Department of Pediatric Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Specialist Clinics for Pediatric Dentistry, Public Dental Service, VGR, Mölndal, Sweden.
Eur Arch Paediatr Dent. 2022 Feb;23(1):65-78. doi: 10.1007/s40368-021-00631-4. Epub 2021 Jun 10.
Molar Incisor Hypomineralization (MIH) are first molars with developmental enamel defects and are common findings in many child populations. The porous nature of MIH enamel and the presence of post-eruptive enamel breakdown leads to the presence of hypersensitivity and pain, which is often the patient's main complaint and can result in dental fear and affect the quality of life. The present review aims to summarise the evidence for the ability of MIH to cause problems, such as dental fear and anxiety (DFA) and to summarise the evidence for a possibly negative impact on the oral health-related quality of life (OHRQoL) of MIH affected children and adolescents, in a systematic review.
Two searches, (1) MIH AND dental anxiety and (2) MIH AND Quality of life, were performed in MEDLINE/PubMed and Scopus. Selection demands were fulfilling the MIH diagnosis criteria using validated instruments and questionnaires for assessing DFA and OHRQoL, respectively.
After removing duplicates and articles not fulfilling the selection demands, 6 studies concerning MIH and DFA and 8 studies concerning MIH and OHRQoL remained.
Children and adolescents with diagnosed MIH did not seem to suffer from increased dental fear and anxiety, but indicated an impaired oral health-related quality of life.
恒磨牙牙釉质发育不全（MIH）是第一恒磨牙存在发育性牙釉质缺陷，在许多儿童群体中较为常见。MIH 牙釉质的多孔性和釉质后期破裂导致了敏感性和疼痛的出现，这通常是患者的主要主诉，并可能导致牙科恐惧和影响生活质量。本综述旨在总结 MIH 引起问题的证据，如牙科恐惧和焦虑（DFA），并总结 MIH 对受影响儿童和青少年口腔健康相关生活质量（OHRQoL）可能产生负面影响的证据，这是一项系统综述。
在 MEDLINE/PubMed 和 Scopus 中进行了两次搜索，（1）MIH 和牙科焦虑，以及（2）MIH 和生活质量。选择标准是使用经过验证的仪器和问卷来诊断 MIH，分别评估 DFA 和 OHRQoL。
在去除重复项和不符合选择要求的文章后，仍有 6 项关于 MIH 和 DFA 的研究和 8 项关于 MIH 和 OHRQoL 的研究。
患有确诊 MIH 的儿童和青少年似乎没有出现牙科恐惧和焦虑的增加，但表明口腔健康相关生活质量受损。
