Molar incisor hypomineralisation: experience and perceived challenges among dentists specialising in paediatric dentistry and a group of general dental practitioners in the UK

2015 ◽  
Vol 17 (2) ◽  
pp. 81-88 ◽  
Author(s):  
M. Kalkani ◽  
R. C. Balmer ◽  
R. M. Homer ◽  
P. F. Day ◽  
M. S. Duggal
Keyword(s):  
Paediatric Dentistry ◽  
Molar Incisor Hypomineralisation ◽  
Dental Practitioners ◽  
The Uk ◽  
Incisor Hypomineralisation

Preformed Metal Crowns for the Permanent Dentition

2015 ◽  
Vol 4 (4) ◽  
pp. 44-45 ◽  
Author(s):  
Lynsey M Millar ◽  
Alison M Cairns ◽  
Lauren Fowler
Keyword(s):  
Paediatric Dentistry ◽  
Permanent Dentition ◽  
Permanent Teeth ◽  
Tooth Surface ◽  
Molar Incisor Hypomineralisation ◽  
Developmental Defects ◽  
Preformed Metal Crowns ◽  
Surface Loss ◽  
Incisor Hypomineralisation ◽  
Indications For Use

Preformed metal crowns have a range of uses in paediatric dentistry in both the primary and permanent dentition. This article provides an overview of their use in permanent teeth, including teeth that have been affected by molar incisor hypomineralisation, caries, developmental defects and tooth surface loss. The indications for use are described, along with the clinical technique for placement.

scholarly journals Prevalence of Molar Incisor Hypomineralisation Among School Children in Kavre

2015 ◽  
Vol 12 (1) ◽  
pp. 38-42 ◽  
Author(s):  
R Shrestha ◽  
S Upadhaya ◽  
M Bajracharya
Keyword(s):  
School Children ◽  
Paediatric Dentistry ◽  
Molar Incisor Hypomineralisation ◽  
European Academy ◽  
Maxillary Molars ◽  
Permanent Molars ◽  
Structural Loss ◽  
Mandibular Teeth ◽  
Incisor Hypomineralisation ◽  
First Permanent Molars

BackgroundMolar incisor hypomineralisation is defined as the hypomineralisation of systemic origin of one to four permanent first molars, and frequently associated with affected incisors. Till date, there is no data available on molar incisor hypomineralisation in any parts of Nepal.ObjectiveTo determine the prevalence and characteristics of Molar incisor hypomineralisation in 7 to 12 years old school children of Kavre.MethodA total of 749 school children of age 7 to 12 years from four different randomly selected schools with at least one of the first permanent molars fully or partially erupted were evaluated using European Academy of Paediatric Dentistry criteria for molar incisor hypomineralisation. The examinations were conducted at respective schools by a single calibrated examiner.ResultMolar incisor hypomineralisation was present in 13.7% of children. No gender differences were found.The mild type of defect (without structural loss of tooth) was the most prevalent type of molar incisor hypomineralisation with white/creamy demarcated opacities more frequent than yellow/brown demarcated opacities. Post eruptive breakdown was more in boys than in girls and this difference was statistically significant (p<0.05). Also, maxillary molars were affected more than mandibular molars and this difference was also statistically significant (p<0.05).ConclusionThe prevalence of molar incisor hypomineralisation in Kavre was 13.7%.Demarcated opacities were more prevalent than breakdown. The hypomineralised defect was more prevalent in maxillary teeth than in mandibular teeth. The severity of defect increased with age and there was no difference in prevalence between girls and boys.Kathmandu University Medical Journal Vol.12(1) 2014: 38-42

scholarly journals Management of Molar Incisor Hypomineralisation (MIH): A 1-Year Retrospective Study in a Specialist Secondary Care Centre in the UK

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 252
Author(s):  
Judith Humphreys ◽  
Sondos Albadri
Keyword(s):  
Secondary Care ◽  
Service Evaluation ◽  
Molar Incisor Hypomineralisation ◽  
The North ◽  
Permanent Molar ◽  
Specialist Centre ◽  
Molar Teeth ◽  
Permanent Molars ◽  
The Uk ◽  
Incisor Hypomineralisation

(1) Background: Molar incisor hypomineralisation (MIH) is an enamel defect that affects an estimated 14.2% of children worldwide. Care takes place in primary and secondary care facilities. (2) Aim: To investigate how children with MIH are managed within a specialist centre in the north of England. (3) Method: A retrospective service evaluation within the paediatric dentistry department was registered with the clinical governance unit. Children who attended consultant-led new-patient clinics between 1 January and 31 December 2015 with a diagnosis of MIH were included. The data collected concerned the pre-referral treatment, the history and diagnoses and the treatments completed. (4) Results: Out of 397 records reviewed, 48 (12.1%) had MIH, where 81.3% and 18.8% of patients had severe and mild MIH, respectively. The majority of patients (n = 44 (91.7%)) were referred appropriately. Treatment was completed at the specialist centre for 44 (91.7%) patients. Twenty-five (52.1%) patients had an extraction of one or more first permanent molar teeth. Sixteen patients had the extractions at between 8 and 10 years old and 2 had the extractions later as part of an orthodontic plan. (5) Conclusion: Most children had severe MIH and were referred at an appropriate time to facilitate the consideration of loss of poor prognosis of first permanent molars (FPMs). Most children required specialist management of their MIH.

Management of molar-incisor hypomineralisation by general dental practitioners - part two: treatment

BDJ ◽  
2021 ◽  
Author(s):  
Judith Humphreys ◽  
Fadi Jarad ◽  
Sondos Albadri
Keyword(s):  
Molar Incisor Hypomineralisation ◽  
Caries Risk ◽  
Specialist Care ◽  
Anxious Child ◽  
Clinical Vignettes ◽  
Dental Practitioners ◽  
Social Media Platforms ◽  
The Aesthetic ◽  
Sound Treatment ◽  
Incisor Hypomineralisation

AbstractIntroduction Molar-incisor hypomineralisation (MIH) is a common occurrence in primary and secondary care settings. While severe cases may need specialist care, mild cases should be managed in primary care.Aims To assess how UK-based general dental practitioners (GDPs) plan treatment for children with MIH using two clinical vignettesDesign An electronic vignette survey was designed using clinical photographs and radiographs. Vignette one presented a child with mild MIH who was unhappy about the appearance of his teeth. Vignette two presented an anxious child with severe MIH, caries and sensitivity. Further questions relating to confidence in management of MIH and referral were included. Participants were UK-based GDPs who regularly treat children. The survey was distributed by email and across social media platforms. Data collection occurred between February and May 2019.Results Fifty-eight GDPs completed the survey. Around half of participants addressed the aesthetic concerns of the child in vignette one. The majority of participants demonstrated sound treatment planning in terms of preventive care and management of molars. More GDPs identified increased caries risk in vignette two.Conclusion These findings demonstrate most GDPs in this study were working as effective tier one and two providers when faced with management of children with MIH.

scholarly journals An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review

2021 ◽  
Author(s):  
C. Somani ◽  
G. D. Taylor ◽  
E. Garot ◽  
P. Rouas ◽  
N. A. Lygidakis ◽  
...  
Keyword(s):  
Composite Resin ◽  
Resin Composite ◽  
Research Question ◽  
Glass Ionomer Cement ◽  
Treatment Modalities ◽  
Cochrane Central Register ◽  
Molar Incisor Hypomineralisation ◽  
Fissure Sealants ◽  
Preformed Metal Crowns ◽  
Incisor Hypomineralisation

Abstract Purpose To systematically review the treatment modalities for molar-incisor hypomineralisation for children under the age of 18 years. The research question was, ‘What are the treatment options for teeth in children affected by molar incisor hypomineralisation?’ Methods An electronic search of the following electronic databases was completed MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, LILACS, Google Scholar and Open Grey identifying studies from 1980 to 2020. The PRISMA guidelines were followed. The studies were screened, data extracted and calibration was completed by two independent reviewers. Results Of 6220 potential articles, 34 studies were included. Twenty studies investigated management of molars with fissure sealants, glass ionomer cement, polyacid modified resin composite, composite resin, amalgam, preformed metal crowns, laboratory-manufactured crowns and extractions. In four articles management of incisors with microabrasion, resin-infiltration and a combination of approaches was reported. Eight studies looked at strategies to mineralise MIH-affected teeth and/or reduce hypersensitivity. Two studies investigated patient-centred outcomes following treatment. Due to the heterogeneity between the studies, meta-analysis was not performed. Conclusion The use of resin-based fissure sealants, preformed metal crowns, direct composite resin restorations and laboratory-made restorations can be recommended for MIH-affected molars. There is insufficient evidence to support specific approaches for the management of affected incisors. Products containing CPP-ACP may be beneficial for MIH-affected teeth.

scholarly journals The control of pain due to dentin hypersensitivity in individuals with molar–incisor hypomineralisation: a protocol for a randomised controlled clinical trial

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044653
Author(s):  
Ana Paula Taboada Sobral ◽  
Elaine Marcilio Santos ◽  
Ana Cecilia Aranha ◽  
Paulo Vinícius Soares ◽  
Caroline Moraes Moriyama ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Tooth Enamel ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Dentin Hypersensitivity ◽  
Molar Incisor Hypomineralisation ◽  
Randomised Controlled Clinical Trial ◽  
Sensitive Teeth ◽  
Randomised Controlled ◽  
Incisor Hypomineralisation

IntroductionDentin hypersensitivity (DH) is defined as high sensitivity of the vital dentin when exposed to thermal, chemical or tactile stimuli. Two mechanisms are required for the occurrence of DH: (1) the dentin must be exposed and (2) the dentinal tubules must be open and connected to the pulp. Molar–incisor hypomineralisation (MIH) is a qualitative abnormality of a genetic origin that affects tooth enamel and, in most cases, is accompanied by DH. The control of tooth sensitivity is fundamental to the successful treatment of MIH. The aim of the proposed randomised, controlled, clinical trial is to evaluate the effectiveness of different protocols for the control of DH in patients with teeth affected by MIH.Methods and analysisOne hundred and forty patients who meet the inclusion criteria will be allocated to four groups. Group 1 will be the control group (placebo). In Group 2, sensitive teeth will be sealed with PermaSeal (Ultradent). In Group 3, sensitive teeth will receive low-level laser (LLL, AsGaAl) at a wavelength of 780 nm (Laser XT Therapy, DMC, São Carlos, Brazil). In Group 4, sensitive teeth will be treated with both LLL and PermaSeal (Ultradent). DH will be evaluated 15 min after the application of the treatments and the patients will be reevaluated 1 week, 1 month, 3 months and 6 months after the treatments. The primary outcome of this study is change in pain/sensitivity, when evaluated through a Visual Analogue Scale, to determine the effectiveness of the proposed treatments, as well as differences among the evaluation times for each proposed treatment.Ethics and disseminationThis protocol has been ethically approved by the local medical ethical committee (protocol number: 4.020.261). Results will be submitted to international peer-reviewed journals and presented at international conferences.Trial registration numberNCT04407702.

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