Knowledge, assessment and treatment of molar incisor hypomineralisation (MIH) among German dentists.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Carla Ostermann, Christian Splieth, Mohammad Alkilzy
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Abstract

Objectives: This study investigated the knowledge, perceptions, and clinical practices of German dentists regarding molar incisor hypomineralisation (MIH), a significant issue in paediatric dentistry. To date, no study has examined the knowledge and experience of German dentists with MIH.

Subjects and methods: A digital questionnaire comprising 25 items was designed to assess German dentists' understanding of MIH. The questionnaire was available online via Survio.de from March to June 2023. The responses were entered anonymously into an Excel spreadsheet and analysed using SPSS 29.0.

Results: 625 dentists were surveyed, and 517 questionnaires were evaluated. 99.2% of respondents treated patients with MIH, and 92.5% considered it a significant clinical problem. Commonly observed clinical presentations included yellow/brown defects (81%), enamel loss (46%) and white defects (36.4%). 68.6% of respondents noted an increase in MIH prevalence. Treatment barriers included child behaviour (44.7%), difficulties with local anaesthesia (22.7%), and extended treatment duration (15.3%). Most dentists (77.8%) expressed a desire for further training on MIH.

Conclusions: The data indicated that dentists' MIH management was influenced by specialisation and diagnostic confidence. Despite basic knowledge and experience, many respondents expressed a need for further education. Age-related biases and limited awareness of new techniques highlight the need for further research.

Clinical relevance: Dentists must receive comprehensive training to enable them to diagnose and treat patients promptly. This should include the development of updated courses, which should be aligned with international guidelines.

研究目的本研究调查了德国牙医对磨牙切牙矿化不足(MIH)的认识、看法和临床实践,这是儿童牙科的一个重要问题。迄今为止,还没有一项研究对德国牙医在MIH方面的知识和经验进行过调查:设计了一份包含 25 个项目的数字问卷,以评估德国牙医对 MIH 的理解。该问卷于 2023 年 3 月至 6 月期间通过 Survio.de 在线发布。答卷以匿名方式输入 Excel 电子表格,并使用 SPSS 29.0 进行分析:共调查了 625 名牙医,评估了 517 份问卷。99.2%的受访者治疗过MIH患者,92.5%的受访者认为MIH是一个重要的临床问题。常见的临床表现包括黄/棕色缺损(81%)、釉质脱落(46%)和白色缺损(36.4%)。68.6%的受访者注意到MIH发病率有所上升。治疗障碍包括儿童行为(44.7%)、局部麻醉困难(22.7%)和治疗时间延长(15.3%)。大多数牙医(77.8%)表示希望接受有关MIH的进一步培训:数据显示,牙医对MIH的处理受到专业化和诊断信心的影响。尽管有基本的知识和经验,但许多受访者表示需要进一步的教育。与年龄有关的偏见和对新技术的有限认识凸显了进一步研究的必要性:牙科医生必须接受全面的培训,以便能够及时诊断和治疗病人。这应包括开发与国际指南相一致的最新课程。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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