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Molar incisor hypomineralisation (MIH).

K L Weerheijm1

  • 1Department of Cariology, Endodontology and Pedodontology, Academic Centre for Dentistry (ACTA), Amsterdam, The Netherlands.

European Journal of Paediatric Dentistry
|October 8, 2003
PubMed
Summary

Molar Incisor Hypomineralisation (MIH) affects 3.6-25% of children, causing fragile teeth prone to decay. Increased dental check-ups are recommended for children with early illnesses or visible enamel defects.

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Area of Science:

  • Pediatric Dentistry
  • Dental Public Health
  • Developmental Biology

Background:

  • Molar Incisor Hypomineralisation (MIH) is a developmental defect affecting permanent first molars and incisors.
  • MIH-affected teeth are fragile and susceptible to caries, posing significant clinical challenges.
  • Limited comparable data exist on MIH prevalence and etiology, hindering public health assessments.

Purpose of the Study:

  • To review the current understanding of Molar Incisor Hypomineralisation.
  • To highlight the clinical implications and prevalence data gaps for MIH.
  • To provide recommendations for managing children at risk for MIH.

Main Methods:

  • Literature review of studies on Molar Incisor Hypomineralisation prevalence and etiology.
  • Analysis of existing data on MIH-related clinical problems.
  • Synthesis of information to inform dental check-up frequency recommendations.

Main Results:

  • MIH prevalence varies widely (3.6% to 25%) across different regions and birth cohorts.
  • Multiple etiological factors, often child-related, contribute to enamel defects in MIH.
  • MIH poses a significant problem in pediatric dentistry, though precise data are lacking.

Conclusions:

  • Children with a history of early childhood illnesses are at higher risk for MIH.
  • Visible enamel opacities on newly erupted molars or incisors warrant increased dental surveillance.
  • Regular dental check-ups are crucial during the eruption of first permanent molars for early MIH detection and management.

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