Evidence map›Paper›PMID 40488938›Full record

ReviewThe Saudi dental journal2025

What is the impact of stress on the development of molar incisor hypomineralization (MIH): a systematic review.

Wejdan Hassan Alraddadi, Yara Faraj Alsulami, Aseel Abdulrahim Alsubhi, Anhar Saleh Almabouth, Esraa Abdulrahman Aljahdali, Heba Jafar Sabbagh

Abstract readReview
In one paragraph

Review in The Saudi dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Wejdan Hassan AlraddadiMinistry of Health, Al Madinah, Saudi Arabia.
Yara Faraj AlsulamiKing Abdulaziz University, University Dental Hospital, Jeddah, Saudi Arabia.
Aseel Abdulrahim AlsubhiKing Abdulaziz University, University Dental Hospital, Jeddah, Saudi Arabia.
Anhar Saleh AlmabouthMinistry of Health, Jeddah, Saudi Arabia.
Esraa Abdulrahman AljahdaliKing Abdulaziz University, University Dental Hospital, Jeddah, Saudi Arabia.
Heba Jafar SabbaghPediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia. hsabbagh@kau.edu.sa.ORCID http://orcid.org/0000-0002-9788-0379

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Molar Incisor Hypomineralization (MIH) is a developmental enamel defect that affects permanent first molars (PFMs) and incisors, leading to caries and early tooth loss. This systematic review investigates the literature for the relationship between stress-related factors and the occurrence of MIH. A comprehensive literature search was conducted across PubMed, Cochrane, Scopus, Google Scholar, and BASE. Articles were screened and data extracted using the Rayyan platform for systematic reviews. The quality of the included studies was assessed using the Newcastle-Ottawa Scale (NOS). Six-studies were included, five examined maternal stress during pregnancy while one on stress experienced during early childhood. Out of them, five reported a significant association between stress and MIH. Given the significant variability in stress assessment methods across studies, we were able to include only two studies in the meta-analysis. Although not statistically significant, the meta-analysis showed a tendency for increased odds of MIH in the presence of stress, with an overall odds ratio of 1.46 (95% CI: 0.66-3.22). These findings suggest a potential association between psychological stress and MIH. However, further research is needed to confirm these results and elucidate the mechanisms involved. Addressing current research limitations will improve study reliability and inform preventive strategies to reduce maternal and early childhood stress, potentially mitigating MIH prevalence.

Indexed as

MIH; Molar Incisor HypomineralizationPsychological stressRisk factors

Identifiers

PMID40488938
PMCPMC12149062

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.