Advertisement

European Archives of Paediatric Dentistry

, Volume 13, Issue 4, pp 171–178 | Cite as

Trends of oral health care and dental treatment needs in relation to molar incisor hypomineralisation defects: a study amongst a group of Iraqi schoolchildren

  • A. M. GhanimEmail author
  • D. J. Manton
  • M. V. Morgan
  • R. J. Mariño
  • D. L. Bailey
Scientific Article

Abstract

BACKGROUND: The dynamic properties of molar-incisor-hypomineralisation lesions (MIH) may impact negatively on personal daily oral care resulting in increased treatment needs. AIMS: To describe and compare individual oral health care practices between MIH-affected and non-affected children, to evaluate and compare dental treatment needs between hypomineralised and non-hypomineralised first permanent molars, and to explore the role of reported fluoride exposure in the development of MIH. STUDY DESIGN: A cluster sample of 7–9 year-old Iraqi schoolchildren (823 of 1000 eligible, response rate 82.3%) had their first permanent molars and incisors evaluated using the European Academy of Paediatric Dentistry evaluation criteria for MIH. Of these 153 were diagnosed with the defect and were referred to as MIH-affected children. METHODS: Mothers of the participating children were asked to complete an oral health-questionnaire administered at schools. This included questions regarding child’s history of dental visits, fluoride intake and the pattern of oral hygiene practices. Assessment of the dental treatment requirements for the first permanent molars was performed in a sample subset drawn from a larger data set of affected children (n=100) having their teeth assessed previously for dental caries status following the International Caries Detection and Assessment System. The sample subset consisted of 130 hypomineralised molars and 270 non-hypomineralised molars. RESULTS: Of the total sample, approximately 71% of parents had taken their children to the dentist at some stage. For the total sample, tooth restoration or extraction was the most likely causes for seeking dental care at the first dental appointment (57.9%). Tap water was the main source of water consumed at home by the majority of children (77.8%). The prevalence of dental caries and tooth restorations was higher in hypomineralised affected molars (78.5%) than in the defect-free molars (33.7%). STATISTICS: MIH-affected children reported significantly higher frequency of seeking dental care than their non-affected counterparts (82.4%, 68.2%; respectively). They were over three times (OR = 3.18) more likely to visit the dentist complaining of pain and were over six times (OR = 6.37) more likely to seek dental care due to tooth sensitivity than their non-affected peers. No significant differences were found between the

Key words

Molar-incisor hypomineralisation fluoride oral health care dental treatment need dental caries 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abegg C, Croucher R, Marcenes WS, Sheiham A. How do routines of daily activities and flexibility of daily activities affect tooth-cleaning behavior? J Public Health Dent 2000; 60:154–158.PubMedCrossRefGoogle Scholar
  2. Alaluusua S, Lukinmaa PL, Vartiainen T et al. Polychlorinated dibenzo-pdioxins and dibenzofurans via mother’s milk may cause developmental defects in the child’s teeth. Environ Toxicol Pharmacol 1996; 1:193–197.PubMedCrossRefGoogle Scholar
  3. Alaluusua S. Aetiology of Molar-Incisor Hypomineralisation: A systematic review. Eur Arch Paediatr Dent 2010; 11:53–58.PubMedGoogle Scholar
  4. Al-Dahan ZA, Al-Rawi BA. Determination of fluoride, zinc and lead ions concentrations in primary teeth and drinking water and dental caries experience. Al—Rafidain Dent J 2006; 6(Spec Iss):23–29.Google Scholar
  5. Arrow P. Risk factors in the occurrence of enamel defects of the first permanent molars among schoolchildren in Western Australia. Community Dent Oral Epidemiol 2009; 7:405–415.CrossRefGoogle Scholar
  6. Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent 2005; 3:135–140.PubMedGoogle Scholar
  7. Balmer RC, Laskey D, Mahoney E, Toumba KJ. Prevalence of enamel defects and MIH in non-fluoridated and fluoridated communities. Eur J Paediatr Dent 2005; 6:209–212.PubMedGoogle Scholar
  8. Balmer R, Toumba J, Godson J, Duggal M.The prevalence of molar incisor hypomineralisation in Northern England and its relationship to socioeconomic status and water fluoridation. Int J Paediatr Dent 2011;doi: 10.1111/j.1365-263X.2011.01189.x.Google Scholar
  9. Chawla N, Messer LB, Silva M. Clinical studies in molar incisor hypomineralisation. Part I: Distribution and putative associations. Eur Arch Paediatr Dent 2008; 9:180–190.PubMedGoogle Scholar
  10. Cutress TW, Suckling GW, Pearce EIF, Ball ME. Defects of tooth enamel in children in fluoridated and non-fluoridated water areas of the Auckland region. N Z Dent J 1985; 81:12–19.PubMedGoogle Scholar
  11. da Costa-Silva CM, Jeremias F, de Souza JF et al. Molar incisor hypomineralization: prevalence, severity and clinical consequences in Brazilian children. Int J Paediatr Dent 2010; 20:426–434.PubMedCrossRefGoogle Scholar
  12. Elfrink ME, Schuller AA, Veerkamp JS et al. Factors increasing the caries risk of second primary molars in 5-year-old Dutch children. Int J Paediatr Dent 2010; 20:151–157.PubMedCrossRefGoogle Scholar
  13. Farah RA, Swain MV, Drummond BK, Cook R, Atich M. Mineral dentisity of hypomineralized enamel. J Dent 2010; 38:50–58.PubMedCrossRefGoogle Scholar
  14. Ghanim A, Morgan M, Mariño R, Manton D, Bailey D. Perception of Molar-Incisor Hypomineralisation (MIH) by Iraqi Dental Academics. Int J Paediatr Dent 2011a; 21:261–270.PubMedCrossRefGoogle Scholar
  15. Ghanim A, Morgan M, Mariño R, Manton D, Bailey D. Molar-incisor hypomineralisation: prevalence and defect characteristics in Iraqi children. Int J Paediatr Dent 2011b; 21:413–421.PubMedCrossRefGoogle Scholar
  16. Ghanim A, Morgan M, Mariño R, Bailey D, Manton D: “An in vivo investigation of salivary properties, enamel hypomineralisation and carious lesion severity in a group of Iraqi schoolchildren”. Int J Paediatr Dent 2012; DOI: 10.1111/j.1365-263X.2011.01215.x.Google Scholar
  17. International Caries Detection and Assessment System (ICDAS II). Criteria Manual Appendix. Workshop held in Baltimore, Maryland, March 12th–14th 2005. Sponsored by the National Institute of Dental and Craniofacial Research, the American Dental Association, and the International Association for Dental Research. www.dundee.ac.uk/dhsru/docs/Rationale%20and%20 Evidence%20ICDAS%20II%20Septemb.Google Scholar
  18. Iraq Education Sector Scoping Study — Geopolicity, 2009. Available at: www.geopolicity.com/upload/content/pub/1288013876_regular.pdf.Google Scholar
  19. Jälevik B, Klingberg G. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent 2002; 12:24–32.PubMedGoogle Scholar
  20. Jälevik B. Prevalence and Diagnosis of Molar-Incisor-Hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent 2010; 11:59–64.PubMedGoogle Scholar
  21. Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management ofFPMs in children with molar incisor hypomineralisation. Eur J Paediatr Dent 2005; 6:179–184.PubMedGoogle Scholar
  22. Leppäniemi A, Lukinmaa PL, Alaluusua S. Nonfluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res 2001; 35:36–40.PubMedCrossRefGoogle Scholar
  23. Lygidakis NA, Wong F, Jälevik B et al. Best clinical practice guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH): An EAPD Policy Document. Eur Arch Paediatr Dent 2010; 11:75–81.PubMedGoogle Scholar
  24. Mangum JE, Crombie FA, Kilpatrick N, Manton DJ, Hubbard MJ. Surface integrity governs the proteome of hypomineralized enamel. J Dent Res 2010; 89:1160–1165.PubMedCrossRefGoogle Scholar
  25. Muratbegovic A, Marcovic M, Ganibegovic Selmovic M. Molar Incisor Hypomineralisation in Bosnia and Herzegovina: prevalence, aetiology and clinical consequences in medium caries activity population. Eur J Paediatr Dent 2007; 8:189–194.CrossRefGoogle Scholar
  26. Nelson S, Albert JM, Lombardi G et al. Dental caries and enamel defects in very low birth weight adolescents. Caries Res 2010; 44:509–518.PubMedCrossRefGoogle Scholar
  27. Weerheijm KL, Jälevik B, Alaluusua S. Molar-Incisor Hypomineralisation. Caries Res 2001; 35:390–391.PubMedCrossRefGoogle Scholar
  28. Weerheijm K, Duggal M, Mejàre I et al. Judgement criteria for molar-incisor hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003. Eur J Paediatr Dent 2003; 4:110–113.PubMedGoogle Scholar
  29. Weerheijm KL. Molar incisor hypomineralization (MIH): clinical presentation, aetiology and management. Dent Update, 2004; 31:9–12.PubMedGoogle Scholar
  30. Whatling R, Fearne JM. Molar incisor hypomineralization: a study of aetiological factors in a group of UK children. Int J Paediatr Dent 2008; 18:155–234.PubMedCrossRefGoogle Scholar
  31. Wogelius P, Haubek D, Nechifor A et al. Association between use of asthma drugs and prevalence of demarcated opacities in permanent first molars in 6-to-8-year-old Danish children. Community Dent Oral Epidemiol 2010; 38:145–151.PubMedCrossRefGoogle Scholar

Copyright information

© European Archives of Paediatric Dentistry 2012

Authors and Affiliations

  • A. M. Ghanim
    • 1
    Email author
  • D. J. Manton
    • 1
  • M. V. Morgan
    • 1
  • R. J. Mariño
    • 1
  • D. L. Bailey
    • 1
  1. 1.Oral Health CRC, Melbourne Dental SchoolThe University of MelbourneParkvilleAustralia

Personalised recommendations