIH). A retrospective clinical study in Greek children. II. Possible medical aetiological factors. Eur Arch Paediatr Dent. 2008b;9(4):207–17.CrossRefPubMedGoogle Scholar
  33. Lygidakis NA, Wong F, Jälevik B, et al. Best clinical practice guidance for clinicians dealing with children presenting with molar–incisor–hypomineralisation (MIH): an EAPD policy document. Eur Arch Paediatr Dent. 2010;11(2):75–81.CrossRefPubMedGoogle Scholar
  34. Martínez Gómez TP, Guinot Jimeno F, Bellet Dalmau LJ, Giner Tarrida L. Prevalence of molar–incisor hypomineralisation observed using transillumination in a group of children from Barcelona (Spain). Int J Paediatr Dent. 2012;22(2):100–9. doi: 10.1111/j.1365-263X.2011.01172.x.CrossRefPubMedGoogle Scholar
  35. Muratbegovic A, Markovic N, Ganibegovic Selimovic M. Molar incisor hypomineralisation in Bosnia and Herzegovina: aetiology and clinical consequences in medium caries activity population. Eur Arch Paediatr Dent. 2007;8(4):189–94.CrossRefPubMedGoogle Scholar
  36. Parikh DR, Ganesh M, Bhaskar V. Prevalence and characteristics of molar incisor hypomineralisation (MIH) in the child population residing in Gandhinagar, Gujarat, India. Eur Arch Paediatr Dent. 2012;13(1):21–6.CrossRefPubMedGoogle Scholar
  37. Petrou MA, Giraki M, Bissar AR, et al. Prevalence of molar–incisor–Hypomineralisation among school children in four German cities. Int J Paediatr Dent. 2013;. doi: 10.1111/ipd.12089.PubMedGoogle Scholar
  38. Petrou MA, Giraki M, Bissar AR, et al. Severity of MIH findings at tooth surface level among German school children. Eur Arch Paediatr Dent. 2015;. doi: 10.1007/s40368-015-0176-x.PubMedGoogle Scholar
  39. Preusser SE, Ferring V, Wleklinski C, Wetzel WE. Prevalence and severity of molar incisor hypomineralization in a region of Germany—a brief communication. J Public Health Dent. 2007;67(3):148–50.CrossRefPubMedGoogle Scholar
  40. Soviero V, Haubek D, Trindade C, Da Matta T, Poulsen S. Prevalence and distribution of demarcated opacities and their sequelae in permanent 1st molars and incisors in 7 to 13-year-old Brazilian children. Acta Odontol Scand. 2009;67(3):170–5. doi: 10.1080/00016350902758607.CrossRefPubMedGoogle Scholar
  41. Weerheijm KL, Jälevik B, Alaluusua S. Molar–incisor hypomineralisation. Caries Res. 2001;35(5):390–1. doi: 10.1159/000047479.10.1159/000047479.CrossRefPubMedGoogle Scholar
  42. Weerheijm KL, Duggal M, Mejare I, et al. Judgement criteria for molar incisor hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003. Eur J Paediatr Dent. 2003;4(3):110–3.PubMedGoogle Scholar
  43. Winther A, Dennison E, Ahmed LA, et al. The Tromso study: Fit Futures: a study of Norwegian adolescents’ lifestyle and bone health. Arch Osteoporos. 2014;9(1):185. doi: 10.1007/s11657-014-0185-0.CrossRefPubMedGoogle Scholar
  44. Wogelius P, Haubek D, Poulsen S. Prevalence and distribution of demarcated opacities in permanent 1st molars and incisors in 6 to 8-year-old Danish children. Acta Odontol Scand. 2008;66(1):58–64. doi: 10.1080/00016350801926941.CrossRefPubMedGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2015

Authors and Affiliations

  1. 1.Department of Clinical DentistryUiT The Arctic University of NorwayTromsøNorway
  2. 2.Institute of Clinical DentistryUniversity of OsloOsloNorway
  3. 3.The Public Dental Health Service Competence Centre of Northern NorwayTromsøNorway

Personalised recommendations