Abstract

Background: Treatment of oral diseases can have a long-lasting impact on a child’s life well beyond its childhood years. The purpose of this study was to compare the impact of treatment on the oral-health-related quality of life (OHRQoL) of children with severe caries and severe molar incisor hypomineralization (MIH). Methods: A total of 210 children (mean age 9 years; 49% female) with severe caries (inner third of dentin) and severe MIH (post-eruptive breakdown, crown destruction) were included in the study. Both groups were matched according to age, gender, and social status. The German version of the Child Perception Questionnaire for 8–10-year-olds (CPQ-G8–10) was used before and after treatment to analyze the impact on OHRQoL. Results: Patients with severe MIH showed a significantly higher total CPQ score (17.8 (±10.6)) before treatment compared to the caries group (13.8 (±14.3)). The mean CPQ score in all subdomains decreased significantly after therapy in the MIH group. Children with severe carious lesions had similar results except in the domain “functional limitations”, as treatment led to only minor changes (2.9 (±3.6) to 2.2 (±2.6)). Conclusions: Despite a narrower treatment spectrum, patients with severe MIH experienced a greater overall improvement in OHRQoL compared to the caries group.

Highlights

  • Introduction published maps and institutional affilNowadays, pediatric dentists are regularly confronted with two distinct dental diseases when treating children: caries and molar incisor hypomineralization [1,2]

  • This study investigated the influence of treatment on oral-health-related quality of life (OHRQoL) in children with severe molar incisor hypomineralization (MIH) and caries aged 7–11 years

  • A total of 914 teeth were diagnosed, of which 339 teeth were affected by MIH and 575 by dental caries

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Summary

Introduction

Introduction published maps and institutional affilNowadays, pediatric dentists are regularly confronted with two distinct dental diseases when treating children: caries and molar incisor hypomineralization [1,2]. The most common oral disease plaguing children all over the world is dental caries. It is estimated that 621 million children worldwide are affected by dental caries [3] In developed countries, such as Germany, caries remains a major health concern as shown in a recent survey with 44% of 6-year-olds having at least one carious lesion [4,5]. It is, in principle, a preventable and curable disease, facts such as socioeconomic status, dental hygiene, and dietary factors can increase the likelihood of carious lesions’ occurrence and severity [6]

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