The responsiveness of the health system to MIH in children aged 6–8 years: The case of Ardabil Province (A short communication)

Document Type : Short Communication(s)

Authors

1 Department of pedodontics, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran

2 Oral Health Group, Deputy for Health, Ardabil University of Medical Sciences, Ardabil, Iran

3 Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran

4 Department of Infectious Diseases, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

5 Department of Community Dentistry, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran

6 Department of Prosthodontics, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran.

Abstract

Background: Molar-incisor hypomineralization (MIH) is common in regions where dental caries is controlled but requires specialized care. Therefore, a specific structure must be defined for the maintenance and care of affected teeth within health systems.
Methods: The following steps were undertaken to investigate MIH: (i) launching an MIH registry and care system in the Ardabil University of Medical Science, (ii) making an agreement with the Department of Education to provide screening and health education services, as well as preventive services, to children with MIH and their parents, (iii) training people involved in providing education, care, and prevention services for MIH teeth and treating them (during the screening examinations by the trained personnel; the screening assessments were based on a modified table, which was developed at the start of the practical training program for health personnel), (iv) launching a province-wide campaign of “Do I have chalky teeth?” to raise the community’s awareness to pursue the care required by the children with MIH, (v) equipping healthcare centers to provide services required for the treatment of teeth with MIH; (vi) providing services to all children diagnosed with MIH, registering the services in an electronic system, and proposing the initial treatment plan by the MIH Lesion Treatment Commission to the healthcare networks based on the images sent for each child, and (vii) monitoring and evaluating the program.
Results: A total of 38,000 children aged 6–8 years in the first and second grades were screened for MIH lesions. Subsequently, they received treatment and preventive services, and the results were registered in an electronic system. The prevalence of lesions was 2.3%, and 52% of affected children were referred to state-run centers for services.
Conclusion: The registry system with predefined services proved to be an effective solution for the healthcare system to preserve teeth affected by MIH.

Keywords

Main Subjects

References

1. Tu C, Wang G, Hu Z, Wang S, Yan Q, Liu X. Burden of oral
disorders, 1990-2019: estimates from the Global Burden of
Disease Study 2019. Arch Med Sci. 2023;19(4):930-40. doi:
10.5114/aoms/165962.
2. Hekmatfar S, Hessari H, Jafari Kaffash K, Darabi F, Kaffashchian
S, Shabani M. Oral health change in Iran: part V; it is the time
to focus on MIH by an electronic approach - letter to the
editor. J Pediatr Perspect. 2023;11(7):18077-9. doi: 10.22038/
ijp.2023.72807.5287.
3. Saitoh M, Shintani S. Molar incisor hypomineralization: a
review and prevalence in Japan. Jpn Dent Sci Rev. 2021;57:71-
7. doi: 10.1016/j.jdsr.2021.05.001.
4. Bekes K, Steffen R, Krämer N. Update of the molar incisor
hypomineralization: Würzburg concept. Eur Arch Paediatr
Dent. 2023;24(6):807-13. doi: 10.1007/s40368-023-00848-5.
5. Rao MH, Aluru SC, Jayam C, Bandlapalli A, Patel N.
Molar incisor hypomineralization. J Contemp Dent Pract.
2016;17(7):609-13. doi: 10.5005/jp-journals-10024-1898.
6. Afshari E, Dehghan F, Vakili MA, Abbasi M. Prevalence
of molar-incisor hypomineralization in Iranian children
- a systematic review and narrative synthesis. BDJ Open.
2022;8(1):15. doi: 10.1038/s41405-022-00111-x.
7. Poureslami H, Shojaiepour R, Abbaspour S, Aminizadeh M,
Khademi M, Abbaspour S. Prevalence of the molar incisor
hypomineralization in seven to twelve-year-old students of
Kerman, Iran, in 2015-2016. J Oral Health Oral Epidemiol.
2017;7(1):21-7. doi: 10.22122/johoe.v7i1.389.
8. Bagheri R, Ghanim A, Azar MR, Manton DJ. Molar incisor
hypomineralisation: discernment a group of Iranian dental
academics. J Oral Health Oral Epidemiol. 2014;3(1):21-9.
9. Shojaeepour S, Jalali F, Shokrizadeh M, Riahi Madvar R,
Torabi-Parizi M, Shojaeipour R. Assessing the prevalence of
molar-incisor hypomineralization and its effects on oral healthrelated
quality of life in children aged 8-12 years in the city of
Kerman, Iran. J Oral Health Oral Epidemiol. 2020;9(3):143-8.
doi: 10.22122/johoe.2020.192030.1081.
10. Saitoh M, Nakamura Y, Hanasaki M, Saitoh I, Murai Y, Kurashige
Y, et al. Prevalence of molar incisor hypomineralization and
regional differences throughout Japan. Environ Health Prev
Med. 2018;23(1):55. doi: 10.1186/s12199-018-0748-6.
11. Amend S, Nossol C, Bausback-Schomakers S, Wleklinski
C, Scheibelhut C, Pons-Kühnemann J, et al. Prevalence of
molar-incisor-hypomineralisation (MIH) among 6-12-yearold
children in Central Hesse (Germany). Clin Oral Investig.
2021;25(4):2093-100. doi: 10.1007/s00784-020-03519-7.
12. Koruyucu M, Özel S, Tuna EB. Prevalence and etiology of
molar-incisor hypomineralization (MIH) in the city of Istanbul. J
Dent Sci. 2018;13(4):318-28. doi: 10.1016/j.jds.2018.05.002.
13. Lygidakis NA, Garot E, Somani C, Taylor GD, Rouas P, Wong
FS. Best clinical practice guidance for clinicians dealing with
children presenting with molar-incisor-hypomineralisation
(MIH): an updated European Academy of Paediatric Dentistry
policy document. Eur Arch Paediatr Dent. 2022;23(1):3-21.
doi: 10.1007/s40368-021-00668-5.
14. Mensah T, Tranæus S, Cederlund A, Naimi-Akbar A, Klingberg
G. Swedish quality registry for caries and periodontal diseases
(SKaPa): validation of data on dental caries in 6- and 12-yearold
children. BMC Oral Health. 2021;21(1):373. doi: 10.1186/
s12903-021-01705-x.
15. Ruff JC, Herndon JB, Horton RA, Lynch J, Mathwig DC,
Leonard A, et al. Developing a caries risk registry to support
caries risk assessment and management for children: a quality
improvement initiative. J Public Health Dent. 2018;78(2):134-
43. doi: 10.1111/jphd.12253.
16. Herndon JB, Horton RA, Ruff JC. Findings from a caries
risk assessment registry quality improvement initiative in
an oral health partnership model. J Public Health Dent.
2022;82(2):176-85. doi: 10.1111/jphd.12445.
Journal of Oral Health and Oral Epidemiology
Volume 14, Issue 1
January 2025
Pages 1-4

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History

  • Receive Date: 25 April 2024
  • Revise Date: 10 March 2025
  • Accept Date: 12 March 2025

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