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      Perception of Indian Dental Surgeons regarding Molar Incisor Hypomineralization

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          Abstract

          Aim

          To determine the perception of Indian dental professionals about prevalence, severity, and etiological factors of molar incisor hypomineralization (MIH).

          Materials and methods

          An online survey was mailed to dental professionals encompassing various questions regarding etiology, diagnosis, prevalence, and management of MIH.

          Results

          More than 90% of the respondents encounter teeth with hypomineralization in their practice, with less than half of them encountering such teeth on a monthly basis. Among these more than one-third find it difficult to manage one or the other aspect of MIH. The etiology was found to be varying as per the respondents.

          Conclusion

          Molar incisor hypomineralization is a common condition encountered by dental professionals with no apparent consensus regarding the anticipated prevalence, severity, and etiology of this condition. Knowledge of clinicians’ level of perception could be an incentive for pediatric dentists to become more acquainted with MIH by conducting research into its different aspects.

          How to cite this article: Upadhyay S, Kumar G, Dhillon JK, Gill NC. Perception of Indian Dental Surgeons regarding Molar Incisor Hypomineralization. Int J Clin Pediatr Dent 2018;11(2):116-121.

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          Most cited references21

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          Epidemiologic study of idiopathic enamel hypomineralization in permanent teeth of Swedish children.

          Göran Koch, Anna-Lena Hallonsten, Nils Ludvigsson … (1987)
          In the late seventies an increasing number of children showing extensive and severe idiopathic hypomineralization of the enamel of incisors and permanent first molars was reported within the Public Dental Services in Sweden. An epidemiologic study was initiated to analyze the prevalence, extension and severity in Swedish children born in 1970 and in the years before and after. 2252 children born in 1966-74 were examined according to well defined criteria on enamel hypomineralization. It was found that 15.4% of the children born in 1970 showed such changes. The corresponding figures for children born in 1966, 1969, 1971, 1972 and 1974 were 6.3, 7.3, 7.1, 5.2 and 4.4, respectively.
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            Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars.

            G Klingberg, B Jälevik (2001)
            To assess the demand for restorative treatment, dental anxiety and dental behaviour management problems among children with severe hypomineralization of their first molars (MIH). Case control study. Data were compiled from the dental records of 32 9-year-old children with severe enamel hypomineralization of their first molars and from 41 controls of the same age group concerning dental health, a number of restorative treatments, use of local anaesthesia and clinical behaviour management problems (BMP). A questionnaire containing specific questions on children's experiences of dental care and the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), was answered by the parents. The children in the study group had undergone dental treatment of their first molars nearly 10 times as often as the children in the control group. Repeated treatments of these teeth at brief intervals were common. The dental treatment was often undertaken without the use of local anaesthesia, and BMP, and dental fear and anxiety (DFA) were more common than in the controls. Children with severe enamel hypomineralization of their first molars had had to undergo a considerable amount of dental treatment. It is reasonable to assume that experiences of pain and discomfort on repeated occasions were related to the occurrence of BMP in patients with MIH. An early treatment planning and prognostication based on increased knowledge of hypomineralized first molars is desirable. Local anaesthesia and other pain-reducing techniques, e.g. sedation, should be used when treating these teeth. Extraction should be considered in cases of extensive disintegration of the crown, in cases of frequently repeated treatments or when pulpal symptoms are hard to cure.
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              Molar incisor hypomineralization: review and recommendations for clinical management.

              Vanessa William, Louise Messer, Michael Burrow (2015)
              Molar incisor hypomineralization (MIH) describes the clinical picture of hypomineralization of systemic origin affecting one or more first permanent molars (FPMs) that are associated frequently with affected incisors. Etiological associations with systemic conditions or environmental insults during the child's first 3 years have been implicated. The complex care involved in treating affected children must address their behavior and anxiety, aiming to provide a durable restoration under pain-free conditions. The challenges include adequate anaesthesia, suitable cavity design, and choice of restorative materials. Restorations in hypomineralized molars appear to fail frequently; there is little evidence-based literature to facilitate clinical decisions on cavity design and material choice. A 6-step approach to management is described: (1) risk identification; (2) early diagnosis; (3) remineralization and desensitization; (4) prevention of caries and posteruption breakdown; (5) restorations and extractions; and (6) maintenance. The high prevalence of MIH indicates the need for research to clarify etiological factors and improve the durability of restorations in affected teeth. The purpose of this paper was to describe the diagnosis, prevalence, putative etiological factors, and features of hypomineralized enamel in molar incisor hypomineralization and to present a sequential approach to management.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int J Clin Pediatr Dent
                Journal ID (iso-abbrev): Int J Clin Pediatr Dent
                Journal ID (publisher-id): IJCPD
                Title: International Journal of Clinical Pediatric Dentistry
                Publisher: Jaypee Brothers Medical Publishers
                ISSN (Print): 0974-7052
                ISSN (Electronic): 0975-1904
                Publication date (Print): Mar-Apr 2018
                Publication date (Electronic): 01 April 2018
                Volume: 11
                Issue: 2
                Pages: 116-121
                Affiliations
                [1 ]Assistant Professor, Department of Pediatric Dentistry, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Nepal
                [2 ]Associate Professor, Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
                [3 ]Assistant Professor, Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
                [4 ]Assistant Professor, Department of Pedodontics and Preventive Dentistry Dr. Harvansh Singh Judge Institute of Dental Sciences & Hospital, Panjab University, Chandigarh, India
                Author notes
                Corresponding Author: Jatinder K Dhillon, Assistant Professor Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India, e-mail: dr.jatinderdhillon@gmail.com
                Article
                DOI: 10.5005/jp-journals-10005-1496
                PMC ID: 6034059
                PubMed ID: 29991864
                SO-VID: 64fad061-ae36-48bd-be9b-63caff5aff64
                Copyright © Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.
                License:

                This work is licensed under a Creative Commons Attribution 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/

                History
                Date received : 17 January 2018
                Date accepted : 1 February 2018
                Categories
                Subject: Original Article

                Keywords: dental surgeons,molar incisor hypomineraliza-tion,perception.
                Data availability:
                Keywords: dental surgeons, molar incisor hypomineraliza-tion, perception.

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