臼齿门牙矿化不足:勒克瑙市 7 至 9 岁儿童的牙槽骨矿化率和治疗需求。

Akash R Chowdhury, Neerja Singh, Monika Rathore
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引用次数: 0

摘要

背景:磨牙切牙低矿化(MIH)是牙科医生遇到的最常见的发育障碍之一,可能会影响儿童的生活质量,并影响他们未来的牙齿健康:对总共 800 名 7 至 9 岁的儿童进行临床筛查,以确定是否存在 MIH。所有人口统计学细节均由检查者与家长沟通后填写,检查采用维尔茨堡MIH概念:受检儿童中MIH的总体发病率为5.12%。男性发病率(7%)高于女性(3.25%)。MIH在下颌牙弓的分布高于上颌牙弓。受影响最大的牙齿是下颌磨牙,其次是上颌切牙,受影响最小的牙齿是上颌磨牙。根据严重程度,55.14%的受MIH影响的牙齿没有破损或过敏现象,30.14%的牙齿有过敏现象但没有破损,7.35%的牙齿既有过敏现象又有破损。根据严重程度,对 39.70% 的牙齿建议采取的干预措施是使用含氟牙膏、酪蛋白磷酸肽-无定形磷酸钙(CPP-ACP)再矿化剂和涂抹清漆。随后,38.97%的牙齿被建议使用封闭剂和低粘度玻璃离子粘结剂(GIC),7.35%的牙齿被建议使用短期和长期修复体,包括不锈钢冠(SSC):结论:勒克瑙市儿童的MIH发病率为5.12%。MIH缺陷的特征可预测受影响的第一恒磨牙和切牙的治疗情况,并可指导其管理:Chowdhury AR, Singh N, Rathore M. Molar Incisor Hypomineralization:勒克瑙市 7 至 9 岁儿童的发病率和治疗需求。Int J Clin Pediatr Dent 2024;17(7):790-795.
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Molar Incisor Hypomineralization: Prevalence and Treatment Needs in 7- to 9-year-old Children of Lucknow City.

Background: Molar incisor hypomineralization (MIH) is one of the most common developmental disturbances that dental practitioners encounter, which may influence the child's quality of life and can impact their future dental health.

Aim: To determine prevalence and treatment needs of MIH in children of Lucknow.

Materials and methods: A total of 800 children aged 7 to 9 years were clinically screened for the presence of MIH. All demographic details were filled in by the examiner in communication with the parents, and examination was performed using the Würzburg MIH concept.

Results: The overall prevalence of MIH in the children examined was 5.12%. A higher prevalence was found in males (7%) than in females (3.25%). The distribution of MIH was higher in the mandibular arch than in the maxillary arch. Mandibular molars were the most affected teeth, followed by maxillary incisors, and the least affected teeth were maxillary molars. On the basis of severity, 55.14% of teeth with MIH had no breakdown or hypersensitivity followed by 30.14% of teeth with hypersensitivity but no breakdown, and 7.35% of teeth had both hypersensitivity and breakdown. Based on severity, in 39.70% of teeth, the intervention suggested was fluoridated toothpaste, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) remineralizing agent, and varnish application. This was followed by the application of sealants and low-viscosity glass ionomer cement (GIC) in 38.97% of teeth, and in 7.35% of teeth, short- and long-term restorations, including stainless steel crown (SSC), were recommended.

Conclusion: Prevalence of 5.12% was observed in children of Lucknow city. The characteristics of MIH defects were predictive of the treatment of the affected first permanent molars and incisors and can guide their management.

How to cite this article: Chowdhury AR, Singh N, Rathore M. Molar Incisor Hypomineralization: Prevalence and Treatment Needs in 7- to 9-year-old Children of Lucknow City. Int J Clin Pediatr Dent 2024;17(7):790-795.

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