Management of molar-incisor hypomineralisation by general dental practitioners - part one: diagnosis



Humphreys, Judith ORCID: 0000-0002-3252-0962, Jarad, Fadi ORCID: 0000-0002-5485-2706 and Albadri, Sondos ORCID: 0000-0001-6516-9497
(2021) Management of molar-incisor hypomineralisation by general dental practitioners - part one: diagnosis. British Dental Journal. pp. 1-6.

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Abstract

Introduction Molar-incisor hypomineralisation (MIH) affects one in six children in the UK. For the majority of patients who have mild MIH, this should be managed in primary care.Aims To assess UK-based general dental practitioners' (GDPs) ability to diagnose MIH when presented with multiple clinical vignettes.Design An electronic vignette survey was designed with use of clinical photographs - six cases had MIH and/or hypomineralised second primary molars (HSPMs) (seven possible diagnoses). Four control cases showing caries, fluorosis, amelogenesis imperfecta and dentinogenesis imperfecta were also included. Participants were UK-based GDPs. The survey was distributed by email and across social media platforms. Data collection occurred between February and May 2019.Results Seventy-six GDPs completed the survey; 68.4% (n = 52) of participants were female and 83% (n = 63) of participants graduated after the year 2000. The number of accurate diagnoses for each case were as follows - mild MIH (molars/incisors) 65.79%; mild MIH (molars only) 3.95%; HSPM and MIH (HSPM result) 0%; HSPM and MIH (MIH result) 50%; severe MIH (post-eruptive breakdown) 63.16%; severe MIH (caries) 31.58%; HSPM 3.95%.Conclusion GDPs are able to accurately diagnose MIH best when both incisors and molars are affected and caries is not present.

Item Type: Article
Uncontrolled Keywords: Dental/Oral and Craniofacial Disease
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Dentistry
Depositing User: Symplectic Admin
Date Deposited: 07 Apr 2021 09:45
Last Modified: 15 Mar 2024 01:32
DOI: 10.1038/s41415-021-2735-3
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3118451