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01-06-2018 | Original Article

Relationship between caries experience and demarcated hypomineralised lesions (including MIH) in the permanent dentition of 15-year-olds

Authors: Jan Kühnisch, Lamiaa Kabary, Yuri Malyk, Katrin Rothmaier, Isabel Metz, Reinhard Hickel, Joachim Heinrich, David Manton, Marie Standl

Published in: Clinical Oral Investigations | Issue 5/2018

Abstract

Objective

This cross-sectional study compared the caries experience in 15-year-olds with and without demarcated hypomineralised lesions (DHL) in permanent teeth.

Material and methods

One thousand three hundred and two 15-year-old adolescents from two ongoing birth cohorts (GINIplus15 and LISAplus15) were examined to determine non-cavitated carious lesions (NCCL) and the DMF index. Furthermore, DHL was scored on all permanent teeth/surfaces according to the molar-incisor hypomineralisation criteria of the European Academy of Paediatric Dentistry (MIH/EAPD). Adolescents with DHL were categorised into those with a minimum of one DHL in the permanent dentition (DHL ≥ 1), with DHL on at least one first permanent molar (MIH/EAPD) and with DHL on at least one first permanent molar and permanent incisor (MIH/Severe). The study was conducted in the metropolitan area of Munich.

Results

The proportion of children without caries amounted to 63.7% (DMF > 0) and 26.0% (D_1-4MF > 0); the caries experience was mean = 4.0(SD = 5.2) NCCL/T and 0.9(1.7) DMF/T. Existence of DHL ≥ 1, MIH/EAPD and MIH/Severe was detected in 40.2, 17.2 and 9.8% of all adolescents, respectively. The corresponding DMF/T values were: no DHL 0.9(1.7); DHL ≥ 1 1.0(1.7); MIH/EAPD 1.1(1.6); MIH/Severe 1.1(1.7). The group of adolescents with MIH/EAPD and MIH/Severe were found to have statistically higher caries rates in comparison to those with no DHL.

Conclusions

Caries and DHL are prevalent and influenced the dental health of 15-year-old adolescents. A significant positive association existed between the presence of caries and DHL.

Clinical relevance

Children with MIH/EAPD or MIH/Severe had a higher probability to develop carious lesions in the permanent dentition.

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Title: Relationship between caries experience and demarcated hypomineralised lesions (including MIH) in the permanent dentition of 15-year-olds
Authors: Jan Kühnisch
Lamiaa Kabary
Yuri Malyk
Katrin Rothmaier
Isabel Metz
Reinhard Hickel
Joachim Heinrich
David Manton
Marie Standl
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 5/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2299-4

At a glance: The STEP trials

Springer Medicine

Relationship between caries experience and demarcated hypomineralised lesions (including MIH) in the permanent dentition of 15-year-olds

Abstract

Objective

Material and methods

Results

Conclusions

Clinical relevance

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Material and methods

Results

Conclusions

Clinical relevance

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