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The impact of MIH/HSPM on the carious lesion severity of schoolchildren from Talca, Chile

  • Original Scientific Article
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European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Objectives

Decamarcated hypomineralised lesions of enamel include those developmental defects that are related to MIH, HSPM or any other demarcated opacities of systemic origin. The present study’s aims are to determine MIH/HSPM prevalence, caries lesion severity and their association in a sample of 6–12-year-old schoolchildren from Talca, Chile.

Methods

The sample (N = 577) was derived from selected primary schools in urban Talca. A full dental examination was performed at the school by one calibrated examiner. Socio-demographic data and caries experience (DMFT/dmft/merged ICDAS II and PUFA/pufa) were measured in primary and permanent dentitions. MIH/HSPM was assessed using a modified EAPD protocol. Binary and multilevel binary regression analyses were calculated.

Results

The prevalence of MIH/HSPM or other demarcated hypomineralised lesions was 24.4%. MIH and HSPM was 15.8% and 5%, respectively. The presence of HSPM predicted MIH (OR 3.7; 95% CI 1.65–8.15) when corrected by demographic factors. Of the children examined, 35% had no teeth with a score greater than ICDASII Code 0 and 26% had one or more severe carious lesions (Code C). Toothwise multilevel binary regression analyses demonstrated that teeth with MIH/HSPM (OR 3.70) from low-SES children (OR 1.93) had higher odds for carious lesions compared with defect-free teeth from high-SES participants.

Conclusions

MIH/HSPM lesions were associated with carious lesion occurrence and increased disease severity. The prevalence of MIH and HSPM was similar to other reports. Increased awareness of MIH/HSPM in schools and primary health settings may help to identify children at risk early.

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Abbreviations

MIH:

Molar incisor hypomineralisation

HSPM:

Hypomineralised second primary molars

OR:

Odds ratio

DMFT/dmft:

Decayed missing filled teeth

ICDAS:

International caries detection and assessment system

PUFA/pufa:

Pulp, ulceration, fistula, abscess index

EAPD:

European Academy of Paediatric Dentistry

References

  • Basha S, Mohamed RN, Swamy HS. Prevalence and associated factors to developmental defects of enamel in primary and permanent dentition. Oral Health Dent Manag. 2014;13(3):588–94.

    PubMed  Google Scholar 

  • Chile Crece Contigo Website. 2018. http://www.crececontigo.gob.cl/. Accessed Dec 2018.

  • Cho SY, Ki Y, Chu V. Molar incisor hypomineralization in Hong Kong Chinese children. Int J Paediatr Dent. 2008;18(5):348–52.

    Article  PubMed  Google Scholar 

  • Corral-Núñez C, Rodríguez H, Cabello R, Bersezio-Miranda C, Cordeiro RCL, Fresno-Rivas MC. Impacto de la hipomineralización incisivo molar en la experiencia de caries en escolares de 6–12 años en Santiago, Chile. Revista Clínica de Periodoncia. Implantología y Rehabilitación Oral. 2016;9(3):277–83.

    Article  Google Scholar 

  • Daly D, Waldron JM. Molar incisor hypomineralisation: clinical management of the young patient. J Ir Dent Assoc. 2009;55(2):83–6.

    PubMed  Google Scholar 

  • Davis EE, Deinard AS, Maïga EWH. Doctor, my tooth hurts: the costs of incomplete dental care in the emergency room. J Public Health Dent. 2010;70(3):205–10.

    Article  PubMed  Google Scholar 

  • Elfrink MEC, Schuller AA, Weerheijm KL, Veerkamp JSJ. Hypomineralized second primary molars: prevalence data in Dutch 5-year-olds. Caries Res. 2008;42(4):282–5.

    Article  PubMed  Google Scholar 

  • Elfrink MEC, Ten Cate JM, Jaddoe VWV, et al. Deciduous molar hypomineralization and molar incisor hypomineralization. J Dent Res. 2012;91(6):551–5.

    Article  PubMed  Google Scholar 

  • Federation Dentaire International (FDI). Commission on Oral Health R, Epidemiology. A review of the developmental defects of enamel index (DDE Index). Int Dent J. 1992;42(6):411–26.

    Google Scholar 

  • Figueiredo MJ, de Amorim RG, Leal SC, Mulder J, Frencken JE. Prevalence and severity of clinical consequences of untreated dentine carious lesions in children from a deprived area of Brazil. Caries Res. 2011;45(5):435–42.

    Article  PubMed  Google Scholar 

  • Garot E, Denis A, Delbos Y, et al. Are hypomineralised lesions on second primary molars (HSPM) a predictive sign of molar incisor hypomineralisation (MIH)? A systematic review and a meta-analysis. J Dent. 2018;72:8–13.

    Article  PubMed  Google Scholar 

  • Ghanim A, Manton D, Marino R, Morgan M, Bailey D. Prevalence of demarcated hypomineralisation defects in second primary molars in Iraqi children. Int J Paediatr Dent. 2013a;23(1):48–55.

    Article  PubMed  Google Scholar 

  • Ghanim A, Marino R, Morgan M, Bailey D, Manton D. An in vivo investigation of salivary properties, enamel hypomineralisation, and carious lesion severity in a group of Iraqi schoolchildren. Int J Paediatr Dent. 2013b;23(1):2–12.

    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(3):235–46.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ghanim A, Marino R, Manton DJ. Validity and reproducibility testing of the Molar Incisor Hypomineralisation (MIH) Index. Int J Paediatr Dent. 2018. https://doi.org/10.1111/ipd.12433. (Epub ahead of print).

    Article  PubMed  Google Scholar 

  • Giacaman RA, Bustos IP, Bravo-Leon V, Marino RJ. Impact of rurality on the oral health status of 6-year-old children from central Chile: the EpiMaule study. Rural Remote Health. 2015;15(2):3135.

    PubMed  Google Scholar 

  • International Caries Detection and Assessment System (ICDAS II). Criteria manual appendix. Workshop held in Baltimore, Maryland, March 12–14th. 2005. http://www.dundee.ac.uk/dhsru/news/icdas.htm. Accessed July 2014.

  • Jans MA, Diaz MJ, Vergara GC, Zaror SC. Frequency and severity of the molar incisor hypomineralization in patients treated at the dental clinic of the Universidad de La Frontera, Chile. Int J Odontostomatol. 2011;5(2):133–40.

    Article  Google Scholar 

  • Kühnisch J, Heitmüller D, Thiering E, et al. Proportion and extent of manifestation of molar-incisor-hypomineralizations according to different phenotypes. J Public Health Dent. 2014;74(1):42–9.

    Article  PubMed  Google Scholar 

  • Leppäniemi A, Lukinmaa PL, Alaluusua S. Nonfluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res. 2001;35(1):36–40.

    Article  PubMed  Google Scholar 

  • MINSAL. Análisis de la situación de salud bucal en Chile: Subsecretaría de Salud Pública. División Prevención y Control de Enfermedades. 2010. https://www.minsal.cl/sites/default/files/files/An%C3%A1lisis%20de%20Situaci%C3%B3n%20Salud%20Bucal%20final%20pdf.pdf. Accessed Dec 2018.

  • Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFA—an index of clinical consequences of untreated dental caries. Commun Dent Oral Epidemiol. 2010;38(1):77–82.

    Article  Google Scholar 

  • Muratbegovic A, Markovic N, Ganibegovic Selimovic M. Molar incisor hypomineralisation in Bosnia and Herzegovina: aetiology and clinical consequences in medium caries activity population. Eur Arch Paediatr Dent. 2007;8(4):189–94.

    Article  PubMed  Google Scholar 

  • Petrou M, Giraki M, Bissar A-R, et al. Prevalence of molar-incisor-hypomineralisation among school children in four German cities. Int J Paediatr Dent. 2014;24(6):434–40.

    Article  PubMed  Google Scholar 

  • Santos H, Elacqua G. Segregación socioeconómica escolar en Chile: elección de la escuela por los padres y un análisis contrafactual teórico. Revista CEPAL. 2016;119:133–48.

    Article  Google Scholar 

  • Sembrando Sonrisas Website. 2018. http://www.minsal.cl/sembrando-sonrisas/. Accessed Dec 2018.

  • Seow WK, Ford D, Kazoullis S, Newman B, Holcombe T. Comparison of enamel defects in the primary and permanent dentitions of children from a low-fluoride district in Australia. Pediatr Dent. 2011;33(3):207–12.

    PubMed  Google Scholar 

  • Silva MJ, Scurrah KJ, Craig JM, Manton DJ, Kilpatrick N. Etiology of molar incisor hypomineralization—a systematic review. Commun Dent Oral Epidemiol. 2016;44(4):342–53.

    Article  Google Scholar 

  • Soto L, Tapia R, Jara G, Rodriguez G, Urbina T. Diagnóstico Nacional de Salud Bucal del Adolescente de 12 años y Evaluación del Grado de Cumplimiento de los Objetivos Sanitarios de Salud Bucal 2000–2010. Santiago: Ediciones de Universidad Mayor; 2007.

    Google Scholar 

  • 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(3):170–5.

    Article  PubMed  Google Scholar 

  • Superintendencia de Salud Website. 2018. http://www.supersalud.gob.cl/difusion/665/w3-article-597.html. Accessed Dec 2018.

  • Weerheijm KL, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001;35(5):390–1.

    Article  PubMed  Google Scholar 

  • Weerheijm KL, Duggal M, Mejàre I, Papagiannoulis L, Koch G, Martens LC, et al. Judgement criteria for molar incisor hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003. Eur J Paediatr Dent. 2003;4(3):110–3.

    PubMed  Google Scholar 

  • WHO. Oral health surveys: basic methods. 5th ed. Geneva: WHO; 2013.

    Google Scholar 

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Acknowledgements

We thank the parents and children, school principals and staff, University of Talca Dental Clinic, Melbourne Dental School, Oral Health CRC University of Melbourne and Procter & Gamble (Oral-B) for the donation of tooth brushes and paste. We acknowledge Becas Chile Scholarship program from CONICYT for sponsoring KG’s university fees.

Funding

This study was funded by Melbourne Dental School, Postgraduate Research Fund. Becas Chile scholarship program from CONICYT funded the student researcher’s University fees.

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Authors and Affiliations

  1. Universidad Autónoma de Chile, Sede Talca, 5 Poniente 1670, Talca, Chile

    K. Gambetta-Tessini

  2. Melbourne Dental School, The University of Melbourne, Melbourne, VIC, Australia

    R. Mariño, A. Ghanim & D. J. Manton

  3. Faculty of Health, Deakin University, Burwood, VIC, Australia

    H. Calache

Authors
  1. K. Gambetta-Tessini
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  2. R. Mariño
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  3. A. Ghanim
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  4. H. Calache
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  5. D. J. Manton
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Corresponding author

Correspondence to K. Gambetta-Tessini.

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Conflict of interest

Procter and Gamble donated toothbrush and toothpaste for participants. However, the company had no influence in the interpretation of the present study’s results. Authors declare that they do not have any conflict of interests.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Gambetta-Tessini, K., Mariño, R., Ghanim, A. et al. The impact of MIH/HSPM on the carious lesion severity of schoolchildren from Talca, Chile. Eur Arch Paediatr Dent 20, 417–423 (2019). https://doi.org/10.1007/s40368-019-00416-w

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  • DOI: https://doi.org/10.1007/s40368-019-00416-w

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