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Relationship between caries experience and demarcated hypomineralised lesions (including MIH) in the permanent dentition of 15-year-olds.
Clin Oral Investig. 2018 Jun; 22(5):2013-2019.CO

Abstract

OBJECTIVE

This cross-sectional study compared the caries experience in 15-year-olds with and without demarcated hypomineralised lesions (DHL) in permanent teeth.

MATERIAL AND METHODS

One thousand three hundred and two 15-year-old adolescents from two ongoing birth cohorts (GINIplus15 and LISAplus15) were examined to determine non-cavitated carious lesions (NCCL) and the DMF index. Furthermore, DHL was scored on all permanent teeth/surfaces according to the molar-incisor hypomineralisation criteria of the European Academy of Paediatric Dentistry (MIH/EAPD). Adolescents with DHL were categorised into those with a minimum of one DHL in the permanent dentition (DHL ≥ 1), with DHL on at least one first permanent molar (MIH/EAPD) and with DHL on at least one first permanent molar and permanent incisor (MIH/Severe). The study was conducted in the metropolitan area of Munich.

RESULTS

The proportion of children without caries amounted to 63.7% (DMF > 0) and 26.0% (D1-4MF > 0); the caries experience was mean = 4.0(SD = 5.2) NCCL/T and 0.9(1.7) DMF/T. Existence of DHL ≥ 1, MIH/EAPD and MIH/Severe was detected in 40.2, 17.2 and 9.8% of all adolescents, respectively. The corresponding DMF/T values were: no DHL 0.9(1.7); DHL ≥ 1 1.0(1.7); MIH/EAPD 1.1(1.6); MIH/Severe 1.1(1.7). The group of adolescents with MIH/EAPD and MIH/Severe were found to have statistically higher caries rates in comparison to those with no DHL.

CONCLUSIONS

Caries and DHL are prevalent and influenced the dental health of 15-year-old adolescents. A significant positive association existed between the presence of caries and DHL.

CLINICAL RELEVANCE

Children with MIH/EAPD or MIH/Severe had a higher probability to develop carious lesions in the permanent dentition.

Authors+Show Affiliations

Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany. jkuehn@dent.med.uni-muenchen.de. Klinik für Zahnerhaltung und Parodontologie, Klinikum der Ludwig-Maximilians-Universität München, Goethestraβe 70, 80336, Munich, Germany. jkuehn@dent.med.uni-muenchen.de.Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.Helmholtz Zentrum Munich - German Research Centre for Environmental Health, Institute of Epidemiology I, Neuherberg, Germany. Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Inner City Clinic, University Hospital of Munich (LMU), Munich, Germany.Elsdon Storey Chair of Child Dental Health, Oral Health CRC, Melbourne Dental School, The University of Melbourne, Parkville, Victoria, Australia.Helmholtz Zentrum Munich - German Research Centre for Environmental Health, Institute of Epidemiology I, Neuherberg, Germany.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

29224062

Citation

Kühnisch, Jan, et al. "Relationship Between Caries Experience and Demarcated Hypomineralised Lesions (including MIH) in the Permanent Dentition of 15-year-olds." Clinical Oral Investigations, vol. 22, no. 5, 2018, pp. 2013-2019.
Kühnisch J, Kabary L, Malyk Y, et al. Relationship between caries experience and demarcated hypomineralised lesions (including MIH) in the permanent dentition of 15-year-olds. Clin Oral Investig. 2018;22(5):2013-2019.
Kühnisch, J., Kabary, L., Malyk, Y., Rothmaier, K., Metz, I., Hickel, R., Heinrich, J., Manton, D., & Standl, M. (2018). Relationship between caries experience and demarcated hypomineralised lesions (including MIH) in the permanent dentition of 15-year-olds. Clinical Oral Investigations, 22(5), 2013-2019. https://doi.org/10.1007/s00784-017-2299-4
Kühnisch J, et al. Relationship Between Caries Experience and Demarcated Hypomineralised Lesions (including MIH) in the Permanent Dentition of 15-year-olds. Clin Oral Investig. 2018;22(5):2013-2019. PubMed PMID: 29224062.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship between caries experience and demarcated hypomineralised lesions (including MIH) in the permanent dentition of 15-year-olds. AU - Kühnisch,Jan, AU - Kabary,Lamiaa, AU - Malyk,Yuri, AU - Rothmaier,Katrin, AU - Metz,Isabel, AU - Hickel,Reinhard, AU - Heinrich,Joachim, AU - Manton,David, AU - Standl,Marie, Y1 - 2017/12/09/ PY - 2017/07/06/received PY - 2017/12/06/accepted PY - 2017/12/11/pubmed PY - 2018/12/18/medline PY - 2017/12/11/entrez KW - Caries KW - Caries experience KW - Demarcated hypomineralised lesions KW - Developmental defects KW - Enamel hypomineralisation KW - Epidemiology KW - Molar-incisor-hypomineralisation KW - Prevalence SP - 2013 EP - 2019 JF - Clinical oral investigations JO - Clin Oral Investig VL - 22 IS - 5 N2 - OBJECTIVE: This cross-sectional study compared the caries experience in 15-year-olds with and without demarcated hypomineralised lesions (DHL) in permanent teeth. MATERIAL AND METHODS: One thousand three hundred and two 15-year-old adolescents from two ongoing birth cohorts (GINIplus15 and LISAplus15) were examined to determine non-cavitated carious lesions (NCCL) and the DMF index. Furthermore, DHL was scored on all permanent teeth/surfaces according to the molar-incisor hypomineralisation criteria of the European Academy of Paediatric Dentistry (MIH/EAPD). Adolescents with DHL were categorised into those with a minimum of one DHL in the permanent dentition (DHL ≥ 1), with DHL on at least one first permanent molar (MIH/EAPD) and with DHL on at least one first permanent molar and permanent incisor (MIH/Severe). The study was conducted in the metropolitan area of Munich. RESULTS: The proportion of children without caries amounted to 63.7% (DMF > 0) and 26.0% (D1-4MF > 0); the caries experience was mean = 4.0(SD = 5.2) NCCL/T and 0.9(1.7) DMF/T. Existence of DHL ≥ 1, MIH/EAPD and MIH/Severe was detected in 40.2, 17.2 and 9.8% of all adolescents, respectively. The corresponding DMF/T values were: no DHL 0.9(1.7); DHL ≥ 1 1.0(1.7); MIH/EAPD 1.1(1.6); MIH/Severe 1.1(1.7). The group of adolescents with MIH/EAPD and MIH/Severe were found to have statistically higher caries rates in comparison to those with no DHL. CONCLUSIONS: Caries and DHL are prevalent and influenced the dental health of 15-year-old adolescents. A significant positive association existed between the presence of caries and DHL. CLINICAL RELEVANCE: Children with MIH/EAPD or MIH/Severe had a higher probability to develop carious lesions in the permanent dentition. SN - 1436-3771 UR - https://www.unboundmedicine.com/medline/citation/29224062/Relationship_between_caries_experience_and_demarcated_hypomineralised_lesions__including_MIH__in_the_permanent_dentition_of_15_year_olds_ L2 - https://dx.doi.org/10.1007/s00784-017-2299-4 DB - PRIME DP - Unbound Medicine ER -