Knowledge of Dentists about Hypomineralization Enamel Defects: A Cross-Sectional Study

Alice Pinheiro Costa, Fernanda Mafei Felix da Silva, Fernanda Gabriela de Fátima Vieira, Laura Guimarães Primo, Marcelo de Castro Costa
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Abstract

Objective: To evaluate a group of Brazilian dentists on their knowledge of Molar Incisor Hypomineralization (MIH) and Hypomineralized Second Primary Molars (HSPM) related to clinical aspects, consequences, and diagnostic criteria. Material and Methods: In this cross-sectional, the participants were invited by e-mail and Whatsapp® to answer a questionnaire about their knowledge of hypomineralization enamel defects (MIH/HSPM) on the Google Forms® platform. The questionnaire comprised eight questions about personal data and multiple-choice questions about their knowledge concerning clinical aspects, diagnostic criteria of MIH/HSPM and differential diagnosis through clinical images. Chi-square test was applied with the significance level set at 5%. Results: Most participants (n = 492; 91.1%) reported having knowledge about MIH/HSPM. The general dentists gave more incorrect answers (n = 40; 65.6 %;) about dental tissues affected by MIH/HSPM. Overall, 83.3% of the dentists gave the correct answer to which dentitions are associated with this condition. In addition, most dentists presented knowledge about the consequences related to possible fractures (n= 487; 90.2%) and about an increased risk of caries (n= 479; 88.9%) in the affected teeth. Regarding the differential diagnosis performed through clinical images, most participants gave incorrect answers (p≤0.001). Conclusion: The participants presented knowledge about the dentition associated with this condition and possible consequences related to the teeth affected by MIH/HSPM; however, they showed difficulties concerning clinical diagnostic criteria.
牙医关于低矿化牙釉质缺陷的知识:一项横断面研究
目的:评估一组巴西牙医对磨牙切牙低矿化(MIH)和第二初级磨牙低矿化(HSPM)的临床知识、后果和诊断标准。材料和方法:在这个横截面中,通过电子邮件和Whatsapp®邀请参与者在Google Forms®平台上回答关于他们对低矿化牙釉质缺陷(MIH/HSPM)的了解的问卷。问卷包括8道个人资料题和多项选择题,内容涉及患者的临床知识、MIH/HSPM诊断标准和临床影像鉴别诊断。采用卡方检验,显著性水平设为5%。结果:大多数参与者(n = 492;91.1%)表示对MIH/HSPM有了解。普通牙医给出的错误答案更多(n = 40;(65.6%;)关于MIH/HSPM对牙齿组织的影响。整体而言,83.3%的牙医正确回答与牙病有关的牙齿。此外,大多数牙医对可能骨折的后果有了解(n= 487;90.2%)和龋齿风险增加(n= 479;88.9%)。对于通过临床影像进行的鉴别诊断,大多数参与者给出了错误的答案(p≤0.001)。结论:参与者对与此病相关的牙列以及受MIH/HSPM影响的牙齿可能产生的后果有所了解;然而,他们在临床诊断标准方面表现出困难。
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