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Molar incisor hypomineralisation (MIH): correlation with dental caries and dental fear

  • Original Scientific Article
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European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Aim

This cross-sectional study was to investigate correlations between molar incisor hypomineralisation (MIH), dental caries and child dental fear.

Materials and methods

The subjects in the study were representative samples of 8 and 14 year old children from three Greek cities (total N = 2335). Dental examinations were performed by one calibrated examiner in classrooms, after the children had brushed their teeth, using an intraoral mirror and artificial room light supplemented by a penlight. All the children completed the children’s fear survey schedule—dental subscale (CFSS-DS) questionnaire. MIH scores were recorded using EAPD criteria and dental caries experience by DMFS/dmfs index. Data were analysed with the Chi-squared (χ 2), Mann–Whitney and Spearman’s rank correlation coefficient tests.

Results

The mean DMFS in children with MIH (8-year olds: 1.60 ± 2.01, 14-year olds: 4.60 ± 4.41) was statistically significantly higher than children without MIH (8-year olds: 1.01 ± 1.78, 14-year olds: 3.46 ± 4.28) (p < 0.001 for both age groups). Children with severe MIH had statistically significantly higher mean DMFS scores than children with mild or no MIH (p < 0.001), while the dmfs of the 8 year olds were unrelated to their MIH status (p = 0.332). Caries experience was associated with the MIH status of the first permanent molars in both age groups (p < 0.001). The mean CFSS-DS scores did not differ significantly between the groups of children without (26.2 ± 9.9) or with MIH (26.5 ± 9.6) (p = 0.339), regardless of MIH severity.

Conclusions

A positive association between MIH and dental caries was confirmed and a lack of association found between MIH and dental fear in Greek children.

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References

  • Arapostathis KN, Coolidge T, Emmanouil D, Kotsanos N. Reliability and validity of the Greek version of the Children’s Fear Survey Schedule-Dental Subscale. Int J Paediatr Dent. 2008;18(5):374–9.

    Article  PubMed  Google Scholar 

  • Carrillo-Diaz M, Crego A, Armfield JM, Romero-Maroto M. Treatment experience, frequency of dental visits, and children’s dental fear: a cognitive approach. Eur J Oral Sci. 2012;120:75–81.

    Article  PubMed  Google Scholar 

  • Carrillo-Diaz M, Crego A, Romero-Maroto M. The influence of gender on the relationship between dental anxiety and oral health-related emotional well-being. Int J Paediatr Dent. 2013;23(3):180–7.

    Article  PubMed  Google Scholar 

  • Cho SY, Ki Y, Chu V. Molar incisor hypomineralization in Hong Kong Chinese children. Int J Paediatr Dent. 2008;18(5):348–52.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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;16(3):247–55.

    Article  PubMed  Google Scholar 

  • Fagrell T. Molar incisor hypomineralization. Morphological and chemical aspects, onset and possible etiological factors. Swed Dent J Suppl. 2011;216:5, 11–83.

  • Garcia-Margarit M, Catalá-Pizarro M, Montiel-Company JM, Almerich-Silla JM. Epidemiologic study of molar-incisor hypomineralization in 8-year-old Spanish children. Int J Paediatr Dent. 2014;24(1):14–22.

    Article  PubMed  Google Scholar 

  • Ghanim A, Mariño R, Morgan M, Bailey D. Manton D An in vivo investigation of salivary properties, enamel hypomineralisation, and carious lesion severity in a group of Iraqi schoolchildren. Int J Paediatr Dent. 2013;23(1):2–12.

    Article  PubMed  Google Scholar 

  • Ghanim A, Elfrink M, Weerheijm K, Mariño R, Manton D. A practical method for use in epidemiological studies on enamel hypomineralisation. Eur Arch Paediatr Dent. 2015;16(3):235–46.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grošelj M, Jan J. Molar incisor hypomineralisation and dental caries among children in Slovenia. Eur J Paediatr Dent. 2013;14(3):241–5.

    PubMed  Google Scholar 

  • Heitmüller D, Thiering E, Hoffmann U, GINIplus Study Group, et al. Is there a positive relationship between molar incisor hypomineralisations and the presence of dental caries? Int J Paediatr Dent. 2013;23(2):116–24.

    Article  PubMed  Google Scholar 

  • Jälevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent. 2002;12(1):24–32.

    PubMed  Google Scholar 

  • Jälevik B. Prevalence and diagnosis of Molar-incisor hypomineralisation (MIH): a systematic review. Eur Arch Dent. 2010;11(2):59–64.

    Article  Google Scholar 

  • Jälevik B, Klingberg G. Treatment outcomes and dental anxiety in 18-year-olds with MIH, comparisons with healthy controls—a longitudinal study. Int J Paediatr Dent. 2012;22(2):85–91.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Kevrekidou A, Kosma I, Arapostathis KN, Kotsanos N. Molar Incisor Hypomineralisation of 8- and 14-year-old children: prevalence, severity and defect characteristics. Pediatr Dent. 2015;37(5):455–61.

    PubMed  Google Scholar 

  • Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17:391–406.

    Article  PubMed  Google Scholar 

  • Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management of first permanent molars in children with molar-incisor hypomineralisation. Eur J Paediatr Dent. 2005;6(4):179–84.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Petrou MA, Giraki M, Bissar AR, et al. Prevalence of molar-incisor-hypomineralisation among school children in four German cities. Int J Dent. 2014;24(6):434–40.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Rodd HD, Boissonade FM, Day PF. Pulpal status of hypomineralized permanent molars. Pediatr Dent. 2007;29(6):514–20.

    PubMed  Google Scholar 

  • Salem K, Kousha M, Anissian A, Shahabi A. Dental fear and concomitant factors in 3–6 year-old children. J Dent Res Dent Clin Dent Prospects. 2012;6(2):70–4.

    PubMed  PubMed Central  Google Scholar 

  • Weerheijm K, 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 Arch Paediatr Dent. 2003;4:110–3.

    Google Scholar 

  • WHO (1997) Oral health surveys: basic methods. Geneva: World Health Organization.

  • Wogelius P, Poulsen S, Sørensen HT. Prevalence of dental anxiety and behaviour management problems among 6–8 years old Danish children. Acta Odontol Scand. 2003;61(3):178–83.

    Article  PubMed  Google Scholar 

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Acknowledgments

We express our gratitude to all the children for their willingness to participate in this study and to the school authorities for the excellent cooperation. We also thank Dr Zoe Tzelepi, DDS, for her volunteer assistance during our visits to the schools.

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Authors and Affiliations

  1. Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece

    I. Kosma, A. Kevrekidou, V. Boka, K. Arapostathis & N. Kotsanos

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  1. I. Kosma
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  2. A. Kevrekidou
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  3. V. Boka
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  4. K. Arapostathis
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  5. N. Kotsanos
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Correspondence to V. Boka.

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Kosma, I., Kevrekidou, A., Boka, V. et al. Molar incisor hypomineralisation (MIH): correlation with dental caries and dental fear. Eur Arch Paediatr Dent 17, 123–129 (2016). https://doi.org/10.1007/s40368-016-0221-4

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  • DOI: https://doi.org/10.1007/s40368-016-0221-4

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