Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지

THE PREVALENCE OF MOLAR INCISOR HYPOMINERALIZATION AND STATUS OF FIRST MOLARS IN PRIMARY SCHOOL CHILDREN

초등학생의 Molar Incisor Hypomineralization 유병률과 제1대구치 치아우식증 및 수복상태 조사

  • Shin, Jong-Hyun (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • An, Ul-Jin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Shin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Jeong, Tae-Sung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 신종현 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 안울진 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실)
  • Received : 2010.01.11
  • Accepted : 2010.04.19
  • 발행 : 2010.05.31
Download PDF
⟨ Previous Next ⟩

초록

Molar Incisor Hypomineralization(MIH) have recently gained intensive research interests and various clinical trials. Most prevalence, etiology, treatment studies in MIH were carried out in the European countries, and data from the Korean were seldom. This study aimed to investigate the prevalence of MIH and the status of dental caries and treatment on the first permanent molars in primary school children. For this study, 1,344 primary school students in Busan and Ulsan cities were examined directly the permanent incisors and first molars. The results of the survey were as follows: 81 MIH cases were identified among 1,344 cases. The prevalence of MIH in this group of children was 6.0%. Children with MIH showed a significantly higher DMFT value for permanent teeth than children without MIH. The mean number of decayed, missed, and filled in 1st permanent molars(DMFT index) was 1.17. The rate of children with restoration on 1st permanent molar was 13.6% and the sequence of restoration materials was as follows : composite resin, amalgam, gold inlay.

Molar Incisor Hypomineralization(MIH)에 관하여 최근 많은 연구적 관심이 집중되고 여러 임상적 대처방법들이 제시되고 있다. 이미 세계적으로는 MIH의 빈도, 병인, 치료 등에 관한 많은 연구보고가 있었으나, 우리나라에서는 이에 대한 관심이 아직 미미한 것으로 사료된다. 본 연구는 초등학생의 MIH 유병률과 제1대구치 우식 및 치료 실태에 대하여 조사할 목적으로 시도되었다. 부산 및 울산광역시에 거주하는 1,344명의 초등학생을 대상으로, 상하 제1대구치와 전치부를 직접 시진하여, MIH 유병률, 제1대구치 우식경험지수와 치료 상태를 조사하여 다음과 같은 결과를 얻었다. 총 1,344명의 조사 대상 중 81명에서 MIH가 나타나, 유병률은 6.0%를 보였으며, MIH에 이환된 어린이의 제1대구치 우식경험지수는 비이환군에 비해 통계적으로 유의하게 높았다(P<0.05).한편, 제1대구치 우식경험지수는 1.17개로 나타났다. 조사 대상 제1대구치의 13.6%가 수복되어 있었고, 수복재 별로는 복합 레진, 아말감, gold inlay의 순이었다.

키워드

참고문헌

  1. Dietrich G, Sperling S, Hetzer G : Molar Incisor Hypomineralisation in a group of children and adolescents living in Germany. Eur J Paediatr Dent, 3:133-137, 2003.
  2. Small BW, Murray JJ : Enamel opacities: prevalence, classification an aetiological considerations. J Dent, 6:33-42, 1978. https://doi.org/10.1016/0300-5712(78)90004-0
  3. Pindborg JJ : Aetiology of developmental enamel defects not related to fluorosis. Int Dent J, 32:123-134, 1982.
  4. Sarnat BG, Schour I : Enamel hypoplasia(chronologic enamel aplasia) in relation to systemic disease: a chronologic, morphologic and etiologic classification. J Am Dent Assoc, 29:65-67, 1941.
  5. Koch G, Hallonsten AL, Ludvigsson N, et al. : Epidemiologic study of idiopathic enamel hypomineralization in permanent teeth of Swedish children. Community Dent Oral Epidemiol, 15:279-285, 1987. https://doi.org/10.1111/j.1600-0528.1987.tb00538.x
  6. Clarkson J : Review of terminology, classifications and indices of developmental defects of enamel. Adv Dent Res, 3:104-109, 1989.
  7. Weerheijm KL, Jalevik B, Alaluusua S : Molar-Incisor Hypomineralisation. Caries Res, 35:390-391, 2001. https://doi.org/10.1159/000047479
  8. FDI commission on Oral Health Research and Epidemiology : A review of the development defects of enamel index(DDE index). Int Dent J, 42:411-426, 1992.
  9. Holtta P, Kiviranta H, Leppaniemi A, et al. : Developmental dental defects in children who reside by a river polluted by dioxins and furans. Arch Environ Health, 56:522-528, 2001. https://doi.org/10.1080/00039890109602901
  10. Alaluusua S, Lukinmaa PL, Koskimies M, et al. : Developmental dental defects associated with long breast feeding. Eur J Oral Sci, 104:493-497, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00131.x
  11. Alaluusua S, Lukinmaa PL, Torppa J, et al. : Developing teeth as biomarker of dioxin exposure. Lancet, 353:206, 1999.
  12. Jalevik B, Noren JG : Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent, 10:278-289, 2000.
  13. Broncker AC : Effect of oxygen tension on matrix formation and mineralization in hamster molar during development in vitro. J Biol Buccale, 11:195-207, 1983.
  14. Van Amerongen WE, Kreulen CM : Cheese molars: a pilot study of the etiology of hypocalcifications in first permanent molars, ASDC J Dent Child, 62:266-269, 1995.
  15. Jontell M, Linde A : Nutritional aspects on tooth formation, World Rev Nutr Diet, 48:114-136, 1986.
  16. Beentjes VE, Weerheijm KL, Groen HJ : Factors involved in the aetiology of molar-incisor hypomineralisation(MIH). Eur J Paediatr Dent, 3:9-13, 2002.
  17. Laisi S, Ess A, Sahlberg C, et al.: Amoxicillin may cause molar incisor hypomineralization. J Dent Res, 88:132-136, 2009. https://doi.org/10.1177/0022034508328334
  18. Jalevik B, Klingberg GA : Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent, 12:24-32, 2002.
  19. Kotsanos N, Kaklamanos EG, Arapostathis K : Treatment management of first molars in children with Molar-incisor hypomineralisation. Eur J Paediatr Dent, 12:179-184, 2005.
  20. Weerheijm KL, Groen HJ, Beentjes VE, et al. : Prevalence of cheese molars in 11 year old Dutch. J Dent Child, 68:259-262, 2001.
  21. Leppaniemi A, Luninmaa PL, Alaluusua S : Nonfluoridate hypomineralisations in the permanent first molars and their impact on treatment need. Caries Res, 35:36-40, 2001. https://doi.org/10.1159/000047428
  22. Jalevik B, Klingberg G, Barregard L, et al. : The prevalence of demarcated opacites in the permanent first molars in a group of Swedish children. Acta Odontol Scand, 59:255-260, 2001. https://doi.org/10.1080/000163501750541093
  23. Calderara PC, Gerthous PM, Mocarelli P, et al. : The prevalence of molar incisor hypomineralisation(MIH) in a group of Italian school children. Eur J Paediatr Dent, 6:79-83, 2005.
  24. Jasulaityte L, Veerkamp JS, Weerheijm KL : Molar incisor hypomineralization: review and prevalence data from the study of primary school children in Kaunas/Lithuania. Eur Arch Paediatr Dent, 8:87-94, 2007. https://doi.org/10.1007/BF03262575
  25. Cho SY, Ki Y, Chu V : Molar incisor hypomineralization in Hong Kong Chinese children. Int J Paediatr Dent, 18:348-352, 2008. https://doi.org/10.1111/j.1365-263X.2008.00927.x
  26. 보건복지부 : 2006년도 국민구강건강실태조사 보고서, 6-271, 2007.
  27. 대한구강해부학회 : 구강조직학. 대한나래출판사, 서울, 147-193, 2003.
  28. 대한소아치과학회 : 소아청소년치과학. 신흥인터내셔날, 서울, 104-125, 2007.
  29. Proffit WR, Fields HW, Sarver DM : Contemporary orthodontics. Mosby-Year Book, St. Louis, 64, 1993.
  30. Koch G, Poulsen S : Pediatric Dentistry - a Clinical Approach. Wiley-Blackwell, Copenhagen, 233-263, 2009.
  31. William V, Messer LB, Burrow MF : Molar incisor hypomineralization: Review and Recommendations for Clinical Management. Paediatr Dent, 28:224-232, 2006.
  32. 정 진 : 법랑질 형성부전치의 레이저 조사 효과에 대한 연구. 대한소아치과학회지, 20:101-115, 1993.
  33. Fayle SA : Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent, 3: 121-126, 2003.
  34. William V, Burrow MF, Palamara JE, et al.: Microshear bond strength of resin composite to teeth affected by molar hypomineralization using 2 adhesive systems. Pediatr Dent, 28:233-240, 2006.
  35. 이준행, 이준석, 김용기 등 : Resin Jacket Crown을 이용한 법랑질형성 부전증 환자의 심미적 치험례. 대한소아치과학회지, 25:704-709, 1998.
  36. Mejare I, Bergman E, Grindefjord M : Hypomineralized molars and incisors of unknown origin: treatment outcome at age 18 years. Int J Paediatr Dent, 15:20-28, 2005. https://doi.org/10.1111/j.1365-263X.2005.00599.x
  37. Jalevik B, Moller M : Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molars. Int J Paediatr Dent, 17:328-335, 2007. https://doi.org/10.1111/j.1365-263X.2007.00849.x