The association between molar incisor hypomineralization and oral health-related quality of life: a cross-sectional study

Abstract

Objectives: We aimed to assess the association between molar incisor hypomineralization (MIH) and the oral health-related quality of life (OHRQoL) in a group of 7- to 14-year-old children in Berlin, Germany.

Materials and methods: The cross-sectional study consisted of a consecutive sample of 317 children, aged 7-14 years (49% girls, 51% boys; mean age, 8.71). Data were collected between June 2018 and December 2019. MIH was diagnosed using the criteria of the European Academy of Paediatric Dentistry. OHRQoL was assessed using the German 19-item version of the Child Oral Health Impact Profile (COHIP-G19). Differences in COHIP-19 summary scores between controls without MIH and MIH patients and with regards to MIH severity were tested for statistical significance using t test and analysis of variance (ANOVA), respectively.

Results: Data were obtained for 217 untreated MIH patients and 100 controls. OHRQoL of MIH patients was significantly more impaired than of controls indicated by COHIP-19 mean scores (60.9 +/- 10.7 vs. 67.9 +/- 7.8; p < 0.001). Patients with severe MIH (59.6 +/- 11.0) reported significantly worse OHRQoL than patients with mild MIH (63.6 +/- 9.1; p = 0.013).

Conclusions: MIH has a significant negative impact on the children's OHRQoL. Patients with severe MIH experience a greater negative impact on OHRQoL than those diagnosed with mild MIH.

Clinical significance: MIH is one of the major dental problems of our time; pediatric dentists should be aware of its impact on the OHRQoL of the patient.