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Prevalence and characteristics of MIH in school children residing in an endemic fluorosis area of India: an epidemiological study

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Abstract

Aim

This was to study the prevalence of molar incisor hypomineralisation (MIH) among school children residing in a fluorosis endemic area in Tamilnadu (Salem, India).

Methods

A target sample of 5000 children of age ranging between 9 and 14 years, comprising 250 children from each of 20 blocks of Salem, participated in this study. The examination was completed in their respective schools by a calibrated examiner using EAPD criteria.

Results

Of 4989 children examined, 384 children had MIH. A prevalence of 7.3 %. The MIH found in girls was 8.9 % compared with 6.1 % in boys. Single-tooth involvement of MIH was seen predominantly in incisors (2.24 %), whereas with molars usually three teeth were involved (1.1 %). MIH with caries involvement was found in 51 % of the teeth.

Conclusion

The prevalence of MIH in the endemic fluorosis district was found to be 7.3 %. A gradual increase in MIH was seen with age due to post enamel breakdown. Caries involvement was also seen in more than 50 % of the MIH-involved teeth. This prevalence study for molar incisor hypomineralisation (MIH) is rare in the literature, especially in a fluorosis endemic district in Tamilnadu.

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References

  • A review of the developmental defects of enamel index (DDE Index). Commission on Oral Health, Research & Epidemiology. Report of an FDI Working Group (1992). Int Dent J 42:411−26

  • Aine L, Backstrom MC, Maki R, et al. Enamel defects in primary and permanent teeth of children born prematurely. J Oral Pathol Med. 2000;29:403–9.

    Article  PubMed  Google Scholar 

  • Alaluusua S, Lukinmaa PL, Vartiainen T, et al. Polychlorinated dibenzo-pdioxins and di-benzofurans via mother’s milk may cause development defects in the child’s teeth. Environ Toxicol Pharmacol. 1996a;1:193–7.

    Article  PubMed  Google Scholar 

  • Alaluusua S, Lukinmaa PL, Koskimies M, et al. Developmental dental defects associated with long breast-feeding. Eur J Oral Sci. 1996b;104:493–7.

    Article  PubMed  Google Scholar 

  • Arrow P. Prevalence of developmental enamel defects of the first Permanent molars among school children in Western Australia. Aust Dent J. 2008;53:250–9.

    Article  PubMed  Google Scholar 

  • 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. 2012;22:250–7.

    Article  PubMed  Google Scholar 

  • Balmer R, Toumba KJ, Munyombwe T, Godson J, Duggal MS. The prevalence of incisor hypomineralisation and its relationship with the prevalence of molar incisor hypomineralisation. Eur Arch Paediatr Dent. 2015;16:265–9.

    Article  PubMed  Google Scholar 

  • Bhaskar SA, Hegde S. Molar incisor hypomineralization: Prevalence, severity and clinical characteristics in 8- to 13-year-old children of Udaipur, India. J Indian Soc Pedod Prev Dent. 2014;32:322–9.

    Article  PubMed  Google Scholar 

  • Brook AH, Elcock C, Hallonsten AL, et al. The development of a new index to measure enamel defects. In: Brook AH, editor. Dental Morphology. Sheffield: Sheffield Academic Press; 2001. p. 59–66.

    Google Scholar 

  • Calderara PC, Gerthoux PM, Mocarelli P. The prevalence of molar-incisor hypomineralisation in a group of Italian school children. Eur J Peadiatr Dent. 2005;2:79–83.

    Google Scholar 

  • Census of India 2011. http://censusindia.gov.in/PopulationFinder. Accessed 2 Nov 2014.

  • Chawla N, Messer LB, Silva M. Clinical studies on molar-incisor-hypomineralisation part 1: Distribution and putative associations. Eur Arch Paediatr Dent. 2008;9:180–90.

    Article  PubMed  Google Scholar 

  • Cho SY, Ki Y, Chu V. Molar incisor hypomineralisation in Hong Kong Chinese children. Int J Paediatr Dent. 2008;18:348–52.

    Article  PubMed  Google Scholar 

  • Clarkson J, O’Mullane D. A modified DDE index for use in epidemiological studies of enamel defects. J Dent Res. 1989;68:445–50.

    Article  PubMed  Google Scholar 

  • Elfrink ME, Ghanim A, Manton DJ, Weerheijm KL. Standardised studies on molar incisor hypomineralisation (MIH) and hypomineralised second primary molars (HSPM): A need. Eur Arch Paediatr Dent. 2015;16:247–55.

    Article  PubMed  Google Scholar 

  • Ghanim A, Morgan M, Mariño R, Bailey D, Manton D. Molar-incisor hypomineralisation: prevalence and defect characteristics in Iraqi children. Int J Paediatr Dent. 2011;21:413–21.

    Article  PubMed  Google Scholar 

  • Ghanim A, Elfrink M, Weerheijm K, Mariño R, Manton D. A practical method for use in epidemiological studies on enamel hypomineralisation. Eur Arch Paediatr Dent. 2015;16:235–46.

    Article  PubMed Central  PubMed  Google Scholar 

  • Jälevik B, Klingberg G, Barregard L, Noren JG. The prevalence of demarcated opacities in permanent first molars in a group of Swedish children. Acta Odontol Scand. 2001;59:255–60.

    Article  PubMed  Google Scholar 

  • Jälevik B, Dietz W, Noren JG. Scanning electron micrograph analysis of hypomineralised enamel in permanent first molars. Int J Paediatr Dent. 2005;15:233–40.

    Article  PubMed  Google Scholar 

  • Jälevik B. Prevalence and diagnosis of molar-incisor-hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent. 2010;11:59–64.

    Article  PubMed  Google Scholar 

  • Jasulaityte L, Veerkamp JS, Weerheijm KL. Molar-incisor-hypomineralisation. Review and prevalence data from a study of primary school children in Kaunas (Lithuania). Eur Arch Paediatr Dent. 2007;8:87–94.

    Article  PubMed  Google Scholar 

  • Koch G, Hallonsten AL, Ludvigsson N, et al. Epidemiologic study of idiopathic enamel hypomineralization in permanent teeth of Swedish children. Community Dent Oral Epidemiol. 1987;15:279–85.

    Article  PubMed  Google Scholar 

  • Koch G. Prevalence of enamel mineralisation disturbances in an area with 1–1.2 ppm F in drinking water. Review and summary of a report published in Sweden in 1981. Eur J Paediatr Dent. 2003;4:127–8.

    PubMed  Google Scholar 

  • Krishnan R, Ramesh M. Molar incisor hypomineralisation: A review of its current concepts and management. SRM J Res Dent Sci. 2014;5:248–52.

    Article  Google Scholar 

  • Leppaniemi A, Lukinmaa PL, Alaluusua S. Nonfluoride Hypomineralisations in the Permanent First Molars and their impact on the treatment need. Caries Res. 2001;35:36–40.

    Article  PubMed  Google Scholar 

  • Mittal NP, Goyal A, Gauba K, Kapur A. Molar incisor hypomineralisation: prevalence and clinical presentation in school children of the northern region of India. Eur Arch Paediatr Dent. 2014;15:11–8.

    Article  PubMed  Google Scholar 

  • Parikh DR, Ganesh M, Bhaskar V. Prevalence and characteristics of Molar Incisor Hypomineralisation (MIH) in the child population residing in Gandhinagar, Gujarat, India. Eur Arch Paediatr Dent. 2012;13:21–6.

    Article  PubMed  Google Scholar 

  • Periakali P, Subramnian S, Eswaramoorthi S, et al. Distribution of fluoride in the groundwater of Salem and Namakkal districts, Tamil Nadu. J Appl Geochem. 2001;3:120–32.

    Google Scholar 

  • Petrou MA, Giraki M, Bissar AR, et al. Severity of MIH findings at tooth surface level among German school children. Eur Arch Paediatr Dent. 2015;16:271–6.

    Article  PubMed  Google Scholar 

  • Ramesh M, Shankar R, Krishnan R, Malathi N, Aruna RM. Prevalence of dental fluorosis in the district of Salem, Tamil Nadu, South India: A pilot study. J Orofac Sci. 2014;6:37–40.

    Article  Google Scholar 

  • Weerheijm KL, Jälevik B, Alaluusua S. Molar-incisor hypomineralization. Caries Res. 2001;35:390–1.

    Article  PubMed  Google Scholar 

  • Weerheijm KL, Mejare I. Molar incisor hypomineralisation: a questionnaire inventory of its occurrence in member countries of the European Academy of Paediatric Dentistry (EAPD). Int J Paediatr Dent. 2003;13:411–6.

    Article  PubMed  Google Scholar 

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Acknowledgements

We would like to extend our gratitude to the CEO of Salem and the junior doctors who helped us with this study.

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Correspondence to R. Krishnan.

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Krishnan, R., Ramesh, M. & Chalakkal, P. Prevalence and characteristics of MIH in school children residing in an endemic fluorosis area of India: an epidemiological study. Eur Arch Paediatr Dent 16, 455–460 (2015). https://doi.org/10.1007/s40368-015-0194-8

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  • DOI: https://doi.org/10.1007/s40368-015-0194-8

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