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Published in: European Archives of Paediatric Dentistry 5/2014

01-10-2014 | Original Article

Knowledge, management and perceived barriers to treatment of molar-incisor hypomineralisation in general dental practitioners and dental nurses in Malaysia

Authors: A. S. Hussein, A. M. Ghanim, M. I. Abu-Hassan, D. J. Manton

Published in: European Archives of Paediatric Dentistry | Issue 5/2014

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Abstract

Background

Molar-incisor hypomineralisation (MIH) is a global dental problem, yet little is known about the knowledge of the general dental practitioners (GDPs) and dental nurses (DNs) regarding this defect in South East Asia.

Aims

To assess and compare the knowledge of the GDPs and DNs in Malaysia regarding the frequency of occurrence of MIH within their practice, its diagnosis, putative aetiological factors and management.

Study design and methods

A questionnaire was distributed to GDPs and DNs during a nationwide dental conference in Melaka, Malaysia and who were asked to answer questions about demographic variables, knowledge, attitudes and practices in the management of MIH.

Statistics

Descriptive statistics and bivariate analysis were performed. A 5 % level of statistical significance was applied for the analyses.

Results

A response rate of 58.2 % (131/225) was obtained. Most respondents were aware of MIH and encountered it in their practice (GDPs = 82.5 %, DNs = 82.4 %). The condition was observed by respondents less in primary molars compared to first permanent molars. Full agreement between GDPs and DNs did not exist concerning the aetiological factors and management of MIH. Glass ionomer cements were the most popular material used in treating MIH. Most respondents (GDPs = 93 %, DNs = 76.5 %) indicated that they had not received sufficient information about MIH and were willing to have clinical training in the diagnosis and therapeutic modalities of MIH.

Conclusions

MIH is identified and encountered by most respondents. Agreement did not exist between GDPs and DNs concerning MIH frequency of occurrence within their practice, its diagnosis, aetiological factors and management.
Literature
go back to reference Alaluusua S. Aetiology of Molar-Incisor Hypomineralisation: a systematic review. Eur J Paediatr Dent. 2010;2:53–8.CrossRef Alaluusua S. Aetiology of Molar-Incisor Hypomineralisation: a systematic review. Eur J Paediatr Dent. 2010;2:53–8.CrossRef
go back to reference Al-Sarheed M, Angeleton A, Ashley PF, et al. An investigation of the oral status and reported oral care of children with heart and heart-lung transplants. Int J Paediatr Dent. 2000;10:298–305.PubMedCrossRef Al-Sarheed M, Angeleton A, Ashley PF, et al. An investigation of the oral status and reported oral care of children with heart and heart-lung transplants. Int J Paediatr Dent. 2000;10:298–305.PubMedCrossRef
go back to reference Biondi AM, Cortese SG. Hipomineralizacion Molar Incisiva: Encuesta a Odontopediatras de Universidades de Latinoamerica Bol AAON. Spanish; 2009;38:20–4. Biondi AM, Cortese SG. Hipomineralizacion Molar Incisiva: Encuesta a Odontopediatras de Universidades de Latinoamerica Bol AAON. Spanish; 2009;38:20–4.
go back to reference Chawla N, Messer LB, Silva M. Clinical studies in molar hypomineralisation part I: distribution and putative associations. Eur Arch Paediatr Dent. 2008;9:180–90.PubMedCrossRef Chawla N, Messer LB, Silva M. Clinical studies in molar hypomineralisation part I: distribution and putative associations. Eur Arch Paediatr Dent. 2008;9:180–90.PubMedCrossRef
go back to reference Crombie F, Manton DJ, Kilpatrick N. Molar incisor hypomineralization: a survey of members of the Australian and New Zealand Society of Paediatric Dentistry. Aust Dent J. 2008;53:160–6.PubMedCrossRef Crombie F, Manton DJ, Kilpatrick N. Molar incisor hypomineralization: a survey of members of the Australian and New Zealand Society of Paediatric Dentistry. Aust Dent J. 2008;53:160–6.PubMedCrossRef
go back to reference Elfrink MEC, Schuller AA, Weerhijim KL, Veerkamp JSJ. Hypomineralised second primary molars: prevalence data in Dutch 5-year-olds. Caries Res. 2008;42:282–5.PubMedCrossRef Elfrink MEC, Schuller AA, Weerhijim KL, Veerkamp JSJ. Hypomineralised second primary molars: prevalence data in Dutch 5-year-olds. Caries Res. 2008;42:282–5.PubMedCrossRef
go back to reference Ghanim A, Morgan M, Mariño R, Manton D, Bailey D. Perception of molar-incisor hypomineralisation (MIH) by Iraqi Dental Academics. Int J Paediatr Dent. 2011;21:261–70.PubMedCrossRef Ghanim A, Morgan M, Mariño R, Manton D, Bailey D. Perception of molar-incisor hypomineralisation (MIH) by Iraqi Dental Academics. Int J Paediatr Dent. 2011;21:261–70.PubMedCrossRef
go back to reference Ghanim A, Manton D, Mariño R, Morgan M, Bailey D. Prevalence of demarcated hypomineralisation defects in second primary molars in Iraqi children. Int J Paediatr Dent. 2013a;23:48–55.PubMedCrossRef Ghanim A, Manton D, Mariño R, Morgan M, Bailey D. Prevalence of demarcated hypomineralisation defects in second primary molars in Iraqi children. Int J Paediatr Dent. 2013a;23:48–55.PubMedCrossRef
go back to reference Ghanim A, Manton D, Bailey D, Mariño R, Morgan M. Risk factors in the occurrence of Molar-Incisor Hypomineralization among a group of Iraqi children. Int J Paediatr Dent. 2013b;23:197–206.PubMedCrossRef Ghanim A, Manton D, Bailey D, Mariño R, Morgan M. Risk factors in the occurrence of Molar-Incisor Hypomineralization among a group of Iraqi children. Int J Paediatr Dent. 2013b;23:197–206.PubMedCrossRef
go back to reference Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management of first permanent molars in children with Molar-Incisor Hypomineralisation. Eur J Paediatr Dent. 2005;6:179–84.PubMed Kotsanos N, Kaklamanos EG, Arapostathis K. Treatment management of first permanent molars in children with Molar-Incisor Hypomineralisation. Eur J Paediatr Dent. 2005;6:179–84.PubMed
go back to reference Leppäniemi A, Lukinmaa PL, Alaluusua S. Non- fluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res. 2001;35:36–40.PubMedCrossRef Leppäniemi A, Lukinmaa PL, Alaluusua S. Non- fluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res. 2001;35:36–40.PubMedCrossRef
go back to reference Lygidakis NA, Dimou G, Marinou D. Molar-incisor-hypomineralisation (MIH). A retrospective clinical study in Greek children. II. Possible medical aetiological factors. Eur Arch Paediatr Dent. 2008;9:207–17.PubMedCrossRef Lygidakis NA, Dimou G, Marinou D. Molar-incisor-hypomineralisation (MIH). A retrospective clinical study in Greek children. II. Possible medical aetiological factors. Eur Arch Paediatr Dent. 2008;9:207–17.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Lygidakis NA. Treatment modalities in children with teeth affected by molar-incisor enamel hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2010;2:65–74.CrossRef Lygidakis NA. Treatment modalities in children with teeth affected by molar-incisor enamel hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2010;2:65–74.CrossRef
go back to reference Malaysia Ministry of Health Annual Report. Health Management Information System (oral health sub-system). Kuala Lumpur: information and documentation system unit. Ministry of Health May 2004. Malaysia Ministry of Health Annual Report. Health Management Information System (oral health sub-system). Kuala Lumpur: information and documentation system unit. Ministry of Health May 2004.
go back to reference Math-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralization. Compend Contin Educ Dent. 2006;27:604–11. Math-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralization. Compend Contin Educ Dent. 2006;27:604–11.
go back to reference McKnight-Hanes C, Myers DR, Dushku JC, Barenie JT. A comparison of general dentists’ and pediatric dentists’ treatment recommendations for primary teeth. Pediatr Dent. 1999;13:344–8. McKnight-Hanes C, Myers DR, Dushku JC, Barenie JT. A comparison of general dentists’ and pediatric dentists’ treatment recommendations for primary teeth. Pediatr Dent. 1999;13:344–8.
go back to reference Oral Health Division, Ministry of Health Malaysia, Oral Health Care in Malaysia. April 2005. Oral Health Division, Ministry of Health Malaysia, Oral Health Care in Malaysia. April 2005.
go back to reference Rasmusson CG, Eriksson MA. Celiac disease and mineralization disturbances of permanent teeth. Int J Paediatr Dent. 2001;11:179–83.PubMedCrossRef Rasmusson CG, Eriksson MA. Celiac disease and mineralization disturbances of permanent teeth. Int J Paediatr Dent. 2001;11:179–83.PubMedCrossRef
go back to reference Tran LA, Messer LB. Clinicians’ choice of restorative materials for children. Aust Dent J. 2003;48:221–32.PubMedCrossRef Tran LA, Messer LB. Clinicians’ choice of restorative materials for children. Aust Dent J. 2003;48:221–32.PubMedCrossRef
go back to reference Weerheijm K, Duggal M, Mejàre I, 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;4:110–3.PubMed Weerheijm K, Duggal M, Mejàre I, 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;4:110–3.PubMed
go back to reference Weerheijm KL, Mejàre I. Molar-incisor-Hypomineralisation: a questionnaire inventory of its occurrence in member countries of the European Academy of Paediatric Dentistry (EAPD). Int J Paediatr Dent. 2003;13:411–6.PubMedCrossRef Weerheijm KL, Mejàre I. Molar-incisor-Hypomineralisation: a questionnaire inventory of its occurrence in member countries of the European Academy of Paediatric Dentistry (EAPD). Int J Paediatr Dent. 2003;13:411–6.PubMedCrossRef
go back to reference Wierink CD, van Diermen DE, Artman IHA, Heymans HAS. Dental enamel defects in children with celiac disease. Int J Paediatr Dent. 2007;17:163–8.PubMedCrossRef Wierink CD, van Diermen DE, Artman IHA, Heymans HAS. Dental enamel defects in children with celiac disease. Int J Paediatr Dent. 2007;17:163–8.PubMedCrossRef
Metadata
Title
Knowledge, management and perceived barriers to treatment of molar-incisor hypomineralisation in general dental practitioners and dental nurses in Malaysia
Authors
A. S. Hussein
A. M. Ghanim
M. I. Abu-Hassan
D. J. Manton
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Paediatric Dentistry / Issue 5/2014
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-014-0115-2

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