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Molar-Incisor Hypomineralization (MIH) in an Ancient Population of Dor and Its Relation to the Aetiology of MIH

Received: 13 October 2024     Accepted: 30 October 2024     Published: 24 January 2025
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Abstract

Background: The prevalence of MIH in modern population is increasing during the last decades. Most of the etiology factors today are based on perinatal health disorders. In order to understand if the hypomineralization of the enamel in MIH/HSPM is a novel developmental disorder, we compared the prevalence of modern population to archeological population with a high rate of mortality of young children. Objectives: To analyze the prevalence of MIH/HSPM in ancient population of Dor, Israel (16th-19th centuries). Materials: We examined 104 skulls out of 157 skeletons excavated, which had at least one permanent and/or one primary second molars for MIH/HSPM. Methods: All skulls were examined under a white light and skulls with MIH/SPMH were photographed. The skulls with suspected MIH/SPMH underwent CT analyses. Results: Three skulls out of the 104 skulls examined showed distinct enamel developmental defects on primary or permanent molars: one with MIH, one with HSPM and one with hypoplasia of second primary molars. Conclusions: Very low percentages of MIH/HSPM were found in Dor population, in comparison with modern prevalence of MIH in Israel, almost 18% of childrens 6-16 years old. Significance: In modern Israeli population with minimal perinatal health problems the prevalence of MIH/HSPM is very high and increasing. Based on the very low prevalence of MIH/HSPM in Dor population and the poor health situation of the children, we can conclude that the proposed aetiology of hypomineralization based on health or developmental problems during early childhood in modern population is questionable. Suggestion for further research: In modern populations the research should be directed to epigenetic factors in affected families.

Published in International Journal of Archaeology (Volume 13, Issue 1)
DOI 10.11648/j.ija.20251301.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Molar-Incisor Hypomineralization (MIH), Ancient Populations, Hypoplasia, MIH Etiology

References
[1] Brook A. H., Smith J. M. 2006. Hypoplastic enamel defects and anvironmental stress in a homogenous Romano-British population. Eur. J. Oral. Sci. 114 Suppl 1: 370-374.
[2] Curzon M. E. J. et al. 2015. Case-report: A medieval case of molar-incisor-hypomineralization. Br. Dent. J. 219: 583-587.
[3] Damares Lego J. et al. 2022. MIH prevalence comparative study in 6 years of interval. Scientific World. J. 9: 4743252.
[4] Garcia Perez A. et al. 2024. Molar Incisor hypomineralization is associated with the prevalence of thinnes among schoolchildren in communities with different fluoride levels in the drinking water. Int. J. Dent. 1-8.
[5] Garot E. et al. 2017a. Analytical evidence of enamel hypomineralization on permanent and primary molars among past populations. Sci. Rep. 7: 1712.
[6] Garot E. et al. 2017b. Diagnostic guide enabling distinction between taphonomic stains and enamel hypomineralization in an archeological context. Arch. Oral. Biol. 74: 28-36.
[7] Goodman A. H. et al. 1980. Enamel hypoplasia as indicators of stress in three prehistoric populations from Illinois. Hum. Biol. 52: 515-528.
[8] Hassan J. et al. 2019. The prevalence of molar incisor hypomineralization among children in Jewish and Arab population in Israel. J. Israeli Dent. Associat. 36: 28-36.
[9] Irigoyen-Camacho M. E. et al. 2020. Evaluating the changes in molar incisor hypomineralization prevalence: A comparison of two cross-sectional studies in two elementary schools in Mexico City between 2008 and 2017. Clin. Exp. Dent. Res. 6: 82-89.
[10] Kuhnisch J. et al. 2016. Was molar incisor hypomineralizatio (MIH) present in archeological case series? Clin. Oral. Investig. 20: 2387-2393.
[11] Lopes L. B. et al. 2021. The prevalence of Molar-incisor hypomineralization: a systematic review and meta-analysis. Sci. Rep. 17: 11: 22405.
[12] Lopez-Fatturi A. et al. 2024. Genetic polymorphism associated with developmental defects of enamel: A systematic review. Int. J. Paediatr. Dent. 00: 1-13.
[13] Lygidakis N. A. et al. 2022. Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralization (MIH): an updated European Academy of Paediatric Dentistry policy document. Eur. Arch. Paediatri. Dent. 23: 3-21.
[14] Miles A. E. W. 2001. The Miles method of assesing age from tooth wear revisited. J Archeological Sci. 28: 973-982.
[15] Moorrees C. F. A. et al. 1963. Age variation of formation stages for ten permanent teeth. J. Dent. Res. 42: 1490-1502.
[16] Smith P., Horwitz Kolska L. 2009. A synthetic approach to the study of diet, health and disease in an Ottoman period population from Palestine. In Al-Rafidan Journal of Western Asiatic Studies, volume XXX, 2009. The institute for cultural studies of ancient Iraq, Kokushien University, Tokyo.
[17] Stewart R. E. et al. 1982. General concepts of growth and development. In Stewart RE, Barber TK, Troutman KC, Wei SHY (eds). Pediatric dentistry: Scientific foundations and clinical practice. The CV Mosby Co. St Louis, Toronto, London. p. 19.
[18] Walter B. S. et al. 2015. Sex differentials in caries frequencies in Medieval London. Arch. Oral. Biol. 63: 32-39.
[19] Zhao D. et al. 2018. The prevalence of molar incisor hypomineralization: evidence from 70 studies. Int. J. Paediatr. Dent. 28: 170-179.
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  • APA Style

    Sharon, H., Uri, Z. (2025). Molar-Incisor Hypomineralization (MIH) in an Ancient Population of Dor and Its Relation to the Aetiology of MIH. International Journal of Archaeology, 13(1), 1-6. https://doi.org/10.11648/j.ija.20251301.11

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    ACS Style

    Sharon, H.; Uri, Z. Molar-Incisor Hypomineralization (MIH) in an Ancient Population of Dor and Its Relation to the Aetiology of MIH. Int. J. Archaeol. 2025, 13(1), 1-6. doi: 10.11648/j.ija.20251301.11

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    AMA Style

    Sharon H, Uri Z. Molar-Incisor Hypomineralization (MIH) in an Ancient Population of Dor and Its Relation to the Aetiology of MIH. Int J Archaeol. 2025;13(1):1-6. doi: 10.11648/j.ija.20251301.11

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  • @article{10.11648/j.ija.20251301.11,
      author = {Harel Sharon and Zilberman Uri},
      title = {Molar-Incisor Hypomineralization (MIH) in an Ancient Population of Dor and Its Relation to the Aetiology of MIH},
      journal = {International Journal of Archaeology},
      volume = {13},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ija.20251301.11},
      url = {https://doi.org/10.11648/j.ija.20251301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ija.20251301.11},
      abstract = {Background: The prevalence of MIH in modern population is increasing during the last decades. Most of the etiology factors today are based on perinatal health disorders. In order to understand if the hypomineralization of the enamel in MIH/HSPM is a novel developmental disorder, we compared the prevalence of modern population to archeological population with a high rate of mortality of young children. Objectives: To analyze the prevalence of MIH/HSPM in ancient population of Dor, Israel (16th-19th centuries). Materials: We examined 104 skulls out of 157 skeletons excavated, which had at least one permanent and/or one primary second molars for MIH/HSPM. Methods: All skulls were examined under a white light and skulls with MIH/SPMH were photographed. The skulls with suspected MIH/SPMH underwent CT analyses. Results: Three skulls out of the 104 skulls examined showed distinct enamel developmental defects on primary or permanent molars: one with MIH, one with HSPM and one with hypoplasia of second primary molars. Conclusions: Very low percentages of MIH/HSPM were found in Dor population, in comparison with modern prevalence of MIH in Israel, almost 18% of childrens 6-16 years old. Significance: In modern Israeli population with minimal perinatal health problems the prevalence of MIH/HSPM is very high and increasing. Based on the very low prevalence of MIH/HSPM in Dor population and the poor health situation of the children, we can conclude that the proposed aetiology of hypomineralization based on health or developmental problems during early childhood in modern population is questionable. Suggestion for further research: In modern populations the research should be directed to epigenetic factors in affected families.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Molar-Incisor Hypomineralization (MIH) in an Ancient Population of Dor and Its Relation to the Aetiology of MIH
    AU  - Harel Sharon
    AU  - Zilberman Uri
    Y1  - 2025/01/24
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ija.20251301.11
    DO  - 10.11648/j.ija.20251301.11
    T2  - International Journal of Archaeology
    JF  - International Journal of Archaeology
    JO  - International Journal of Archaeology
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2330-7595
    UR  - https://doi.org/10.11648/j.ija.20251301.11
    AB  - Background: The prevalence of MIH in modern population is increasing during the last decades. Most of the etiology factors today are based on perinatal health disorders. In order to understand if the hypomineralization of the enamel in MIH/HSPM is a novel developmental disorder, we compared the prevalence of modern population to archeological population with a high rate of mortality of young children. Objectives: To analyze the prevalence of MIH/HSPM in ancient population of Dor, Israel (16th-19th centuries). Materials: We examined 104 skulls out of 157 skeletons excavated, which had at least one permanent and/or one primary second molars for MIH/HSPM. Methods: All skulls were examined under a white light and skulls with MIH/SPMH were photographed. The skulls with suspected MIH/SPMH underwent CT analyses. Results: Three skulls out of the 104 skulls examined showed distinct enamel developmental defects on primary or permanent molars: one with MIH, one with HSPM and one with hypoplasia of second primary molars. Conclusions: Very low percentages of MIH/HSPM were found in Dor population, in comparison with modern prevalence of MIH in Israel, almost 18% of childrens 6-16 years old. Significance: In modern Israeli population with minimal perinatal health problems the prevalence of MIH/HSPM is very high and increasing. Based on the very low prevalence of MIH/HSPM in Dor population and the poor health situation of the children, we can conclude that the proposed aetiology of hypomineralization based on health or developmental problems during early childhood in modern population is questionable. Suggestion for further research: In modern populations the research should be directed to epigenetic factors in affected families.
    VL  - 13
    IS  - 1
    ER  - 

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Author Information
  • Pediatric Dental Unit, Barzilai Medical University Center, Ashkelon, Affiliated to the Health Faculty of Ben-Gurion University of the Negev, Beer-Sheva, Israel

  • Pediatric Dental Unit, Barzilai Medical University Center, Ashkelon, Affiliated to the Health Faculty of Ben-Gurion University of the Negev, Beer-Sheva, Israel

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