O impacto da hipomineralização molar incisivo na qualidade de vida de crianças brasileiras

Lilian Citty Sarmento; Karla Mayra Rezende; Adriana Lira de Oliveira Ortega

doi:10.47990/alop.v12i1.1

Autores

Lilian Citty Sarmento UFES
Karla Mayra Rezende Universidade de São Paulo https://orcid.org/0000-0003-4340-0699
Adriana Lira de Oliveira Ortega Universidade Cruzeiro do Sul

DOI:

https://doi.org/10.47990/alop.v12i1.1

Palavras-chave:

Hipomineralização Molar Incisivo, qualidade de vida, crianças.

Resumo

O objetivo deste estudo foi verificar a prevalência da HMI, a severidade e o impacto na qualidade de vida, em crianças dos 8 aos 10 anos de idade. Foi avaliado um total de 864 crianças de ambos os sexos, na cidade de Vila Velha, ES. A avaliação clínica da HMI foi de acordo com os critérios diagnósticos da EAPD. Como critério de exclusão da investigação foram consideradas crianças com déficits cognitivos, neuropsicomotores e portadoras de aparelhos ortodônticos. A condição leve ou severa foi determinada através da avaliação da necessidade de tratamento 1 e do envolvimento de molares e incisivos permanentes. Para avaliar o impacto na qualidade de vida, foi aplicado o Questionário de Percepção Infantil, composto por 29 perguntas relacionadas aos sintomas orais, limitações funcionais, bem-estar emocional e social. Os resultados foram analisados após os testes estatísticos: Chi Square, Fischer e Poisson. Foi encontrada uma frequência de 183 crianças (21 %) com HMI, com125 (68,3 %) com o tipo severo a necessitar de tratamento. Na aplicação do CPQ, a sensibilidade e a dor nos dentes afetados apresentaram uma pontuação mais elevada, e quando este instrumento foi associado à presença ou ausência do HMI, os indivíduos afetados também tiveram um maior impacto neste domínio (P=0,04). Concluímos que a HMI afeta a população estudada na condição do tipo severa, exigindo cuidados dentários preventivos e restauradores, e pode ter um impacto negativo na qualidade de vida dos estudantes em relação à sua saúde oral, no que diz respeito aos sintomas orais.

Referências

Weerheijm KL, Jalevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001; 35:390-1.

Weerheijm KL. Molar incisor hypomineralisation (MIH). Eur J Paediatr Dent. 2003; 4:114-20.

Kuscu OO, Caglar E, Aslan S, Durmusoglu E, Karademir A, Sandalli N. The prevalence of molar incisor hypomineralization (MIH) in a group of children in a highly polluted urban region and a windfarm-green energy island. Int J Paediatr Dent. 2009; 19:176-85.

Ghanim A, Morgan M, Marino R, Bailey D, Manton D. Molar-incisor hypomineralisation: prevalence and defect characteristics in Iraqi children. Int J Paediatr Dent. 2011; 21:413-21.

Silva MJ, Scurrah KJ, Craig JM, Manton DJ, Kilpatrick N. Etiology of molar incisor hypomineralization - A systematic review. Community Dent Oral Epidemiol. 2016; 44:342-53.

Alaluusa S. A etiology of molar hipomineralization: a systematic review. Eur Arch Pediatr Dent. 2010; 11:6.

Lygidakis NA, Dimou G, Briseniou E. Molar-incisor-hypomineralisation (MIH). Retrospective clinical study in Greek children. I. Prevalence and defect characteristics. Eur Arch Paediatr Dent. 2008; 9:200-6.

Jalevik B. Prevalence and Diagnosis of Molar-Incisor- Hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent. 2010; 11:59-64.

Ligh RQ, Fridgen J, Saxton C. The effect of nutrition and diet on dental structure integrity. J Calif Dent Assoc. 2011; 39:243-9.

Fagrell TG, Ludvigsson J, Ullbro C, Lundin SA, Koch G. Aetiology of severe demarcated enamel opacities--an evaluation based on prospective medical and social data from 17,000 children. Swed Dent J. 2011; 35:57-67.

Muratbegovic A, Zukanovic A, Markovic N. Molar-incisor-hypomineralisation impact on developmental defects of enamel prevalence in a low fluoridated area. Eur Arch Paediatr Dent. 2008; 9:228-31.

Laisi S, Kiviranta H, Lukinmaa PL, Vartiainen T, Alaluusua S. Molar-incisor-hypomineralisation and dioxins: new findings. Eur Arch Paediatr Dent. 2008; 9:224-7.

Whatling R, Fearne JM. Molar incisor hypomineralization: a study of aetiological factors in a group of UK children. Int J Paediatr Dent. 2008; 18:155-62.

Brogardh-Roth S, Stjernqvist K, Matsson L, Klingberg G. Dental fear and anxiety and oral health behaviour in 12- to 14-year-olds born preterm. Int J Paediatr Dent. 2010; 20:391-9.

Parikh DR, Ganesh M, Bhaskar V. Prevalence and characteristics of Molar Incisor Hypomineralisation (MIH) in the child population residing in Gandhinagar, Gujarat, India. Eur Arch Paediatr Dent. 2012; 13:21-6.

da Costa-Silva CM, Jeremias F, de Souza JF, Cordeiro Rde C, Santos-Pinto L, Zuanon AC. Molar incisor hypomineralization: prevalence, severity and clinical consequences in Brazilian children. Int J Paediatr Dent. 2010; 20:426-34.

Barbosa TS, Tureli MC, Gaviao MB. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health. 2009; 9:13.

Sujak SL, Abdul Kadir R, Dom TN. Esthetic perception and psychosocial impact of developmental enamel defects among Malaysian adolescents. J Oral Sci. 2004; 46:221-6.

Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002; 81:459-63.

Golkari A, Sabokseir A, Pakshir HR, Dean MC, Sheiham A, Watt RG. A comparison of photographic, replication and direct clinical examination methods for detecting developmental defects of enamel. BMC Oral Health. 2011; 11:16.

Kierdorf H, Witzel C, Upex B, Dobney K, Kierdorf U. Enamel hypoplasia in molars of sheep and goats, and its relationship to the pattern of tooth crown growth. J Anat. 2012; 220:484-95.

Chawla N, Messer LB, Silva M. Clinical studies on molar-incisor-hypomineralisation part 2: development of a severity index. Eur Arch Paediatr Dent. 2008; 9:191-9.

Piovesan C, Antunes JL, Guedes RS, Ardenghi TM. Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Qual Life Res. 2010; 19:1359-66.

Rodd HD, Morgan CR, Day PF, Boissonade FM. Pulpal expression of TRPV1 in molar incisor hypomineralisation. Eur Arch Paediatr Dent. 2007; 8:184-8.

Fragelli CM, Souza JF, Jeremias F, Cordeiro Rde C, Santos-Pinto L. Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth. Braz Oral Res. 2015; 29.

Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003; 31 Suppl 1:3-23.

Luoto A, Lahti S, Nevanpera T, Tolvanen M, Locker D. Oral-health-related quality of life among children with and without dental fear. Int J Paediatr Dent. 2009; 19:115-20.

Marshman Z, Gibson B, Robinson PG. The impact of developmental defects of enamel on young people in the UK. Community Dent Oral Epidemiol. 2009; 37:45-57.

Vargas-Ferreira F, Ardenghi TM. Developmental enamel defects and their impact on child oral health-related quality of life. Braz Oral Res. 2011; 25:531-7.

Alghadeer A, Newton T, Dunne S. Cross cultural adaptation of oral health-related quality of life measures. Dent Update. 2010; 37:706-8.

Mashoto KO, Astrom AN, Skeie MS, Masalu JR. Changes in the quality of life of Tanzanian school children after treatment interventions using the Child-OIDP. Eur J Oral Sci. 2010; 118:626-34.

Ravaghi V, Ardakan MM, Shahriari S, Mokhtari N, Underwood M. Comparison of the COHIP and OHIP- 14 as measures of the oral health-related quality of life of adolescents. Community Dent Health. 2011; 28:82-8.

Frascino, A.; Frascino, S.; Rezende, K.M.; Imparato, J.C.P.; Pignatari, S. (2018). Molar-incisor enamel hypomineralization cross-sectional prevalence evaluation in oral-breathing allergic children. Clinical and Laboratorial Research in Dentistry. 10.11606/issn.2357-8041.clrd.2017.134317.