Knowledge of molar incisor hypomineralization among physicians and dentists
Downloads
Background: Molar incisor hypomineralization (MIH) is a global dental condition. Early intake of antibiotics can increase the risk of MIH. Purpose: To assess the knowledge of physicians and dentists on MIH and its associations with antibiotics exposure during early childhood. Methods: This cross-sectional study surveyed the above health professionals utilizing an electronically distributed questionnaire. The chi-square test was used to compare differences in levels of knowledge between the study groups. Results: There were 335 participants in the study; general physicians (n=79), pediatricians (n=98) and dentists (n=158). A significantly lower proportion of general physicians and pediatricians had knowledge of MIH compared to dentists (19% and 18% vs. 82%, respectively, P<0.001). There was no statistically significant difference between all groups regarding their knowledge about the association between antibiotics prescribed during the first four years of life and MIH development (P=0.07). Conclusions: Physicians and pediatricians lacked knowledge about the dental condition of MIH. Most study respondents did not know the association between frequent antibiotic intake during early childhood and the development of MIH. Since medical practitioners are more likely to prescribe antibiotics and have a greater impact on early childhood health, raising awareness of MIH and its relationship with antibiotic exposure in early life among medical practitioners is essential.
Padavala S, Sukumaran G. Molar Incisor Hypomineralization and Its Prevalence. Contemp Clin Dent. 2018;9(Suppl 2):S246-S50.
Negre-Barber A, Montiel-Company JM, Boronat-Catala M, Catala-Pizarro M, Almerich-Silla JM. Hypomineralized Second Primary Molars as Predictor of Molar Incisor Hypomineralization. Sci Rep. 2016;6:31929.
Portella PD, Menoncin BLV, de Souza JF, de Menezes J, Fraiz FC, Assuncao L. Impact of molar incisor hypomineralization on quality of life in children with early mixed dentition: A hierarchical approach. Int J Paediatr Dent. 2019;29(4):496-506.
Gottberg B, Berne J, Quinonez B, Solorzano E. Prenatal effects by exposing to amoxicillin on dental enamel in Wistar rats. Med Oral Patol Oral Cir Bucal. 2014;19(1):e38-43.
Kameli S, Moradi-Kor N, Tafaroji R, Ghorbani R, Farzadmnesh H, Sameni H. Effects of Amoxicillin on the Structure and Mineralization of Dental Enamel and Dentin in Wistar Rats. Front Dent. 2019;16(2):130-5.
Schmalfuss AJ, Sehic A, Brusevold IJ. Effects of antibiotics on the developing enamel in neonatal mice. Eur Arch Paediatr Dent. 2022;23(1):159-68.
Allazzam SM, Alaki SM, El Meligy OA. Molar incisor hypomineralization, prevalence, and etiology. Int J Dent. 2014;2014:234508.
Imanpour S, Nwaiwu O, McMaughan DK, DeSalvo B, Bashir A. Factors associated with antibiotic prescriptions for the viral origin diseases in office-based practices, 2006-2012. JRSM Open. 2017;8(8):2054270417717668.
Schwartz KL, Langford BJ, Daneman N, Chen B, Brown KA, McIsaac W, et al. Unnecessary antibiotic prescribing in a Canadian primary care setting: a descriptive analysis using routinely collected electronic medical record data. CMAJ Open. 2020;8(2):E360-E9.
Mostafa HM, Shehata FI, Omar SO, Kawana KY. The effect of amoxicillin on the secretory stage of amelogenesis in rats. Alexandria Dental Journal. 2020;45(1):34-8.
Schneider PM, Silva M. Endemic Molar Incisor Hypomineralization: a Pandemic Problem That Requires Monitoring by the Entire Health Care Community. Curr Osteoporos Rep. 2018;16(3):283-8.
Silva MJ, Alhowaish L, Ghanim A, Manton DJ. Knowledge and attitudes regarding molar incisor hypomineralisation amongst Saudi Arabian dental practitioners and dental students. Eur Arch Paediatr Dent. 2016;17(4):215-22.
Stevenson MA. Sample Size Estimation in Veterinary Epidemiologic Research. Front Vet Sci. 2020;7:539573.
CMA Masterfile, C. M. A. (January 2018). Number of Physicians by Province/Territory and Specialty, Canada. Retrieved from https://www.cma.ca/sites/default/files/2019-03/2018-01-spec-prov.pdf.
Saudi Ministry of Health. (2018). Statistical Yearbook. Retrieved from https://www.moh.gov.sa/en/Ministry/Statistics/book/Documents/book-Statistics.pdf
Wuollet E, Laisi S, Salmela E, Ess A, Alaluusua S. Molar-incisor hypomineralization and the association with childhood illnesses and antibiotics in a group of Finnish children. Acta Odontol Scand. 2016;74(5):416-22.
Mihalas E, Matricala L, Chelmus A, Ghetu N, Petcu A, Pasca S. The Role of Chronic Exposure to Amoxicillin/Clavulanic Acid on the Developmental Enamel Defects in Mice. Toxicol Pathol. 2016;44(1):61-70.
Jeremias F, Koruyucu M, Kuchler EC, Bayram M, Tuna EB, Deeley K, et al. Genes expressed in dental enamel development are associated with molar-incisor hypomineralization. Arch Oral Biol. 2013;58(10):1434-42.
Copyright (c) 2023 Ebtehal Ghazal, Madhavi Moharir, Wafa El-Badrawy, Yasemin Yavuz, Gajanan Kulkarni
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open access journal, and articles are distributed under the terms of the Creative Commons Lisence, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Copyright notice:
IJDM by UNAIR is licensed under a Creative Commons Atribusi 4.0 Internasional.
- The journal allows the author to hold the copyright of the article without restrictions.
- The journal allows the author(s) to retain publishing rights without restrictions.
- The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution (CC BY)
