Prevalence of Enamel Hypomineralisation/Molar Incisor Hypomineralisation: A Scoping Review.

Monographs in oral science Pub Date : 2024-01-01 Epub Date: 2024-07-01 DOI:10.1159/000538876
Jan Kühnisch, Karl-Ferdinand Fresen
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Abstract

The aim of this scoping review was to provide an up-to-date assessment of the prevalence of enamel hypomineralisation (EH) and, in particular, molar incisor hypomineralisation (MIH). Epidemiological studies published from 2010 to 2023 were analyzed. After screening the primary literature, a total of 139 studies were included. According to the available epidemiological trials of children and adolescents from Europe (n = 39), the average prevalence of EH/MIH was 16.74%. The data from Asian studies (n = 50) showed an average prevalence of 15.6%. For South America (n = 33 studies), the mean prevalence of EH/MIH was 16.7%. The mean prevalence rates for North America (N = 9 studies), Africa (N = 6), and Australia (N = 2) were 25.9%, 11.4%, and 16.8%, respectively. Taken together, these data indicate that EH/MIH is a prevalent condition worldwide. With the aim of standardizing and generating comparable prevalence data, the use of the currently established criteria by the European Academy of Paediatric Dentistry (EAPD) for the detection of EH/MIH may support consistent reporting in epidemiological trials. However, other EH/MIH indices and phenotypes do exist. As the determination of EH/MIH prevalence depends on the correct use of index teeth, meticulous attention must be given to their correct application.

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釉质矿化不足/磨牙切牙矿化不足的普遍性:范围审查。
本范围界定综述旨在对釉质矿化不足(EH),尤其是磨牙切牙矿化不足(MIH)的患病率进行最新评估。研究分析了2010年至2023年发表的流行病学研究。在对主要文献进行筛选后,共纳入了 139 项研究。根据现有的欧洲儿童和青少年流行病学试验(39 项),EH/MIH 的平均患病率为 16.74%。来自亚洲的研究数据(n = 50)显示,平均发病率为 15.6%。南美洲(n = 33 项研究)的 EH/MIH 平均患病率为 16.7%。北美(9 项研究)、非洲(6 项研究)和澳大利亚(2 项研究)的平均患病率分别为 25.9%、11.4% 和 16.8%。总之,这些数据表明,EH/MIH 在全球范围内普遍存在。为了规范和生成可比较的患病率数据,使用欧洲儿童牙科学院(EAPD)目前制定的标准来检测 EH/MIH 可能有助于在流行病学试验中进行一致的报告。然而,确实存在其他的 EH/MIH 指数和表型。由于 EH/MIH 患病率的确定取决于对指数牙的正确使用,因此必须对指数牙的正确应用给予细致的关注。
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Challenges of Using Scoring Systems for the Assessment of Molar Incisor Hypomineralisation. Clinical Characteristics and Differential Diagnosis of Hypomineralised Second Primary Molars and Molar Incisor Hypomineralisation. Cost-Effectiveness of Managing MIH Teeth. Deciduous Teeth Hypomineralisation and Perinatal Risk Factors. Developmental Defects of Enamel.
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