Ciocan Beatrice, Petcu Lucian Cristian, Luca Rodica
Doctoral School, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 37 Dionisie Lupu, 020021 Bucharest, Romania.
Department of Biophysics, Biostatistics, and Medical Informatics, Faculty of Dentistry, Ovidius University of Constanța, 1 Aleea Universității, 900470 Constanta, Romania.
Children (Basel). 2025 May 25;12(6):680. doi: 10.3390/children12060680.
Molar Incisor Hypomineralization (MIH) is a common dental condition that affects the mineralization of the enamel, primarily affecting the first permanent molars and often the incisors. This condition can lead to a wide range of clinical presentations, from mild opacities to severe post-eruptive breakdown, which can significantly impact a child's oral health and quality of life. : The prevalence and complex management of MIH have posed a significant challenge for dental practitioners. Our preceding investigation found that 14.3% of school-aged children have MIH. Based on this finding, we wanted to understand what other Romanian dental professionals think about this condition. Therefore, the aim of the present study was to assess the awareness, perception, and clinical management approaches of Romanian dentists toward MIH in order to inform future educational strategies and contribute to the development of dedicated preventive programs. : To gain a comprehensive understanding of MIH in actual clinical settings, we developed and administered a questionnaire consisting of three distinct sections. Our objective was to capture the collective knowledge and perspectives of dental practitioners. We distributed the survey, which included 14 pertinent questions, to a large professional group of Romanian dentists. : This study collected responses from 219 Romanian dental practitioners (median age: 34 years) about their experiences with MIH. The vast majority (86.76%) had encountered MIH cases in their practice, with half reporting moderate prevalence among their patients. The most frequently observed complications were hypersensitivity (41.95%), pulp exposure (33.33%), and failed restorations (24.71%). While adhesive restorations were identified as the overall preferred treatment approach (70.00%), notable differences emerged in both clinical complications encountered and therapeutic approaches implemented across dental specialties. There was near-unanimous agreement on the importance of early MIH diagnosis (99.09%), and almost all participants (98.63%) expressed a desire for more information about this condition, demonstrating high awareness and concern about MIH among Romanian dental professionals. : This study highlights that general dentists, endodontists, and pedodontists encounter MIH patients frequently in their practice, emphasizing the critical need to enhance awareness and education about MIH among both dental professionals and the general public.
磨牙切牙矿化不全（MIH）是一种常见的牙齿疾病，会影响牙釉质的矿化，主要影响第一恒磨牙，通常也会影响切牙。这种情况可导致多种临床表现，从轻度釉质混浊到严重的萌出后牙体破坏，这会对儿童的口腔健康和生活质量产生重大影响。MIH的患病率和复杂的管理给牙科从业者带来了重大挑战。我们之前的调查发现，14.3%的学龄儿童患有MIH。基于这一发现，我们想了解其他罗马尼亚牙科专业人员对这种情况的看法。因此，本研究的目的是评估罗马尼亚牙医对MIH的认识、看法和临床管理方法，以便为未来的教育策略提供信息，并为专门的预防计划的制定做出贡献。为了在实际临床环境中全面了解MIH，我们编制并发放了一份由三个不同部分组成的问卷。我们的目标是收集牙科从业者的集体知识和观点。我们将包含14个相关问题的调查问卷分发给一大群罗马尼亚牙医。本研究收集了219名罗马尼亚牙科从业者（中位年龄：34岁）关于他们处理MIH经历的回复。绝大多数（86.76%）在实践中遇到过MIH病例，其中一半报告其患者中患病率中等。最常观察到的并发症是牙齿敏感（41.95%）、牙髓暴露（33.33%）和修复失败（24.71%）。虽然粘结修复被确定为总体首选治疗方法（70.00%），但在不同牙科专业遇到的临床并发症和实施的治疗方法方面存在显著差异。对于早期MIH诊断的重要性几乎达成了一致意见（99.09%），几乎所有参与者（98.63%）都表示希望获得更多关于这种情况的信息，这表明罗马尼亚牙科专业人员对MIH有很高的认识和关注。这项研究强调，普通牙医、牙髓病医生和儿童牙医在实践中经常遇到MIH患者，这突出了提高牙科专业人员和公众对MIH的认识和教育的迫切需要。
