Shah Vaishnavi U, Dave Bhavna H, Chari Deepika N, Shah Kelvin A
Department of Pediatric and Preventive Dentistry, KM Shah Dental College & Hospital, Sumandeep Vidhyapeeth, Vadodara, Gujarat, India.
Department of Prosthodontics, Pacific Dental College & Hospital, Debari, Rajasthan, India.
Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):280-286. doi: 10.5005/jp-journals-10005-2570.
Molar incisor hypomineralization (MIH) is an emerging clinical problem as the affected tooth is prone to dental caries with the lapse of time.
To assess the prevalence, severity, and associated risk indicators of MIH amongst 8-13 years of children of Vadodara District, Gujarat, India.
A cross-sectional study with a sample size of 3,000 government schoolchildren. A total of 1,500 children each from urban and rural areas were randomly selected and examined. Only permanent incisors and first molars were examined. MIH was diagnosed clinically based on the diagnostic criteria established by the European Academy of Paediatric Dentistry (EAPD), 2003. To check the relation between the two variables-Pearson's chi-squared test was applied. Fisher's exact test was applied when less than five expected values were found.
A total of 286 children (9.6 %) had MIH, with 189 (rural) and 97 (urban) children. MIH was significantly higher in the rural population as compared to the urban. In the rural area, the cause was found to be a child suffering from an illness (>15 days) which was 35.98%, and in the urban area was due to prolonged use of antibiotics before 4 years of age, which was 28.87%.
The overall prevalence rate of MIH among the screened children between the age-group 8 and 13 was found to be 9.6%. Males were more affected. The severity of MIH was more in molars compared to incisors and more in children of rural areas.
Protocol for early diagnosis and follow-up to access the squeal of breakdown should be undertaken along with parents and health workers.
Shah VU, Dave BH, Chari DN, Prevalence, Severity and Associated Risk Indicators of Molar Incisor Hypomineralization amongst 8-13-year-old Children of Vadodara District Gujarat: A Cross-sectional Study. Int J Clin Pediatr Dent 2023;16(2):280-286.
磨牙切牙矿化不全(MIH)是一个新出现的临床问题,因为随着时间的推移,受影响的牙齿容易患龋齿。
评估印度古吉拉特邦瓦多达拉地区8至13岁儿童中MIH的患病率、严重程度及相关风险指标。
一项横断面研究,样本为3000名政府学校儿童。从城市和农村地区各随机选取1500名儿童进行检查。仅检查恒切牙和第一磨牙。根据欧洲儿童牙科学会(EAPD)2003年制定的诊断标准进行临床诊断。为检验两个变量之间的关系,应用了Pearson卡方检验。当预期值少于5时,应用Fisher精确检验。
共有286名儿童(9.6%)患有MIH,其中农村儿童189名,城市儿童97名。农村人口中的MIH患病率显著高于城市。在农村地区,病因是儿童患病(超过15天),占35.98%,而在城市地区则是4岁前长期使用抗生素,占28.87%。
在8至13岁的筛查儿童中,MIH的总体患病率为9.6%。男性受影响更大。MIH在磨牙中的严重程度高于切牙,在农村儿童中更为严重。
应与家长和卫生工作者一起制定早期诊断和随访方案,以评估病情恶化情况。
Shah VU, Dave BH, Chari DN, 古吉拉特邦瓦多达拉地区8至13岁儿童磨牙切牙矿化不全的患病率、严重程度及相关风险指标:一项横断面研究。《国际临床儿科牙科学杂志》2023;16(2):280 - 286。