KUMJ | VOL. 12 | NO. 1 | ISSUE 45 | JAN-MAR, 2014
Prevalence of Molar Incisor Hypomineralisation Among School Children in Kavre
Shrestha R, Upadhaya S, Bajracharya M
Abstract: Background
Molar incisor hypomineralisation is defined as the hypomineralisation of systemic
origin of one to four permanent first molars, and frequently associated with affected
incisors. Till date, there is no data available on molar incisor hypomineralisation in
any parts of Nepal.
Objective
To determine the prevalence and characteristics of Molar incisor hypomineralisation
in 7 to 12 years old school children of Kavre.
Method
A total of 749 school children of age 7 to 12 years from four different randomly
selected schools with at least one of the first permanent molars fully or partially
erupted were evaluated using European Academy of Paediatric Dentistry criteria for
molar incisor hypomineralisation. The examinations were conducted at respective
schools by a single calibrated examiner.
Result
Molar incisor hypomineralisation was present in 13.7% of children. No gender
differences were found.The mild type of defect (without structural loss of tooth)
was the most prevalent type of molar incisor hypomineralisation with white/creamy
demarcated opacities more frequent than yellow/brown demarcated opacities. Post
eruptive breakdown was more in boys than in girls and this difference was statistically
significant (p<0.05). Also, maxillary molars were affected more than mandibular
molars and this difference was also statistically significant (p<0.05).
Conclusion
The prevalence of molar incisor hypomineralisation in Kavre was 13.7%.Demarcated
opacities were more prevalent than breakdown. The hypomineralised defect was
more prevalent in maxillary teeth than in mandibular teeth. The severity of defect
increased with age and there was no difference in prevalence between girls and boys.
Keyword : Molar incisor hypomineralisation, post eruptive breakdown