Change in Oral Health-Related Quality of Life Following Minimally Invasive Aesthetic Treatment for Children with Molar Incisor Hypomineralisation: A Prospective Study

Noren Hasmun, Jennifer Lawson, Mario V Vettore, Claire Elcock, Halla Zaitoun, Helen Rodd, Noren Hasmun, Jennifer Lawson, Mario V Vettore, Claire Elcock, Halla Zaitoun, Helen Rodd

Abstract

Molar incisor hypomineralisation (MIH) is a common enamel condition, presenting with incisor opacities, which may be of psychosocial concern to children. This clinical study sought to determine whether minimally invasive treatment, aiming to improve incisor aesthetics, would also improve children's oral health-related quality of life (OHRQoL). 111 MIH patients, aged 7⁻16 years, referred to a UK Dental Hospital, were invited to complete the Child Oral Health Impact Profile (C-OHIP-SF19) prior to any intervention (T₀) and again at one-month following the intervention (T₁) for MIH. Treatment regimens included one or more of the following: Microabrasion; resin infiltration; tooth whitening; resin composite restoration. Data were obtained for 93 children with a mean age of 11 years. Mean total C-OHIP-SF19 score at T₀ was 47.00 (SD = 9.29; range = 0⁻76) and this increased significantly at T₁ to 58.24 (SD = 9.42; range = 0⁻76; p < 0.001, paired t-test), indicating a marked improvement in self-reported OHRQoL. There were no statistically significant differences according to gender. This is the first study to show that simple, minimally invasive dental treatment, to reduce the visibility of enamel opacities, in MIH, can have a positive impact on children's wellbeing.

Keywords: children; incisor opacities; minimally invasive treatment; molar incisor hypomineralisation; oral health-related quality of life.

Conflict of interest statement

The authors declare no conflict of interest. Dental Milestones Guaranteed (DMG) had no involvement in the study design or conduct and provided no financial incentives.

Figures

Figure 1
Figure 1
Clinical images to show the appearance of a ‘typical’ participant’s permanent central maxillary incisors before (T0) and one-month after (T1) treatment (microabrasion followed by resin infiltration).
Figure 2
Figure 2
Clinical images to demonstrate both a successful clinical outcome and unacceptable aesthetic result. (a) Maxillary central incisors showing cream/white opacity (right) and white and brown opacities (left) pre-treatment. (b) Microabrasion followed by resin infiltration achieved good aesthetic results on the right central incisor, but brown opacity was still visible on the left central incisor, necessitating further resin composite restoration.

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