Hussein A S, Faisal M, Haron M, Ghanim A M, Abu-Hassan M I
J Clin Pediatr Dent. 2015 Spring;39(3):219-23. doi: 10.17796/1053-4628-39.3.219.
Molar-Incisor Hypomineralization (MIH) is a condition of hypomineralized enamel of systemic origin affecting first permanent molars and frequently permanent incisors. It is considered a global problem and data from South-East Asian countries, including Malaysia are lacking. Hence the aim of this study were to investigate the distribution and severity of MIH in a group of children aged 7-12 year olds attending pediatric dental clinic at Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Malaysia.
Hundred and fifty four children age 7-12 year-old with mean age of 9.14 ±1.682 had their first permanent molars and permanent incisors were examined at Faculty of Dentistry, UiTM using European Academy of Paediatric Dentistry 2003 (EAPD) criteria for diagnosis of MIH. Children at least one first permanent molar affected were considered as having MIH. Data were recorded and statistically analysed using descriptive analysis and Chi square test.
Twenty six of the total examined children (n=154) had MIH (16.9%). There was no statistical difference between males and females in the prevalence of MIH. However, a statistical significant difference was found by age groups. The first permanent molars were more frequently affected (58%) as compared to permanent incisors. Mandibular molars were to have the highest rate of MIH (15.5%). The right and left sides were equally affected. Mild defects were the most frequent lesion type (96.6%).
This study revealed that MIH is a common condition (16.9%). Molars were more frequently affected than incisors with mild defects were the most common lesion status. Further studies on this defect amongst Malaysian children are worthwhile.
磨牙-切牙矿化不全(MIH)是一种源于全身的牙釉质矿化不全病症,会影响第一恒磨牙,且常常累及恒切牙。它被视为一个全球性问题,而包括马来西亚在内的东南亚国家缺乏相关数据。因此,本研究的目的是调查马来西亚玛拉工艺大学(UiTM)牙科学院儿科牙科诊所中一组7至12岁儿童的MIH分布情况及严重程度。
154名年龄在7至12岁之间、平均年龄为9.14±1.682岁的儿童,在UiTM牙科学院依据欧洲儿科牙科学会2003年(EAPD)的MIH诊断标准对其第一恒磨牙和恒切牙进行了检查。至少有一颗第一恒磨牙受影响的儿童被视为患有MIH。记录数据并使用描述性分析和卡方检验进行统计分析。
在总共检查的154名儿童中,有26名患有MIH(16.9%)。MIH患病率在男性和女性之间无统计学差异。然而,按年龄组发现存在统计学显著差异。第一恒磨牙比恒切牙更常受到影响(58%)。下颌磨牙的MIH发生率最高(15.5%)。左右两侧受影响程度相同。轻度缺陷是最常见的病变类型(96.6%)。
本研究表明MIH是一种常见病症(16.9%)。磨牙比切牙更常受到影响,且轻度缺陷是最常见的病变状态。对马来西亚儿童中的这种缺陷进行进一步研究是有价值的。