* Determine the prevalence of molar incisor hypomineralization among a group of children with type I diabetes millutes, its severity and treatment need via clinical examination of children with type I diabetes millutes . * Teeth will be cleaned gently using gauze and wet with saliva during examination. A disposable diagnostic set (mirror, probe) will be used for each patient where mirrors will be used for proper visualization especially for maxillary teeth. * Blunt explorers will be used to aid in tactile sensation if needed, as during the differentiation between rough and smooth enamel edges and/or during the inspection of the caries extent if it exists. No diagnostic radiographs will be taken. * The severity and treatment needs of each case with MIH will be recorded in patient's chart. * The results of the study will be regularly monitored by the supervisors who will have full access to these results.
* This cross-sectional study will be carried out by recruiting a sample of participants previously diagnosed with type I diabetes millutes. * Details regarding participant diagnosis and treatment of type I diabetes millutes will be obtained from medical records. This includes date and the age of the child on diagnosis type I diabetes millutes, and a recent HbA1c level analysis within three months of the dental examination. * A disposable diagnostic set (mirror, probe) were used for each child to examine the four first permanent molars , the four maxillary ,the four mandibular incisors and second primary molars to detect the presence of molar incisor hypomineralization and its severity and scores will be recorded in the chart then it will be correlated with treatment need. * The teeth affected with molar incisor hypomineralization will be treated according to the recommendations of European academy of pediatric dentistry and the intervention will be recorded in patient's chart.
Study Type
OBSERVATIONAL
Enrollment
238
the exposure is type I diabetes milletus
prevalence of molar incisor Hypomineralization among among a group of children with type I diabetes milletus.
The prevalence will be measured according to the diagnostic criteria of molar incisor Hypomineralization established by European Academy of Pediatric Dentistry. Measuring unit: percentage
Time frame: one year
Severity of molar incisor Hypomineralization among among a group of children with type I diabetes milletus.
the severity will be measured according to:European Academy of Paediatric Dentistry (EAPD) criteria. Measuring unit: Categorical
Time frame: one year
Treatment need
The treatment need will be measured according to: treatment need index Measuring unit: Categorical l
Time frame: one year
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