Enamel opacities in all other than Molar Incisor Hypomineralisation index teeth of adolescents

Int J Paediatr Dent. 2021 Mar;31(2):270-277. doi: 10.1111/ipd.12735. Epub 2020 Oct 22.

Abstract

Background: There are scarce data on the hypomineralisation of other permanent teeth (HOPT) than the index teeth of Molar Incisor Hypomineralisation (MIH).

Aim: To report on the prevalence and surface pattern of HOPT and seek associations with MIH.

Design: Representative samples of urban Greek 14-year-olds were examined in classroom with a dental mirror. Their enamel defects were recorded using EAPD criteria for MIH. Descriptive statistics and correlation tests for HOPT vs previously reported MIH findings in the same samples were applied.

Results: HOPT prevalence in 1156 consented adolescents was 22.9%. 148 (16.2%) of 912 no-MIH children had HOPT; 117 (48.1%) of the 244 MIH children had HOPT too (OR 3.0, 95% CI 2.4-3.6). There were more HOPT teeth per child in the MIH vs no-MIH children (P < .001). HOPT tooth frequency was as follows: second molar 33.7%, canine 25.7%, first premolar 23.6%, and second premolar 17.0%. Enamel breakdown was seen in 5.3% HOPT children. Vestibular to intraoral surface defect ratio differed between jaws (maxilla 187/88, mandible 149/17, P < .05).

Conclusions: Hypomineralisation defects in the MIH non-index teeth collectively had comparable prevalence and tooth surface patterns to MIH, but much lower severity. MIH was predictor for HOPT.

Keywords: Molar Incisor Hypomineralisation; disturbances in dental development; permanent teeth.

MeSH terms

  • Adolescent
  • Child
  • Dental Enamel
  • Dental Enamel Hypoplasia* / epidemiology
  • Greece
  • Humans
  • Molar
  • Prevalence
  • Tooth Demineralization* / epidemiology