Comparison between two molar incisor hypomineralization detection criteria in epidemiological surveys

Fernanda Lyrio Mendonça; Fabiana Giuseppina Di Campli Regnault; Isabella Claro Grizzo; Daiana da Silva Martins; Camila Fragelli; Soraya Coelho Leal; Heitor Marques Honório; Daniela Rios

doi:10.1111/ipd.13127

Comparison between two molar incisor hypomineralization detection criteria in epidemiological surveys

Int J Paediatr Dent. 2023 Oct 19. doi: 10.1111/ipd.13127. Online ahead of print.

Authors

Fernanda Lyrio Mendonça¹, Fabiana Giuseppina Di Campli Regnault¹, Isabella Claro Grizzo¹, Daiana da Silva Martins¹, Camila Fragelli², Soraya Coelho Leal³, Heitor Marques Honório¹, Daniela Rios¹

Affiliations

¹ Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
² Morphology and Children's Clinic Department, Araraquara Dental School, São Paulo State University - UNESP, Araraquara, Brazil.
³ Department of Dentistry, School of Health Science, University of Brasilia, Brasilia, Brazil.

PMID: 37859577
DOI: 10.1111/ipd.13127

Abstract

Background: There is no consensus on which molar incisor hypomineralization (MIH) indices are more suitable for epidemiological surveys.

Aim: To compare the operational aspects and diagnostic ability of the MIH index (simplified/MIH_s and extended/MIH_e) with the MIH-Severity Scoring System (MIH-SSS) in classifying and diagnosing MIH.

Design: This cross-sectional study assessed the indices in a homogeneous group of 680 6- to 10-year-old schoolchildren in Bauru, Brazil, who had at least one first permanent molar, ensuring consistent conditions. Followed by toothbrushing, the children seated on school chairs were examined by the two calibrated researchers under artificial lighting, using mouth mirror and WHO probe, and chronometer recording the duration of examinations.

Results: The prevalence of MIH was 24.7%. The most common characteristic of MIH was demarcated opacity, with a prevalence of 81.7% and 85.45% according to the MIH_s and the MIH-SSS, respectively. A positive association was observed among the MIH_s, the MIH_e, and the MIH-SSS (chi-squared test; p < .01). The MIH-SSS demonstrated a shorter average application time than both versions of the MIH index (ANOVA/Tukey; p < .05). Additionally, fluorosis was found to be the most prevalent among other developmental defects of enamel, with a prevalence of 38.38%.

Conclusion: All systems effectively diagnosed MIH and its characteristics.

Keywords: MIH index; MIH-SSS; epidemiological surveys; epidemiology; molar incisor hypomineralization.

Abstract

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