Jan Kühnisch1, Anne Lauenstein2, Vinay Pitchika2, George McGlynn3, Anja Staskiewicz3, Reinhard Hickel2, Gisela Grupe4. 1. Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Munich, Germany. jkuehn@dent.med.uni-muenchen.de. 2. Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Munich, Germany. 3. Bavarian State Collection of Anthropology and Palaeoanatomy, Munich, Germany. 4. Biocenter, Ludwig-Maximilians-University of Munich, Munich, Germany.
Abstract
OBJECTIVE: With respect to the unknown aetiology of molar incisor hypomineralisation (MIH), it is unclear whether this phenomenon was overlooked in the last century as a result of a high number of caries in children or if this developmental disorder was not present until then. Therefore, this study determined the presence of MIH in historical dentitions and teeth. MATERIALS AND METHODS: Dental remains from late medieval (n = 191, twelfth-sixteenth century, Regensburg, Germany), post-medieval (n = 33, sixteenth-eighteenth century, Passau, Germany) and modern age archaeological skeletal series (n = 99, nineteenth-twentieth century, Altdorf, Germany) were examined for MIH. In addition, linear enamel hypoplasia (LEH), diffuse opacities, hypoplasia and Turner's teeth were documented. RESULTS: MIH-related demarcated opacities or enamel breakdowns were found in only 15 (0.4 %) of the 3891 examined permanent teeth. Ten cases (3.1 %) from a total of 323 dentitions were classified as having MIH. In contrast, 98 individuals (30.3 %) showed LEH. Other enamel disorders were recorded in 64 individuals (19.8 %). CONCLUSION: With respect to the low number of affected dentitions and teeth, MIH most likely did not exist or was at least rarely present in the investigated archaeological case series. CLINICAL RELEVANCE: This study supports the hypothesis that MIH may be linked to contemporary living conditions or other health-related factors.
OBJECTIVE: With respect to the unknown aetiology of molar incisor hypomineralisation (MIH), it is unclear whether this phenomenon was overlooked in the last century as a result of a high number of caries in children or if this developmental disorder was not present until then. Therefore, this study determined the presence of MIH in historical dentitions and teeth. MATERIALS AND METHODS: Dental remains from late medieval (n = 191, twelfth-sixteenth century, Regensburg, Germany), post-medieval (n = 33, sixteenth-eighteenth century, Passau, Germany) and modern age archaeological skeletal series (n = 99, nineteenth-twentieth century, Altdorf, Germany) were examined for MIH. In addition, linear enamel hypoplasia (LEH), diffuse opacities, hypoplasia and Turner's teeth were documented. RESULTS: MIH-related demarcated opacities or enamel breakdowns were found in only 15 (0.4 %) of the 3891 examined permanent teeth. Ten cases (3.1 %) from a total of 323 dentitions were classified as having MIH. In contrast, 98 individuals (30.3 %) showed LEH. Other enamel disorders were recorded in 64 individuals (19.8 %). CONCLUSION: With respect to the low number of affected dentitions and teeth, MIH most likely did not exist or was at least rarely present in the investigated archaeological case series. CLINICAL RELEVANCE: This study supports the hypothesis that MIH may be linked to contemporary living conditions or other health-related factors.
Authors: Jan Kühnisch; Marie Standl; Reinhard Hickel; Joachim Heinrich Journal: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Date: 2021-07-02 Impact factor: 1.513