Evidence map›Paper›PMID 42841997›Full record

Observational studyClinical oral investigations2026

Are childhood diseases associated with Molar-Incisor Hypomineralization? - Results from an observational study.

Elena Pernegger, Nour Ammar, Karl-Ferdinand Fresen, Ramy Gaballah, Helen Irina Schill, Stefanie Amend, Norbert Krämer, Jan Kühnisch

Abstract readObservational Study
In one paragraph

Observational study in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Elena PerneggerDepartment of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Nour AmmarDepartment of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Karl-Ferdinand FresenDepartment of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Ramy GaballahDepartment of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Centre Giessen and Marburg, Campus Giessen, Giessen, Germany.
Helen Irina SchillDepartment of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Stefanie AmendDepartment of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Centre Giessen and Marburg, Campus Giessen, Giessen, Germany.
Norbert KrämerDepartment of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Centre Giessen and Marburg, Campus Giessen, Giessen, Germany.
Jan KühnischDepartment of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany. jan.kuehnisch@med.uni-muenchen.de.ORCID https://orcid.org/0000-0003-4063-2291

Funding

Bavarian State Ministry of Health, Care and Prevention none
6 · The paper itself

Abstract

objectiveThis observational study aimed to investigate the potential association between reported childhood diseases and medications during early infancy and the later appearance of molar incisor hypomineralization (MIH). MATERIALS AND

methodsAs part of a prospectively designed epidemiological study, 5,418 Bavarian children aged 8 to 10 were examined for the presence of caries (WHO standard) and MIH (EAPD criteria). In addition, each child received a questionnaire to be completed by their parents. A total of 1,315 questionnaires were returned, containing complete information on childhood diseases, medication and socioeconomic status. Marginalized zero-inflated negative binomial regression models were constructed.

resultsA total of 263 children (20.0%) were diagnosed with MIH, with a mean of 3.3 (± 2.0) MIH-affected teeth. In cases of bronchitis (IRR 1.25 with 95% CI 1.07-1.46), otitis media (aOR 1.91 with 95% CI 1.30-2.80), eye diseases, allergies, speech disorders, worm infections and cardiac diseases, significant associations were found for the presence of MIH. In addition, a significant association between antibiotic use and MIH was confirmed (first year of life: IRR 1.45 with 95% CI 1.15-1.83; aOR 1.86 with 95% CI 1.13-3.05/second year of life: IRR 1.35 with 95% CI 1.05-1.77; aOR 1.36 with 95% CI 1.05-1.77).

conclusionsThe associations were mostly associated with low case numbers and accordingly cannot explain the documented MIH prevalence of 20.0%. Therefore, childhood diseases and antibiotic use probably do not solely contribute to MIH development. CLINICAL RELEVANCE: MIH aetiology remains unclear, indicating a need for further research.

Indexed as

Dental Enamel HypoplasiaMolar HypomineralizationChildFemaleGermanyHumansMaleProspective StudiesRisk FactorsSurveys and QuestionnairesAetiologyAntibioticsEnamel HypomineralizationMolar HypomineralizationPaediatric Dentistry

Identifiers

PMID42841997
PMCPMC13645964

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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.