Hernandez Miguel, Boj Juan, Espasa Enric, Planells Paloma, Peretz Benjamin
J Clin Pediatr Dent. 2018;42(5):344-348. doi: 10.17796/1053-4625-42.5.4. Epub 2018 May 15.
Molar-incisor hypomineralization is a disturbance in dental development that involves first permanent molars as well as permanent incisors with a prevalence that ranges from 2.5% to 40%. The objective of this study was to investigate the etiology of molar-incisor hypomineralization among school children from two randomly selected towns in the province of Barcelona, Spain.
A cross-sectional study was conducted with 705 children ranging in age from six years-old to 14 years and 11 months-old. Full mouth examinations were carried out in accordance with the European Academy of Paediatric Dentistry criteria for the diagnosis of molar-incisor hypomineralization, from April to July 2016.
A total of 56 cases of molar-incisor hypomineralization were found in 22 (39.3%) boys and 34 (60.7%) girls. MIH was significantly more prevalent among those who had atopic dermatitis (OR=90.9; 33.4-247.1 CI 95%), food allergies (OR=104.2; 12.2-887.5 CI 95%), bronchitis/asthma (OR=5.3; 2.7-10.1 CI 95%), varicella (OR=96.3; 41.9-221.1 CI 95%), otitis media (OR=12.2; 6.3-23.5 CI 95%), pneumonia (OR=276.7; 35.1-2183.7 CI 95%), and febrile syndrome (OR=7.8; 4.1-14.8 CI 95%).
The present research reveals for the first time a statistically significant relationship between atopic dermatitis and food allergies with the presence of molar-incisor hypomineralization.
磨牙-切牙矿化不全是一种牙齿发育障碍,累及第一恒磨牙和恒切牙,患病率在2.5%至40%之间。本研究的目的是调查西班牙巴塞罗那省两个随机选取城镇的学龄儿童中磨牙-切牙矿化不全的病因。
对705名年龄在6岁至14岁11个月之间的儿童进行了一项横断面研究。2016年4月至7月,根据欧洲儿童牙科学会的标准对磨牙-切牙矿化不全进行诊断,进行了全口检查。
共发现56例磨牙-切牙矿化不全病例,其中男孩22例(39.3%),女孩34例(60.7%)。在患有特应性皮炎(比值比=90.9;95%置信区间为33.4 - 247.1)、食物过敏(比值比=104.2;95%置信区间为12.2 - 887.5)、支气管炎/哮喘(比值比=5.3;95%置信区间为2.7 - 10.1)、水痘(比值比=96.3;95%置信区间为41.9 - 221.1)、中耳炎(比值比=12.2;95%置信区间为6.3 - 23.5)、肺炎(比值比=276.7;95%置信区间为35.1 - 2183.7)和发热综合征(比值比=7.8;95%置信区间为4.1 - 14.8)的儿童中,磨牙-切牙矿化不全的患病率显著更高。
本研究首次揭示了特应性皮炎和食物过敏与磨牙-切牙矿化不全之间存在统计学上的显著关联。