Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional study
Abstract Molar-incisor hypomineralisation (MIH) significantly impacts children's quality of life due to dental hypersensitivity, anxiety, and aesthetic concerns. Few studies have investigated these factors within the same sample, comparing varying levels of MIH severity to MIH-free controls. O...
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University of São Paulo
2025-07-01
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| Series: | Journal of Applied Oral Science |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572025000100433&lng=en&tlng=en |
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| author | Bianca Caroline GOMES Lana CARDOSO-SILVA Beatriz Kelly Barros LOPES Roberta Paula de Faria MELO Isabella Silva CATANANTI Alexandra Mussolino de QUEIROZ Francisco Wanderley Garcia PAULA-SILVA David John MANTON Fabrício Kitazono de CARVALHO |
| author_facet | Bianca Caroline GOMES Lana CARDOSO-SILVA Beatriz Kelly Barros LOPES Roberta Paula de Faria MELO Isabella Silva CATANANTI Alexandra Mussolino de QUEIROZ Francisco Wanderley Garcia PAULA-SILVA David John MANTON Fabrício Kitazono de CARVALHO |
| author_sort | Bianca Caroline GOMES |
| collection | DOAJ |
| description | Abstract Molar-incisor hypomineralisation (MIH) significantly impacts children's quality of life due to dental hypersensitivity, anxiety, and aesthetic concerns. Few studies have investigated these factors within the same sample, comparing varying levels of MIH severity to MIH-free controls. Objectives: This study evaluated dental hypersensitivity, anxiety, and aesthetic self-perception in children with mild MIH, severe MIH, and controls, and explored correlations between the studied variables. Methodology: A total of 605 students from a single school were evaluated: 110 children with MIH and 214 controls matched by age and sex. MIH severity was clinically assessed using the Ghanim criteria. Hypersensitivity was measured with the visual analogue scale (VAS) and the Schiff Cold Air Sensitivity Scale (SCASS). Anxiety and aesthetic concerns were assessed using the CFSS-DS and CQATA questionnaires, respectively. Results: Overall, 78 children had mild MIH and 32 had severe MIH. Median for dental hypersensitivity (p<0.001) and aesthetic self-perception (p=0.002) were significantly higher in the severe MIH group compared to both the control and mild MIH groups. No differences were found for anxiety. Elevated VAS-measured dental hypersensitivity levels and impaired self-perceived aesthetics were significantly correlated with greater MIH severity (p<0.05). Spearman's correlation analysis further revealed significant positive correlations between anxiety/fear and VAS scores (p=0.023, r=0.239), between anxiety/fear and aesthetic self-perception scores (p=0.007, r=0.282), and between dental appearance classification and VAS hypersensitivity scores (p=0.035, r=0.222). In contrast, SCASS hypersensitivity scores did not significantly correlate with either anxiety/fear or dental appearance classification (p>0.05). Conclusions: Children with severe MIH showed higher dental hypersensitivity and greater perceived aesthetic impairment than children with mild MIH or without MIH. |
| format | Article |
| id | doaj-art-de108c769d3340f9bd61b43c44279c99 |
| institution | DOAJ |
| issn | 1678-7765 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Journal of Applied Oral Science |
| spelling | doaj-art-de108c769d3340f9bd61b43c44279c992025-08-20T03:17:43ZengUniversity of São PauloJournal of Applied Oral Science1678-77652025-07-013310.1590/1678-7757-2024-0159Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional studyBianca Caroline GOMEShttps://orcid.org/0009-0009-9917-1670Lana CARDOSO-SILVAhttps://orcid.org/0000-0002-4503-8702Beatriz Kelly Barros LOPEShttps://orcid.org/0000-0002-8598-7777Roberta Paula de Faria MELOhttps://orcid.org/0000-0001-6461-8078Isabella Silva CATANANTIhttps://orcid.org/0000-0001-7384-2485Alexandra Mussolino de QUEIROZhttps://orcid.org/0000-0003-2900-5000Francisco Wanderley Garcia PAULA-SILVAhttps://orcid.org/0000-0001-8559-532XDavid John MANTONhttps://orcid.org/0000-0002-4570-0620Fabrício Kitazono de CARVALHOhttps://orcid.org/0000-0002-4837-0583Abstract Molar-incisor hypomineralisation (MIH) significantly impacts children's quality of life due to dental hypersensitivity, anxiety, and aesthetic concerns. Few studies have investigated these factors within the same sample, comparing varying levels of MIH severity to MIH-free controls. Objectives: This study evaluated dental hypersensitivity, anxiety, and aesthetic self-perception in children with mild MIH, severe MIH, and controls, and explored correlations between the studied variables. Methodology: A total of 605 students from a single school were evaluated: 110 children with MIH and 214 controls matched by age and sex. MIH severity was clinically assessed using the Ghanim criteria. Hypersensitivity was measured with the visual analogue scale (VAS) and the Schiff Cold Air Sensitivity Scale (SCASS). Anxiety and aesthetic concerns were assessed using the CFSS-DS and CQATA questionnaires, respectively. Results: Overall, 78 children had mild MIH and 32 had severe MIH. Median for dental hypersensitivity (p<0.001) and aesthetic self-perception (p=0.002) were significantly higher in the severe MIH group compared to both the control and mild MIH groups. No differences were found for anxiety. Elevated VAS-measured dental hypersensitivity levels and impaired self-perceived aesthetics were significantly correlated with greater MIH severity (p<0.05). Spearman's correlation analysis further revealed significant positive correlations between anxiety/fear and VAS scores (p=0.023, r=0.239), between anxiety/fear and aesthetic self-perception scores (p=0.007, r=0.282), and between dental appearance classification and VAS hypersensitivity scores (p=0.035, r=0.222). In contrast, SCASS hypersensitivity scores did not significantly correlate with either anxiety/fear or dental appearance classification (p>0.05). Conclusions: Children with severe MIH showed higher dental hypersensitivity and greater perceived aesthetic impairment than children with mild MIH or without MIH.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572025000100433&lng=en&tlng=enMolar incisor hypomineralisationDental hypersensitivityDental anxietyChildren |
| spellingShingle | Bianca Caroline GOMES Lana CARDOSO-SILVA Beatriz Kelly Barros LOPES Roberta Paula de Faria MELO Isabella Silva CATANANTI Alexandra Mussolino de QUEIROZ Francisco Wanderley Garcia PAULA-SILVA David John MANTON Fabrício Kitazono de CARVALHO Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional study Journal of Applied Oral Science Molar incisor hypomineralisation Dental hypersensitivity Dental anxiety Children |
| title | Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional study |
| title_full | Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional study |
| title_fullStr | Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional study |
| title_full_unstemmed | Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional study |
| title_short | Influence of molar incisor hypomineralisation severity on dental hypersensitivity, anxiety/fear, and aesthetic self-perception: a cross-sectional study |
| title_sort | influence of molar incisor hypomineralisation severity on dental hypersensitivity anxiety fear and aesthetic self perception a cross sectional study |
| topic | Molar incisor hypomineralisation Dental hypersensitivity Dental anxiety Children |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572025000100433&lng=en&tlng=en |
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