Kühnisch Jan, Standl Marie, Hickel Reinhard, Heinrich Joachim
Poliklinik für Zahnerhaltung und Parodontologie, Klinikum der Universität München, Ludwig-Maximilians-Universität München, München, Deutschland.
Institut für Epidemiologie, Helmholtz Zentrum München - Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Aug;64(8):924-930. doi: 10.1007/s00103-021-03366-1. Epub 2021 Jul 2.
After caries, molar incisor hypomineralisation (MIH)-also known as chalky teeth-is one the most common dental diseases in children and adolescents. In addition to aesthetic limitations, especially on the anterior teeth, hypersensitivities and enamel breakdowns on permanent molars are of functional importance. While the MIH prevalence rates range from ~ 10% to ~ 30% and is well described, the situation regarding aetiology is unsatisfactory. Although efforts have been made in the past to clarify the aetiology, no plausible reason is available so far. Aetiology research has to be judged as methodologically challenging, since it should ideally be embedded in prospectively planned birth cohort studies. The aim of this article is to summarize typical clinical characteristics of MIH, epidemiological findings and potential causes with special reference to the earlier published results from the two Munich birth cohort studies GINIplus and LISA.
继龋齿之后,磨牙切牙矿化不全(MIH)——也被称为白垩牙——是儿童和青少年中最常见的牙科疾病之一。除了美观受限,尤其是在前牙上,恒牙磨牙的过敏和牙釉质破损具有功能上的重要性。虽然MIH的患病率在10%至30%之间且已有充分描述,但病因情况仍不尽人意。尽管过去已努力阐明病因,但目前尚无合理的原因。病因学研究在方法上具有挑战性,因为理想情况下它应纳入前瞻性规划的出生队列研究中。本文旨在总结MIH的典型临床特征、流行病学研究结果及潜在病因,并特别参考慕尼黑两项出生队列研究GINIplus和LISA早期发表的结果。