Table 3 Perceptions, clinical experience, and continuing education aspects of GDPs, Pediatric Dentists and Other Dental Specialists regarding MIH
Questions | Total N = 257 N (%) | GDPs N = 130 N (%) | PDs N = 24 N (%) | ODSs N = 103 N (%) | p-value | |
|---|---|---|---|---|---|---|
In your clinical practice, do you find cases of MIH? | ||||||
Yes | 212 (82.5) | 104 (80.0) | 24 (100) | 84 (81.6) | 0.0574 | |
No | 45 (17.5) | 26 (20.0) | 0 (0.0) | 19 (18.4) | ||
What is the most common type of dental development defect that you find in your clinical practice? | ||||||
White opacities | 50 (19.5) | 30 (23.1) | 2 (8.3) | 18 (17.5) | < 0.001 | |
Yellow/brown opacities | 82 (31.9) | 45 (34.6) | 5 (20.8) | 32 (31.1) | ||
Post-eruptive fractures | 4 (1.6) | 1 (0.8) | 2 (8.3) | 1 (1.0) | ||
None | 18 (7.0) | 9 (6.9) | 0 (0.0) | 9 (8.7) | ||
Post-eruptive fractures and Yellow/brown opacities | 13 (5.1) | 1 (0.8) | 5 (20.8) | 7 (6.8) | ||
White opacities and Yellow/brown opacities | 78 (30.4) | 40 (30.8) | 7 (29.2) | 31 (30.1) | ||
White opacities. Yellow/brown opacities and Post-eruptive fractures | 12 (4.7) | 4 (3.1) | 3 (12.5) | 5 (4.9) | ||
What other permanent teeth have you found MIH defects in? | ||||||
Premolars | 7 (2.7) | 3 (2.3) | 1 (4.2) | 3 (2.9) | 0.438 | |
Second permanent molars | 45 (17.5) | 31 (23.8) | 2 (8.3) | 12 (11.7) | ||
Canines | 5 (1.9) | 2 (1.5) | 0 (0.0) | 3 (2.9) | ||
Canines and Premolars | 1 (0.4) | 0 (0.0) | 0 (0.0) | 1 (1.0) | ||
Premolars and Second permanent molars | 9 (3.5) | 5 (3.8) | 0 (0.0) | 4 (3.9) | ||
Canines and Second permanent molars | 5 (1.9) | 3 (2.3) | 0 (0.0) | 2 (1.9) | ||
None | 185 (72.0) | 86 (66.2) | 21 (87.5) | 78 (75.7) | ||
Do you notice these defects in deciduous second molars? | ||||||
Yes | 95 (37.0) | 42 (32.3) | 20 (83.3) | 33 (32.0) | < 0.001 | |
No | 162 (63.0) | 88 (67.7) | 4 (16.7) | 70 (68.0) | ||
Do you have any idea if the incidence of MIH has been increasing? | ||||||
Yes | 131 (51.0) | 63 (48.5) | 23 (95.8) | 45 (43.7) | < 0.001 | |
No | 126 (49.0) | 67 (51.5) | 1 (4.2) | 58 (56.3) | ||
In case you identify a defect of this type (MIH), would you refer it to a pediatric dentist for differentiated treatment? | ||||||
Yes. or when possible | 213 (82.9) | 98 (75.4) | – | 94 (91.3) | < 0.001 | |
No | 44 (17.1) | 32 (24.6) | – | 9 (8.7) | ||
In your opinion, does MIH represent a public health problem similar to tooth decay? | ||||||
Yes | 195 (75.9) | 95 (73.1) | 22 (91.7) | 78 (75.7) | 0.148 | |
No | 62 (24.1) | 35 (26.9) | 2 (8.3) | 25 (24.3) | ||
What type of preventive treatment do you usually apply for these teeth? | ||||||
Fluor varnish | 160 (62.3) | 93 (71.5) | 16 (66.7) | 51 (49.5) | < 0.001 | |
Diamino-fluoride of silver | 13 (5.1) | 4 (3.1) | 1 (4.2) | 8 (7.8) | ||
CCP-ACP or cracked amorphous casein phosphate | 44 (17.1) | 10 (7.7) | 15 (62.5) | 19 (18.4) | ||
Crack Sealant | 100 (38.9) | 58 (44.6) | 3 (12.5) | 39 (37.9) | ||
Others | 66 (25.7) | 31 (23.8) | 5 (20.8) | 30 (29.1) | ||
What type of treatment do you usually apply for MIH? | ||||||
Microabrasion | 47 (18.3) | 24 (18.5) | 6 (25.0) | 17 (16.5) | < 0.001 | |
Infiltrating resin | 86 (33.5) | 51 (39.2) | 5 (20.8) | 30 (29.1) | ||
Glass ionomer | 97 (37.7) | 48 (36.9) | 18 (75.0) | 31 (30.1) | ||
Composite | 144 (56.0) | 71 (54.6) | 14 (58.3) | 59 (57.3) | ||
Amalgam | 3 (1.2) | 0 (0.0) | 0 (0.0) | 3 (2.9) | ||
Preformed crowns | 73 (28.4) | 27 (20.8) | 17 (70.8) | 29 (28.2) | ||
Extraction | 6 (2.3) | 1 (0.8) | 3 (12.5) | 2 (1.9) | ||
In your opinion, do you feel confident in diagnosing MIH? | ||||||
Very confident | 20 (7.8) | 5 (3.8) | 10 (41.7) | 5 (4.9) | < 0.001 | |
Trusting | 129 (50.2) | 66 (50.8) | 13 (54.2) | 50 (48.5) | ||
Little confident | 90 (35.0) | 47 (36.2) | 1 (4.2) | 42 (40.8) | ||
Not at all confident | 18 (7.0) | 12 (9.2) | 0 (0.0) | 6 (5.8) | ||
In your opinion, do you feel confident in managing your MIH treatment? | ||||||
Very confident | 14 (5.4) | 2 (1.5) | 7 (29.2) | 5 (4.9) | < 0.001 | |
Trusting | 76 (29.6) | 39 (30.0) | 14 (58.3) | 23 (22.3) | ||
Little confident | 135 (52.5) | 69 (53.1) | 3 (12.5) | 63 (61.2) | ||
Not at all confident | 32 (12.5) | 20 (15.4) | 0 (0.0) | 12 (11.7) | ||
Do you receive any information about MIH? | ||||||
Yes | 13 (5.1) | 3 (2.3) | 7 (29.2) | 3 (2.9) | < 0.001 | |
No | 244 (94.9) | 127 (97.7) | 17 (70.8) | 100 (97.1) | ||
Would you like to know more about Hypomineralization? | ||||||
Diagnosis | 178 (69.3) | 95 (73.1) | 15 (62.5) | 68 (66.0) | 0.048 | |
Etiology | 171 (66.5) | 84 (64.6) | 16 (66.7) | 71 (68.9) | ||
Treatment | 228 (88.7) | 123 (94.6) | 21 (87.5) | 84 (81.6) | ||
No | 16 (6.2) | 2 (1.5) | 2 (8.3) | 12 (11.7) | ||