Molarno incizivna hipomineralizacija u djece s intelektualnim teškoćama

doctoral thesis

• Title (english): Molar incisor hypomineralization in children with intellectual disabilities
• Author: Vesna-Erika Modrić
• Mentor: Željko Verzak (mentor)
• Mentor: Zoran Karlović (komentor)
• Committee member: Domagoj Glavina (predsjednik povjerenstva)
• Committee member: Hrvoje Jurić (član povjerenstva)
• Committee member: Dubravka Negovetić-Vranić (član povjerenstva)
• Committee member: Martina Majstorović (član povjerenstva)
• Committee member: Ivo Barić (član povjerenstva); MBZ: 138536
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2016-06-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine
• Universal decimal classification (UDC): 616.31 - Stomatology

Abstract

Svrha istraživanja bila je usporediti frekvenciju i distribuciju molarno incizivne hipomineralizacije (MIH) u djece s intelektualnim poteškoćama, te kontrolnih ispitanika. Ispitanici i postupci: Istraživanjem je obuhvaćeno 72 djece s intelektualnim poteškoćama u dobi od 5 do 18 godina i 72 zdrave djece uparene po dobi i spolu. Pregledi su obavljeni prema metodologiji i kriterijima WHO-a, stomatološkim zrcalom i sondom, u dentalnoj ordinaciji ili instituciji u kojoj djeca žive. Rezultati: Statistička analiza je pokazala značajnu razliku (p=0,033) u frekvenciji molarno-incizivne hipomineralizacije u djece s intelektualnim poteškoćama (11,11%) u odnosu na djecu u kontrolnoj grupi (1,39%). Razlika u zastupljenosti molarno-incizivne hipomineralizacije među spolovima nije bila statistički značajna. Najčešće zahvaćeni zub bio je donji desni kutnjak. Prevladavaju caklinski bijeli defekti (82,14%) u odnosu na smeđe caklinske defekte. Većina djece je imala blage defekte. Zaključci: Djeca s MIH-om trebaju se identificirati jer imaju veći rizik nastanka karijesa, probleme s ponašanjem i lošija mehanička svojstva cakline što dovodi do neuspjeha konzervativne terapije.

Abstract (english)

Aim: the aim of this study has been to compare the frequency and the distribution of molar incisor hypomineralisation (MIH) in children with intellectual disabilities, and the children in the control group. Materials and methods: The research included 72 children aged 5–18 years with intellectual disabilities and 72 healthy children mached by gender and age. A standard clinical examination was performed at the dental clinic or in the institution where the children lived, following the WHO-prescribed methodology and criteria, and by using a dental mirror and a probe. Results: Statistical analysis revealed significant differences (p=0,033), in the frequency of MIH between children with intellectual disabilities (11,11%) and children in the control group (1,39%). No statistically significant gender differences were noticed in the prevalence of MIH. The most frequently affected tooth was the first right mandibular molar. White defects were more common (82,14%) than brown defects. The majority of affected children had mild defects. Conclusions: Children with MIH should be identified due to increased caries risk, behaviour management problems and marked reduction in enamel mechanical properties leading to restoration failures.

• Keywords: molarno-incizivna hipomineralizacija; razvojni caklinski defekti; djeca
• Keywords (english): molar; incisor; hypomineralisation
• Language: croatian
• URN:NBN: urn:nbn:hr:127:976866
• Study programme: Title: dental medicine; Study programme type: university; Study level: postgraduate; Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo, polje dentalna medicina (doktor/doktorica znanosti, područje biomedicine i zdravstvo, polje dentalna medicina)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-04-25 10:33:31