Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Nov 1;6(4):61.
doi: 10.3390/dj6040061.

Change in Oral Health-Related Quality of Life Following Minimally Invasive Aesthetic Treatment for Children with Molar Incisor Hypomineralisation: A Prospective Study

Noren Hasmun  1 , Jennifer Lawson  2 , Mario V Vettore  3 , Claire Elcock  4 , Halla Zaitoun  5 , Helen Rodd  6
Affiliations

Change in Oral Health-Related Quality of Life Following Minimally Invasive Aesthetic Treatment for Children with Molar Incisor Hypomineralisation: A Prospective Study

Noren Hasmun et al. Dent J (Basel). .

Abstract

Molar incisor hypomineralisation (MIH) is a common enamel condition, presenting with incisor opacities, which may be of psychosocial concern to children. This clinical study sought to determine whether minimally invasive treatment, aiming to improve incisor aesthetics, would also improve children's oral health-related quality of life (OHRQoL). 111 MIH patients, aged 7⁻16 years, referred to a UK Dental Hospital, were invited to complete the Child Oral Health Impact Profile (C-OHIP-SF19) prior to any intervention (T₀) and again at one-month following the intervention (T₁) for MIH. Treatment regimens included one or more of the following: Microabrasion; resin infiltration; tooth whitening; resin composite restoration. Data were obtained for 93 children with a mean age of 11 years. Mean total C-OHIP-SF19 score at T₀ was 47.00 (SD = 9.29; range = 0⁻76) and this increased significantly at T₁ to 58.24 (SD = 9.42; range = 0⁻76; p < 0.001, paired t-test), indicating a marked improvement in self-reported OHRQoL. There were no statistically significant differences according to gender. This is the first study to show that simple, minimally invasive dental treatment, to reduce the visibility of enamel opacities, in MIH, can have a positive impact on children's wellbeing.

Keywords: children; incisor opacities; minimally invasive treatment; molar incisor hypomineralisation; oral health-related quality of life.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest. Dental Milestones Guaranteed (DMG) had no involvement in the study design or conduct and provided no financial incentives.

Figures

Figure 1
Figure 1
Clinical images to show the appearance of a ‘typical’ participant’s permanent central maxillary incisors before (T0) and one-month after (T1) treatment (microabrasion followed by resin infiltration).
Figure 2
Figure 2
Clinical images to demonstrate both a successful clinical outcome and unacceptable aesthetic result. (a) Maxillary central incisors showing cream/white opacity (right) and white and brown opacities (left) pre-treatment. (b) Microabrasion followed by resin infiltration achieved good aesthetic results on the right central incisor, but brown opacity was still visible on the left central incisor, necessitating further resin composite restoration.
See this image and copyright information in PMC

References

    1. Marshman Z., Rodd H.R. The psychosocial impacts of developmental enamel defects in children and young people. In: Drummond B.K., Kilpatrick N., editors. Planning and Care for Children and Adolescents with Dental Enamel Defects. Springer; Berlin/Heidelberg, Germany: 2015. pp. 85–97.
    1. Parekh S., Almehateb M., Cunningham S.J. How do children with amelogenesis imperfecta feel about their teeth? Int. J. Paediatr. Dent. 2014;24:326–335. doi: 10.1111/ipd.12080. - DOI - PubMed
    1. Pousette Lundgren G., Wickström A., Hasselblad T., Dahllöf G. Amelogenesis Imperfecta and Early Restorative Crown Therapy: An Interview Study with Adolescents and Young Adults on Their Experiences. PLoS ONE. 2016;11:e0156879. doi: 10.1371/journal.pone.0156879. - DOI - PMC - PubMed
    1. Marshman Z., Gibson B., Robinson P.G. The impact of developmental defects of enamel on young people in the U.K. Community Dent. Oral Epidemiol. 2009;37:45–57. doi: 10.1111/j.1600-0528.2008.00453.x. - DOI - PubMed
    1. Rodd H.D., Marshman Z., Porritt J., Bradbury J., Baker S.R. Oral health-related quality of life of children in relation to dental appearance and educational transition. Br. Dent. J. 2011;22:E4. doi: 10.1038/sj.bdj.2011.574. - DOI - PubMed