Dentist № 3 (54) – 2024, pp. 56-60                                                                                                                        REVIEWS, EDUCATIONAL ARTICLES


Modern aspects of diagnosis of molar incisor hypomineralization


S.P. Rubnikovicha, Zh.M. Burakb

aMD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
bMD, PhD, Associate Professor, Belarusian State Medical University, Institute of Advanced Training and Retraining of Healthcare Personnel of Educational Institution «Belarusian State Medical University», Minsk, Belarus

ABSTRACT
Thе article describes the modern aspect of diagnosis, differential diagnosis and record of molar incisor hypomineralization, which are applicable in the practice of a dentist.
The aim of the study. To analyze domestic and foreign literature devoted to modern methods of diagnosing molar incisor hypomineralization.
Objects and methods. The clinical protocols in force in the Republic of Belarus and modern medical scientific literature (4 domestic sources and 10 foreign sources) were analyzed.
Results and discussion. Diagnosis of molar incisor hypomineralization (MIH) is based on the analysis of the group affiliation of the affected teeth, the kinds of the areas of enamel opacity, signs of post-eruptive loss of enamel, dentin sensitivity, atypical restorations and extracted first permanent molars. Differential diagnosis of molar incisor hypomineralization is carried out with fluorosis, enamel caries, dentin caries, enamel hypoplasia, and amelogenesis imperfecta.
Conclusion. MIH prevalence in the Republic of Belarus should be determined. Prognostic criteria for the risk of post-eruptive enamel loss and the risk of caries development in individuals with MIH, as well as algorithms for early detection and differential diagnosis of MIH in the pediatric population should be developed.

Keywords: molar incisor hypomineralization, diagnosis, differential diagnosis, record

References

  1. Stomatologija: sbornik klinicheskih protokolov: v 2 ch. Сhast’ 1 [Dentistry: collection of clinical protocols: in 2 parts. Part I]. Ministerstvo zdravoohranenija Respubliki Belarus’; pod obshh. red. S.P. Rubnikovicha. – Ministry of Health of the Republic of Belarus; under general ed. S.P. Rubnikovich. Minsk: BSMU. 2023, part 1, pp. 12-22, 375-
  2. Terehova T.N. Detskaja terapevticheskaja stomatologija: uchebnoe posobie [Pediatric Therapeutic Dentistry]. Minsk: Novoe znanie. – Minsk: New knowledge. 2021, 550 p.
  3. Terehova T.N., Popruzhenko T.V. Eshhe raz k voprosu o fljuoroze v Belarusi [Once again on the issue of fluorosis in Belarus]. Problemy zdorov’ja i jekologii. Gomel’. – Problems of health and ecology. Gomel. 2008, no. 1, pp. 134-139.
  4. Jacuk A.I., Gorbacheva K.A., Karmal’kova E.A. Moljaro-rezcovaja gipomineralizacija u detej g. Minska [Molar incisor hypomineralization in children of Minsk]. Aktual’nye voprosy i perspektivy sovremennoj stomatologii i cheljustno–licevoj hirurgii: sb. tr. III stomatolog. kongr. Respubliki Belarus’ – Current issues and prospects of modern dentistry and maxillofacial surgery: collection. tr. III dentist. congr. Republic of Belarus. Minsk. 2015, pp. 122-
  5. Adorno-Farias D., Ortega-Pinto A., Gajardo P., Salazar A., Morales-Bozo I., Werlinger F., Rojas-Flores S., Molina-Berríos A., Echeverría-López S., Jara-Sandoval J. Diversity of clinical, radiographic and genealogical findings in 41 families with amelogenesis imperfecta. Journal of Applied Oral Science. 2019, vol. 27, p. e20180359.
  6. Bullio Fragelli C.M., Jeremias F., Feltrin de Souza J., Paschoal M.A., de Cássia Loiola Cordeiro R, Santos–Pinto L. Longitudinal evaluation of the structural integrity of teeth affected by molar incisor hypomineralisation. Caries Research. 2015, 49, no. 4, pp. 378-383.
  7. Elfrink M., Ghanim A., Manton D., Weerheijm K. Standardised studies on molar incisor hypomineralisation (MIH) and hypomineralised second primary molars (HSPM): a need. European Archives of Paediatric Dentistry. 2015, vol. 16, no. 3, pp. 247-
  8. Ghanim A., Elfrink M., Weerheijm K., Mariño R., Manton D. A practical method for use in epidemiological studies on enamel hypomineralisation. European Archives of Paediatric Dentistry. 2015, vol. 16, no. 3, pp. 235-
  9. Ghanim A., Silva M.J., Elfrink M.E.C., Lygidakis N.A., Mariño R.J., Weerheijm KL, Manton DJ. Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice. European Archives of Paediatric Dentistry. 2017, vol. 18, no. 4, pp. 225-
  10. Jälevik B. Prevalence and Diagnosis of Molar–Incisor– Hypomineralisation (MIH): A systematic review. European Archives of Paediatric Dentistry. 2010, vol. 11, no. 2, pp. 59-64.
  11. Lygidakis N.A., Garot E., Somani C., Taylor G.D., Rouas P., Wong F.S.L. Best clinical practice guidance for clinicians dealing with children presenting with molar–incisor–hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document. European Archives of Paediatric Dentistry. 2022, vol. 23, no.1, pp. 3-21.
  12. Patel A., Aghababaie S., Parekh S. Hypomineralisation or hypoplasia? British Dental Journal. 2019, vol. 227, no. 8, pp. 683-
  13. Revelo–Mejía I.A., Hardisson A., Rubio C., Gutiérrez Á.J., Paz S. Dental fluorosis: The risk of misdiagnosis – A Review. Biological Trace Element Research. 2021, vol.199, no. 5, pp.1762-
  14. Zhao D., Dong B., Yu D., Ren Q., Sun Y. The prevalence of molar incisor hypomineralization: evidence from 70 studies. International Journal of Paediatric Dentistry. 2018, vol. 28, no 2, pp. 170-179.

Correspondence to:  Е-mail: wosstok@yandex.by