Abstract
Aim
This was to create a new easy-to-use index for the treatment of MIH.
Methods
An international MIH working group developed a new MIH index as an epidemiological screening procedure for assessing MIH treatment needs (MIH-TNI), and also for the screening and monitoring of individuals by dental practitioners.
Results
The MIH TNI assesses in particular the extent of the destruction of tooth structure in combination with any hypersensitivity occurring in MIH. The MIH-TNI is suggested as a basis for individual dental examinations covering all MIH typical problems or treatment planning. In addition, this index shall be the basis for decision-making in any MIH therapy studies already planned.
Conclusion
After the validation of the MIH TNI it may be possible to create a standardised approach for dental treatment for MIH.
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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. Int Dent J 1992; 42:411–426.
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;6:209–12.
Bekes K, Hirsch C. What is known about the influence of dentine hypersensitivity on oral health-related quality of life? Clin Oral Investig. 2013;17(Suppl 1):45–51.
Cutress TW, Ainamo J, Sardo-Infirri J. The community periodontal index of treatment needs (CPITN) procedure for population groups and individuals. Int Dent J. 1987;37:222–33.
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.
Fritsche U, Hetzer G, Strein S, Wetzel WE. Caries frequency in school children. Zahnärztl Mitt. 1991;81:2007–12.
Jälevik B. Prevalence and diagnosis of molar- incisor-hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2010;11:59–64.
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.
Jasulaityte L, Weerheijm KL, Veerkamp JS. Prevalence of molar-incisor-hypomineralisation among children participating in the Dutch National Epidemiological Survey (2003). Eur Arch Paediatr Dent. 2008;9:218–23.
Lygidakis NA, Dimou G, Briseniou E. Molar- incisor-hypomineralisation (MIH). Retro- spective clinical study in Greek children. I. Prevalence and defect characteristics. Eur Arch Paediatr Dent. 2008;9:200–6.
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.
Ogden AR, Pinhasi R, White WJ. Nothing new under the heavens: MIH in the past? Eur Arch Paediatr Dent. 2008;9:166–71.
Oliver K, Messer LB, Manton DJ, et al. Distribution and severity of molar hypomineralisation: trial of a new severity index. Int J Paediatr Dent. 2014;24:131–51.
Soviero V, Haubek D, Trindade C, Da Matta T, Poulsen S. Prevalence and distribution of demarcated opacities and their sequelae in permanent 1st molars and incisors in 7 to 13-year-old Brazilian children. Acta Odontol Scand. 2009;67:170–5.
Steffen R, van Waes H. Therapy of Molar-Incisor-Hypominerlisation under difficult circumstances. A concept for therapy. Quintessenz. 2011;62:1613–23.
Weerheijm KL, Duggal M, Mejare I, et al. Judgement criteria for molar incisor hypo-mineralisation (MIH) in epidemiologic studies: a summary of the European Meeting on MIH Held in Athens, 2003. Eur J Paediatr Dent. 2003;4:110–3.
Wetzel WE, Reckel U. Dental defects of first permanent molars are they increasing? - A survey. Zahnärztl Mitt. 1991;81:650–1.
Acknowledgements
This article is based in parts on: Bekes K, Steffen R. Das Würzburger MIH-Konzept. DOI:10.3238/OPKZH.2016.0165-0170. By courtesy of the Deutscher Aerzteverlag GmbH.
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Steffen, R., Krämer, N. & Bekes, K. The Würzburg MIH concept: the MIH treatment need index (MIH TNI). Eur Arch Paediatr Dent 18, 355–361 (2017). https://doi.org/10.1007/s40368-017-0301-0
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DOI: https://doi.org/10.1007/s40368-017-0301-0