Abstract：
BACKGROUND:The study aimed to explore the variability between the treatment decisions dentists make for MIH-affected teeth. METHODS:In 2009, a pre-coded questionnaire was sent electronically to all dentists employed by the Public Dental Service (PDS) in Norway (n = 1061). The questions were related to treatment of MIH-affected teeth, including three patient cases illustrated by photographs and written case descriptions. RESULTS:Replies were obtained from 61.5 % of the respondents after two reminders. In the first case, showing a newly erupted first permanent molar with moderate hypomineralization and no disintegration of the surface enamel, the preferred treatment among the majority of the respondents (53.5 %) was application of fluoride varnish, while 19.6 % would seal the fissure with GIC material. In the second case, showing a severely damaged first permanent molar in a six year old child, more than half of the respondents (57.5 %) would place a conventional glass ionomer restoration and 10.5 % would use a stainless steel crown (SSC). In the third case, showing a severely damaged permanent first molar in a nine year old child, 43.8 % of the dentists would remove only the parts with soft, damaged enamel; while 35.2 % would remove more and 21.0 % would remove all affected enamel and leave the cavity margins in sound enamel. CONCLUSIONS:The survey shows that there is a wide disparity between clinicians' views on how MIH affected teeth should be treated. In a severely affected first permanent molar, only a minority of dentists would remove as much tooth substance as needed to get the full benefit of the acid etch pattern in sound enamel.
journal_name
BMC Oral Healthjournal_title
BMC oral healthauthors
Kopperud SE,Pedersen CG,Espelid Idoi
10.1186/s12903-016-0237-5subject
Has Abstractpub_date
2016-07-04 00:00:00pages
3issue
1issn
1472-6831pii
10.1186/s12903-016-0237-5journal_volume
17pub_type
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