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Molar–incisor hypomineralization: parent’s and children’s impact perceptions on the oral health-related quality of life

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Abstract

Purpose

To evaluate the perception of parents and children and the impact of molar and incisor hypomineralization (MIH) on the oral health-related quality of life (OHRQoL).

Methods

A cross-sectional study was conducted with a group of 253 children aged 6–12 years presenting MIH and their parents or guardians who initially answered an interview containing socioeconomic and demographic questions as well as the Parental–Caregiver’s Perceptions Questionnaire (P-CPQ). The children answered the Child Perceptions Questionnaire (CPQ8-10) and Child Perceptions Questionnaire (CPQ11–14) and the clinical evaluation of MIH was performed. Poisson regression with robust variance was used in the data analysis.

Results

The parent’s perception showed that the impact felt by the children regarding caries leads to a higher oral symptom impact, functional limitation, emotional well-being and total PCPQ score domains, as well. For children with severe MIH, a higher prevalence of impact was felt regarding the functional limitation and emotional well-being. For CPQ8–10, the oral symptoms domain presented the highest mean score, while CPQ11–14 showed the functional limitations domain and P-CPQ the emotional well-being domain.

Conclusion

Considering the perception of parents or guardians, it was concluded that MIH promotes a negative impact on the OHRQoL. MIH had no significant impact on OHRQoL according to children’s perceptions.

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References

  • Berger TD, Kenny DJ, Casas MJ, Barrett EJ, Lawrence HP. Effects of severe dentoalveolar trauma on the quality-of-life of children and parents. Dent Traumatol. 2009;25:462–9.

    Article  Google Scholar 

  • Chawla N, Messer LB, Silva M. Clinical studies on molar–incisor-hypomineralisation part 1: distribution and putative associations. Eur Arch Paediatr Dent. 2008;9:180–90.

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Crombie F, Manton D, Kilpatrick N. Aetiology of molar incisor hypomineralization: a critical review. Int J Paediatr Dent. 2009;19:73–83.

    Article  Google Scholar 

  • Dantas-Neta NB, Moura LFAD, Cruz PF, Moura MS, Paiva SM, Martins CC, Lima MDM. Impact of molar–incisor hypomineralization on oral health-related quality of life in schoolchildren. Braz Oral Res. 2016;30:e117.

    Article  Google Scholar 

  • Fagrell TG, Dietz W, Jälevik B, Norén JG. Chemical, mechanical and morphological properties of hypomineralized enamel of permanent first molars. Acta Odontol Scand. 2010;68:215–22.

    Article  Google Scholar 

  • Folayan MO, Chukwumah NM, Popoola BO, et al. Developmental defects of the enamel and its impact on the oral health quality of life of children resident in Southwest Nigeria. BMC Oral Health. 2018;18(1):160.

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Goursand D, Paiva SM, Zarzar PM, et al. Cross-cultural adaptation of the child perceptions questionnaire 11–14 (CPQ11- 14) for the Brazilian Portuguese language. Health Qual Life Outcomes. 2008;14:2.

    Article  Google Scholar 

  • Goursand D, Paivai SM, Zarzar PM, Pordeus IA, Grochowski R, Allison PJ. Measuring parental-caregiver perceptions of child oral health-related quality of life: psychometric properties of the Brazilian version of the P-CPQ. Braz Dent J. 2009;20:169–74.

    Article  Google Scholar 

  • Ghanim A, Silva MJ, Elfrink MEC, et al. Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice. Eur Arch Paediatr Dent. 2017;18:225–42.

    Article  Google Scholar 

  • Gururatana O, Baker SR, Robinson PG. Determinants of children’s oral-health related quality of life over time. Community Dent Oral Epidemiol. 2014;42:206–15.

    Article  Google Scholar 

  • Gutiérrez TV, Ortega CCB, Pérez NP, Pérez AG. Impact of molar incisor hypomineralization on oral health-related quality of life in Mexican schoolchildren. J Clin Pediatr Dent. 2019;43:324–30.

    Article  Google Scholar 

  • Jälevik B, Norén JG. Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent. 2000;10:278–89.

    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;22:85–91.

    Article  Google Scholar 

  • Jedeon K, De la Dure-Molla M, Brookes SJ, et al. Enamel defects reflect perinatal exposure to bisphenol A. Am J Pathol. 2013;183:108–18.

    Article  Google Scholar 

  • Jeremias F, Koruyucu M, Küchler EC, Bayram M, Tuna EB, Deeley K, et al. Genes expressed in dental enamel development are associated with molar–incisor hypomineralization. Arch Oral Biol. 2013;58:1434–42.

    Article  Google Scholar 

  • Leal SC, Oliveira TRM, Ribeiro APD. Do parents and children perceive molar–incisor hypomineralization as an oral health problem. Int J Paediatr Dent. 2017;27:372–9.

    Article  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;35:36–40.

    Article  Google Scholar 

  • 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. 2008;9(4):200–6.

    Article  Google Scholar 

  • Lygidakis NA, Wong F, Jalevik B, Vierrou AM, Alaluusua S, Espelid I. Best clinical practice guidance for clinicians dealing with children presenting with molar–incisor-hypomineralisation (MIH): an EAPD policy document. Eur Arch Paediatr Dent. 2010;11:75–81.

    Article  Google Scholar 

  • Mangum JE, Crombie FA, Kilpatrick N, Manton DJ, Hubbard MJ. Surface integrity governs the proteome of hypomineralized enamel. J Dent Res. 2010;89:1160–5.

    Article  Google Scholar 

  • Martins MT, Ferreira FM, Oliveira AC, et al. Preliminary validation of the Brazilian version of the child perceptions questionnaire 8–10. Eur J Paediatr Dent. 2009;10:135–40.

    PubMed  Google Scholar 

  • Martins-Júnior PA, Oliveira M, Marques LS, Ramos-Jorge ML. Untreated dental caries: impact on quality of life of children of low socioeconomic status. Pediatr Dent. 2012;34:546–9.

    Google Scholar 

  • Merdad L, El-Housseiny AA. Do children’s previous dental experience and fear affect their perceived oral health-related quality of life (OHRQoL)? BMC Oral Health. 2017;17:47.

    Article  Google Scholar 

  • Paula JS, Leite IC, de Almeida AB, Ambrosano GM, Mialhe FL. The impact of socioenvironmental characteristics on domains of oral health-related quality of life in Brazilian schoolchildren. BMC Oral Health. 2013;13:10.

    Article  Google Scholar 

  • Peres KG, Peres MA, Araújo CLP, Menezes AMB, Hallal PC. Social and dental status along the life course and oral health impacts in adolescents: a population-based birth cohort. Health Qual Life Outcomes. 2009;7:95.

    Article  Google Scholar 

  • Piovesan C, Antunes JL, Guedes RS, Ardenghi TM. Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Qual Life Res. 2010;19:1359–66.

    Article  Google Scholar 

  • Piovesan C, Guedes RS, Ardenghi TM. Influence of self-perceived oral health and socioeconomic predictors on the utilization of dental care services by schoolchildren. Braz Oral Res. 2011;25:143–9.

    Article  Google Scholar 

  • Portella PD, Menoncin BLV, de Souza JF, de Menezes JVNB, Fraiz FC, Assunção LRDS. Impact of molar incisor hypomineralization on quality of life in children with early mixed dentition: a hierarchical approach. Int J Paediatr Dent. 2019;29(4):496–506.

    Article  Google Scholar 

  • Renzaho A, Mellor D, Mccabe M, Powell M. Family functioning, parental psychological distress and child behaviours: evidence from the victorian child health and wellbeing study. Australian Psychologist. 2013;48:217–25.

    Article  Google Scholar 

  • Scheffel DL, Jeremias F, Fragelli CM, Dos Santos-Pinto LA, Hebling J, de Oliveira OB. Esthetic dental anomalies as motive for bullying in schoolchildren. Eur J Dent. 2014;8:124–8.

    Article  Google Scholar 

  • Velandia LM, Álvarez LV, Mejía LP, Rodríguez MJ. Oral health-related quality of life in Colombian children with molar–incisor hypomineralization. Acta Odontol Latinoam. 2018;31:38–44.

    PubMed  Google Scholar 

  • Weerheijm KL, Duggal M, Mejàre 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;4:110–3.

    PubMed  Google Scholar 

  • WHO. Oral health surveys basics methods. 4th ed. Geneva: Word Health Organization; 1997.

    Google Scholar 

Download references

Funding

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001.

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Correspondence to L. B. Oliveira.

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Dias, F.M.C.S., Gradella, C.M.F., Ferreira, M.C. et al. Molar–incisor hypomineralization: parent’s and children’s impact perceptions on the oral health-related quality of life. Eur Arch Paediatr Dent 22, 273–282 (2021). https://doi.org/10.1007/s40368-020-00556-4

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  • DOI: https://doi.org/10.1007/s40368-020-00556-4

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