Journal of the American Dental Association (1939) · 2025
Perspectives of US pediatric dentistry faculty on the clinical management of molar hypomineralization.
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Ahmed Azza Tagelsir, Kratunova Evelina, Dean Jeffrey A, Wright Tim, Khader Yousef, Alrayyes Sahar
Аннотация
BACKGROUND: Molar hypomineralization (MH) is a qualitative enamel defect. Despite its prevalence and clinical significance, inconsistencies in MH diagnosis and management exist among dental care professionals. The authors assessed the knowledge, diagnostic accuracy, and treatment preferences of US pediatric dentistry (PD) faculty members regarding MH, with a focus on clinical decision making consistency.
METHODS: A cross-sectional survey was distributed to PD faculty members across the United States from April 1 through July 31, 2024. The survey assessed faculty members' knowledge of MH terminology, diagnosis, and clinical implications using structured questions and case-based clinical scenarios classified according to the Würzburg MIH Treatment Need Index. Data were analyzed using descriptive statistics and χ2 tests; significance was set at P < .05.
RESULTS: Seventy-two faculty members participated. More than one-third (38.9%) did not differentiate MH from other enamel defects and 30.6% misidentified MH as enamel hypoplasia. Glass ionomer cement (100%) and stainless steel crowns (98.6%) were the most frequently recommended restorations for MH-affected molars and composite resin (97.1%) was preferred for incisors. Faculty members with more than 6 years of experience were significantly more likely to recommend amalgam (P = .012) and orthodontic bands (P = .025). More invasive treatments, including extractions (63.9%) and stainless steel crowns (72.2%), were commonly selected for severe MH cases.
CONCLUSIONS: The study results showed variations in MH diagnosis and management among US PD faculty members. The findings emphasized the need for guidance for evidence-based diagnostics and treatment decision making and improved MH education to enhance diagnostic accuracy and treatment consistency in academic settings.
PRACTICAL IMPLICATIONS: Incorporating standardized MH management strategies into PD curricula may improve clinical decision making and optimize treatment outcomes.
METHODS: A cross-sectional survey was distributed to PD faculty members across the United States from April 1 through July 31, 2024. The survey assessed faculty members' knowledge of MH terminology, diagnosis, and clinical implications using structured questions and case-based clinical scenarios classified according to the Würzburg MIH Treatment Need Index. Data were analyzed using descriptive statistics and χ2 tests; significance was set at P < .05.
RESULTS: Seventy-two faculty members participated. More than one-third (38.9%) did not differentiate MH from other enamel defects and 30.6% misidentified MH as enamel hypoplasia. Glass ionomer cement (100%) and stainless steel crowns (98.6%) were the most frequently recommended restorations for MH-affected molars and composite resin (97.1%) was preferred for incisors. Faculty members with more than 6 years of experience were significantly more likely to recommend amalgam (P = .012) and orthodontic bands (P = .025). More invasive treatments, including extractions (63.9%) and stainless steel crowns (72.2%), were commonly selected for severe MH cases.
CONCLUSIONS: The study results showed variations in MH diagnosis and management among US PD faculty members. The findings emphasized the need for guidance for evidence-based diagnostics and treatment decision making and improved MH education to enhance diagnostic accuracy and treatment consistency in academic settings.
PRACTICAL IMPLICATIONS: Incorporating standardized MH management strategies into PD curricula may improve clinical decision making and optimize treatment outcomes.