The dental professional is exposed to complex challenges daily, posed by molar incisor hypomineralisation (MIH). These range from understanding its etiology through to determining the most effective strategies for clinical management of the problem. Beyond any doubt, the choice of the diagnostic scoring system to be used for recording the condition is included among these challenges. To a certain degree, this is understandable since the development of specific diagnostic tools for recording the occurrence of MIH takes place parallel to the ongoing discoveries about the problem. Therefore, the aim of this chapter is to present different MIH scoring systems that have previously been proposed in the literature for detecting MIH and discuss their applications, advantages, and limitations.
{"title":"Challenges of Using Scoring Systems for the Assessment of Molar Incisor Hypomineralisation.","authors":"Soraya Coelho Leal, Camila Fragelli, Fernanda Noal, Eliana Mitsue Takeshita","doi":"10.1159/000538867","DOIUrl":"https://doi.org/10.1159/000538867","url":null,"abstract":"<p><p>The dental professional is exposed to complex challenges daily, posed by molar incisor hypomineralisation (MIH). These range from understanding its etiology through to determining the most effective strategies for clinical management of the problem. Beyond any doubt, the choice of the diagnostic scoring system to be used for recording the condition is included among these challenges. To a certain degree, this is understandable since the development of specific diagnostic tools for recording the occurrence of MIH takes place parallel to the ongoing discoveries about the problem. Therefore, the aim of this chapter is to present different MIH scoring systems that have previously been proposed in the literature for detecting MIH and discuss their applications, advantages, and limitations.</p>","PeriodicalId":520236,"journal":{"name":"Monographs in oral science","volume":"32 ","pages":"56-67"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01Epub Date: 2024-07-01DOI: 10.1159/000538885
Elsa Garot, Alexandre R Vieira, David John Manton
The development of the human dentition is susceptible to disruption owing to its intricate and delicate nature, encompassing variations in tooth number, anatomical configuration, and the characteristics of enamel, dentine, and cementum. This chapter will specifically address the prevalent defect of molar incisor hypomineralisation (MIH), which can impose a significant treatment burden on individuals. MIH is linked to deleterious alterations in the properties of affected enamel, which can lead to rapid enamel breakdown and carious lesion formation in those at a heightened caries risk. In addition, MIH is associated with tooth sensitivity, dental anxiety, difficulty eating, aesthetic concerns, and negative influence during the child's psychological growth, especially when the MIH is severe. Regarding dental caries, it is essential to note that MIH does not directly increase the risk of caries. However, MIH can alter the way the caries process manifests by creating niches where biofilm can accumulate, complicating oral cleaning efforts. Additionally, MIH adversely modifies the physicochemical properties of enamel, influencing how this "hardest of tissues" responds to cariogenic challenges.
{"title":"Molar Incisor Hypomineralisation as a Dental Caries Risk Factor - Is It True?","authors":"Elsa Garot, Alexandre R Vieira, David John Manton","doi":"10.1159/000538885","DOIUrl":"https://doi.org/10.1159/000538885","url":null,"abstract":"<p><p>The development of the human dentition is susceptible to disruption owing to its intricate and delicate nature, encompassing variations in tooth number, anatomical configuration, and the characteristics of enamel, dentine, and cementum. This chapter will specifically address the prevalent defect of molar incisor hypomineralisation (MIH), which can impose a significant treatment burden on individuals. MIH is linked to deleterious alterations in the properties of affected enamel, which can lead to rapid enamel breakdown and carious lesion formation in those at a heightened caries risk. In addition, MIH is associated with tooth sensitivity, dental anxiety, difficulty eating, aesthetic concerns, and negative influence during the child's psychological growth, especially when the MIH is severe. Regarding dental caries, it is essential to note that MIH does not directly increase the risk of caries. However, MIH can alter the way the caries process manifests by creating niches where biofilm can accumulate, complicating oral cleaning efforts. Additionally, MIH adversely modifies the physicochemical properties of enamel, influencing how this \"hardest of tissues\" responds to cariogenic challenges.</p>","PeriodicalId":520236,"journal":{"name":"Monographs in oral science","volume":"32 ","pages":"166-172"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01Epub Date: 2024-07-01DOI: 10.1159/000538876
Jan Kühnisch, Karl-Ferdinand Fresen
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.
{"title":"Prevalence of Enamel Hypomineralisation/Molar Incisor Hypomineralisation: A Scoping Review.","authors":"Jan Kühnisch, Karl-Ferdinand Fresen","doi":"10.1159/000538876","DOIUrl":"https://doi.org/10.1159/000538876","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":520236,"journal":{"name":"Monographs in oral science","volume":"32 ","pages":"100-116"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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