Top

European Archives of Paediatric Dentistry

Published in:

01-08-2017 | Original Scientific Article

Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice

Authors: A. Ghanim, M. J. Silva, M. E. C. Elfrink, N. A. Lygidakis, R. J. Mariño, K. L. Weerheijm, D. J. Manton

Published in: European Archives of Paediatric Dentistry | Issue 4/2017

Abstract

Background

Despite clear assessment criteria, studies of molar incisor hypomineralisation (MIH) and hypomineralised second primary molars (HSPM) are marked by inconsistency in outcome measurements. This has detracted from meaningful comparisons between studies and limited interpretation.

Aim

To provide a comprehensive manual as a companion to assist researchers in planning epidemiological studies of MIH and HSPM, with particular reference to outcome measurement.

Methods

This manual begins with a succinct review of the clinical problems and evidence for management of the conditions. The subsequent sections guide researchers through diagnosis of MIH and HSPM and implementation of both the long and short forms of a recently proposed grading system. MIH and HSPM can often be confused with fluorosis, enamel hypoplasia, amelogenesis imperfecta, and white spot lesions but can be distinguished by a number of unique clinical features. Based on the grading system, a standardised protocol is proposed for clinical examinations. Intra and inter-examiner reliability is of key importance when outcome measurement is subjective and should be reported in all epidemiological studies of MIH. The manual concludes with an exercise forum aimed to train examiners in the use of the grading system, with answers provided.

Conclusion

The use of a standardised protocol, diagnostic and grading criteria will greatly enhance the quality of epidemiological studies of MIH.

Baroni C, Marchionni S. MIH supplementation strategies: prospective clinical and laboratory trial. J Dent Res. 2011;90:371–6.CrossRefPubMed

Crawford P, Aldred M, Bloch-Zupan A. Amelogenesis imperfecta. Orphanet J Rare Dis. 2007;2:17.CrossRefPubMedPubMedCentral

Crombie FA, Cochrane NJ, Manton DJ, Palamara JE, Reynolds EC. Mineralisation of developmentally hypomineralised human enamel in vitro. Caries Res. 2013;47:259–63.CrossRefPubMed

Crombie F, Manton D, Palamara J, Reynolds E. Resin infiltration of developmentally hypomineralised enamel. Int J Paediatr Dent. 2014;24:51–5.CrossRefPubMed

Daly LE, Bourke GJ. Interpretation and uses of medical statistics. 5th ed. Oxford: Blackwell Science; 2000.CrossRef

Elcock C, Smith RN, Simpson J, et al. Comparison of methods for measurement of hypoplastic lesions. Eur J Oral Sci. 2006;114:365–9.CrossRefPubMed

Elfrink MEC, Veerkamp JSJ, Aartman IHA, Moll HA, Ten Cate JM. Validity of scoring caries and primary molar hypomineralization (DMH) on intraoral photographs. Eur Arch Paediatr Dent. 2009;10(Suppl 1):5–10.CrossRefPubMed

Elfrink ME, Ten Cate JM, Jaddoe VW, et al. Deciduous molar hypomineralization and molar incisor hypomineralization. J Dent Res. 2012;91:551–5.CrossRefPubMed

Elfrink M, Ghanim A, Weerheijm K, Manton D. Standardised studies on molar incisor hypomineralisation (MIH) and hypomineralised second primary molars (HSPM): a need. Eur Arch Paediatr Dent. 2015;16:247–55.CrossRefPubMed

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

Fragelli CM, de Souza JF, Jeremias F, Cordeiro R, Santos-Pinto L. Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth. Braz Oral Res [online]. 2014;29:1–7.

Gaardmand E, Poulsen S, Haubek D. Pilot study of minimally invasive cast adhesive copings for early restoration of hypomineralised first permanent molars with post-eruptive breakdown. Eur Arch Paediatr Dent. 2013;14:35–9.CrossRefPubMed

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. 2013;23:48–55.CrossRefPubMed

Ghanim A, Elfrink M, Weerheijm K, Marino R, Manton D. A practical method for use in epidemiological studies on enamel hypomineralisation. Eur Arch Paediatr Dent. 2015;16:235–46.CrossRefPubMedPubMedCentral

Jalevik B. Prevalence and diagnosis of molar-incisor- hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2010;11:59–64.CrossRefPubMed

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.CrossRefPubMed

Lygidakis NA. Treatment modalities in children with teeth affected by molar-incisor enamel hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2010;11:65–74.CrossRefPubMed

Lygidakis NA, Dimou G, Lygidakis NN. Six years clinical evaluation of composite aesthetic restorations in incisors with MIH. Abstract 067. In: 11th congress of the European academy of paediatric dentistry, Strasbourg, May 24–27, 2012.

Mastroberardino S, Campus G, Strohmenger L, Villa A, Grazia Cagetti M. An innovative approach to treat incisors hypomineralization (MIH): a combined use of casein phosphopeptide-amorphous calcium phosphate and hydrogen peroxide—a case report. Case Rep Dent. 2012;2012:5. doi:10.1155/2012/379593.

Ozgül BM, Saat S, Sönmez H, Oz FT. Clinical evaluation of desensitizing treatment for incisor teeth affected by molar-incisor hypomineralization. J Clin Pediatr Dent. 2013;38:101–5.CrossRefPubMed

Rozier RG. Epidemiologic indices for measuring the clinical manifestations of dental fluorosis: overview and critique. Adv Dent Res. 1994;8:39–55.CrossRefPubMed

Seow WK. Clinical diagnosis of enamel defects: pitfalls and practical guidelines. Int Dent J. 1997;47:173–82.CrossRefPubMed

Weerheijm KL, Jalevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001;35:390–1.CrossRefPubMed

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 Arch Paediatr Dent. 2003;4:110–3.

Weerheijm KL. Molar incisor hypomineralisation (MIH): clinical presentation, aetiology and management. Dent Update. 2004;31:9–12.CrossRefPubMed

Williams JK, Gowans AJ. Hypomineralised first permanent molars and the orthodontist. Eur J Paediatr Dent. 2003;4:129–32.PubMed

Willmott NS, Bryan RA, Duggal MS. Molar-incisor-hypomineralisation: a literature review. Eur Archs Paediatr Dent. 2008;9:172–9.CrossRef

World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: WHO; 2013.

Title: Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice
Authors: A. Ghanim
M. J. Silva
M. E. C. Elfrink
N. A. Lygidakis
R. J. Mariño
K. L. Weerheijm
D. J. Manton
Publication date: 01-08-2017
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Paediatric Dentistry / Issue 4/2017
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-017-0293-9

ACC 2024 Congress

Springer Medicine

Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice

Abstract

Background

Aim

Methods

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Background

Aim

Methods

Conclusion

Please log in to get access to this content

Other articles of this Issue 4/2017

Dental and craniofacial findings in 91 individuals with agenesis of permanent maxillary canines

Quantitative analysis of S. mutans, Lactobacillus and Bifidobacterium found in initial and mature plaques in Thai children with early childhood caries

Are grape juices more erosive than orange juices?

EAPD Interim Seminar in Turin, Italy

Inflammatory follicular cysts associated to necrotic primary teeth

Clinical and radiographic comparison of biodentine, mineral trioxide aggregate and formocresol as pulpotomy agents in primary molars