Relationship Between Caries Experience and Demarcated Hypomineralised Lesions (including MIH) in the Permanent Dentition of 15-year-olds

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2017 Dec 11

PMID 29224062

Citations 19

Authors

Jan Kuhnisch

Lamiaa Kabary

Yuri Malyk

Katrin Rothmaier

Isabel Metz

Reinhard Hickel

Joachim Heinrich

David Manton

Marie Standl

Affiliations

Soon will be listed here.

Abstract

Objective: This cross-sectional study compared the caries experience in 15-year-olds with and without demarcated hypomineralised lesions (DHL) in permanent teeth.

Material And Methods: One thousand three hundred and two 15-year-old adolescents from two ongoing birth cohorts (GINIplus15 and LISAplus15) were examined to determine non-cavitated carious lesions (NCCL) and the DMF index. Furthermore, DHL was scored on all permanent teeth/surfaces according to the molar-incisor hypomineralisation criteria of the European Academy of Paediatric Dentistry (MIH/EAPD). Adolescents with DHL were categorised into those with a minimum of one DHL in the permanent dentition (DHL ≥ 1), with DHL on at least one first permanent molar (MIH/EAPD) and with DHL on at least one first permanent molar and permanent incisor (MIH/Severe). The study was conducted in the metropolitan area of Munich.

Results: The proportion of children without caries amounted to 63.7% (DMF > 0) and 26.0% (DMF > 0); the caries experience was mean = 4.0(SD = 5.2) NCCL/T and 0.9(1.7) DMF/T. Existence of DHL ≥ 1, MIH/EAPD and MIH/Severe was detected in 40.2, 17.2 and 9.8% of all adolescents, respectively. The corresponding DMF/T values were: no DHL 0.9(1.7); DHL ≥ 1 1.0(1.7); MIH/EAPD 1.1(1.6); MIH/Severe 1.1(1.7). The group of adolescents with MIH/EAPD and MIH/Severe were found to have statistically higher caries rates in comparison to those with no DHL.

Conclusions: Caries and DHL are prevalent and influenced the dental health of 15-year-old adolescents. A significant positive association existed between the presence of caries and DHL.

Clinical Relevance: Children with MIH/EAPD or MIH/Severe had a higher probability to develop carious lesions in the permanent dentition.

Citing Articles

Effectiveness of fissure sealants in 8- to 10-year-olds with and without molar-incisor hypomineralization (MIH) - results from a cross-sectional epidemiological study.

Zollner F, Fresen K, Gaballah R, Schill H, Pitchika V, Amend S Clin Oral Investig. 2024; 29(1):20.

PMID: 39692926 PMC: 11655578. DOI: 10.1007/s00784-024-06083-6.

Which are the clinical consequences of Molar Incisor hypomineralization (MIH) in children and adolescents? Systematic review and meta-analysis.

Gevert M, Wambier L, Ito L, de Souza J, Chibinski A Clin Oral Investig. 2024; 28(7):415.

PMID: 38967818 DOI: 10.1007/s00784-024-05800-5.

Association of Three Genetic Loci with Molar Incisor Hypomineralization in Polish Children.

Milona M, Ciechanowicz A, Wesierska K, Gonda-Domin M, Zawislak A, Jarzabek A J Clin Med. 2024; 13(3).

PMID: 38337551 PMC: 10856562. DOI: 10.3390/jcm13030857.

Is there a rise of prevalence for Molar Incisor Hypomineralization? A meta-analysis of published data.

Sluka B, Held U, Wegehaupt F, Neuhaus K, Attin T, Sahrmann P BMC Oral Health. 2024; 24(1):127.

PMID: 38273324 PMC: 10809700. DOI: 10.1186/s12903-023-03637-0.

Developmental enamel defects and their relationship with caries in adolescents aged 18 years.

Olczak-Kowalczyk D, Kramer N, Gozdowski D, Turska-Szybka A Sci Rep. 2023; 13(1):4932.

PMID: 36973358 PMC: 10042880. DOI: 10.1038/s41598-023-31717-2.

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