Non-Cochrane · other · PM42513503

Knowledge, Perception, and Clinical Experiences on Molar Incisor Hypomineralization Amongst Dental Professionals: A Systematic Review and Meta-Analysis.

Balixa Gabriela, Rodrigues Carlota, Botelho João, et al. · Journal of clinical medicine · 2026 · PubMed · doi:10.3390/jcm15145591

Findings

59 findings

Population
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasReferring children with MIH to a pediatric dentist
Dental professionals surveyed in 29 countries · specialty: GDP
Pooled proportion (%) 58.5 [45.8, 70.1]
GRADE not reported
11 studies · 2001 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasNeed for further MIH-related training
Dental professionals surveyed in 29 countries · specialty: GDP
Pooled proportion (%) 90.5 [76.0, 96.6]
GRADE not reported
9 studies · 957 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · Overall
Pooled proportion (%) 64.1 [55.3, 72.1]
GRADE not reported
12 studies · 2536 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · region: Europe
Pooled proportion (%) 74.3 [61.8, 83.7]
GRADE not reported
5 studies · 1012 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasAwareness of MIH diagnostic criteria
Dental professionals surveyed in 29 countries · specialty: ODS
Pooled proportion (%) 74.4 [56.4, 86.7]
GRADE not reported
9 studies · 955 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasConfidence in diagnosing MIH
Dental professionals surveyed in 29 countries · region: Asia
Pooled proportion (%) 54.4 [41.9, 66.2]
GRADE not reported
10 studies · 2761 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · specialty: PD
Pooled proportion (%) 88.4 [84.1, 91.6]
GRADE not reported
4 studies · 292 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasNeed for further MIH-related training
Dental professionals surveyed in 29 countries · Overall
Pooled proportion (%) 80.7 [72.3, 87.2]
GRADE not reported
12 studies · 4522 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · specialty: ODS
Pooled proportion (%) 53.7 [31.1, 74.9]
GRADE not reported
3 studies · 392 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasReferring children with MIH to a pediatric dentist
Dental professionals surveyed in 29 countries · region: Europe
Pooled proportion (%) 42.0 [9.1, 84.0]
GRADE not reported
4 studies · 824 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasAwareness of MIH diagnostic criteria
Dental professionals surveyed in 29 countries · region: America
Pooled proportion (%) 84.3 [71.6, 91.9]
GRADE not reported
3 studies · 608 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasConfidence in diagnosing MIH
Dental professionals surveyed in 29 countries · specialty: ODS
Pooled proportion (%) 64.0 [45.0, 79.4]
GRADE not reported
9 studies · 927 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasAwareness of MIH diagnostic criteria
Dental professionals surveyed in 29 countries · region: Europe
Pooled proportion (%) 69.4 [41.4, 88.2]
GRADE not reported
7 studies · 6551 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasNeed for further MIH-related training
Dental professionals surveyed in 29 countries · specialty: ODS
Pooled proportion (%) 64.7 [42.0, 82.2]
GRADE not reported
5 studies · 740 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasReferring children with MIH to a pediatric dentist
Dental professionals surveyed in 29 countries · Risk of bias: Moderate
Pooled proportion (%) 43.6 [19.4, 71.3]
GRADE not reported
6 studies · 1491 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasPerception of a different caries pattern in MIH compared to non-MIH teeth
Dental professionals surveyed in 29 countries · specialty: ODS
Pooled proportion (%) 82.7 [69.4, 90.9]
GRADE not reported
4 studies · 538 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasReferring children with MIH to a pediatric dentist
Dental professionals surveyed in 29 countries · region: Asia
Pooled proportion (%) 57.2 [44.1, 69.0]
GRADE not reported
6 studies · 1855 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · Risk of bias: Low
Unresolved: the two extractors disagree on this row.
Pooled proportion (%) 71.6 [60.7, 80.5]
GRADE not reported
11 studies · 2765 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasAwareness of MIH diagnostic criteria
Dental professionals surveyed in 29 countries · specialty: PD
Pooled proportion (%) 94.8 [84.4, 98.4]
GRADE not reported
13 studies · 1099 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · region: Asia
Pooled proportion (%) 54.4 [41.9, 66.2]
GRADE not reported
3 studies · 805 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students)Self-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Overall
Proportion (%) 84.8 [76.6, 90.5]
GRADE not reported
13 studies · 3739 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · region: America
Pooled proportion (%) 76.5 [72.6, 79.9]
GRADE not reported
3 studies · 607 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasPerception of a different caries pattern in MIH compared to non-MIH teeth
Dental professionals surveyed in 29 countries · Risk of bias: Low
Pooled proportion (%) 83.2 [73.0, 90.1]
GRADE not reported
8 studies · 2359 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasReferring children with MIH to a pediatric dentist
Dental professionals surveyed in 29 countries · Overall
Pooled proportion (%) 52.5 [34.7, 69.6]
GRADE not reported
12 studies · 2907 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasAwareness of MIH diagnostic criteria
Dental professionals surveyed in 29 countries · Risk of bias: Low
Pooled proportion (%) 79.4 [68.3, 87.4]
GRADE not reported
10 studies · 7494 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasAwareness of MIH diagnostic criteria
Dental professionals surveyed in 29 countries · Risk of bias: Moderate
Pooled proportion (%) 63.1 [40.7, 81.1]
GRADE not reported
10 studies · 2687 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students)Self-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Awareness of MIH diagnostic criteria (self-reported knowledge)
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Overall
Proportion (%) 72.1 [59.3, 82.1]
GRADE not reported
20 studies · 10181 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasReferring children with MIH to a pediatric dentist
Dental professionals surveyed in 29 countries · specialty: ODS
Pooled proportion (%) 84.1 [68.4, 92.8]
GRADE not reported
2 studies · 292 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasConfidence in diagnosing MIH
Dental professionals surveyed in 29 countries · Overall
Pooled proportion (%) 67.5 [58.2, 75.6]
GRADE not reported
23 studies · 5784 participants
Dental professionals (general dental practitioners, pediatric dentists, other dental specialists, hygienists, therapists, postgraduate students)Self-reported knowledge, awareness, perception, confidence and clinical experience regarding molar incisor hypomineralization (MIH)No predefined comparison; subgroups by region, specialty and risk of biasComfort providing treatment to children with MIH
Dental professionals surveyed in 29 countries · Risk of bias: Moderate
Unresolved: the two extractors disagree on this row.
Pooled proportion (%) 63.4 [48.9, 75.9]
GRADE not reported
12 studies · 3019 participants
General dental practitionersSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Awareness of MIH diagnostic criteria (self-reported knowledge)
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: General dental practitioners
Proportion (%) 67.3 [50.7, 80.5]
GRADE not reported
18 studies · 8024 participants
General dental practitionersSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Confidence in diagnosing MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: General dental practitioners
Proportion (%) 63.3 [52.1, 73.2]
GRADE not reported
20 studies · 3202 participants
General dental practitionersSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: General dental practitioners
Proportion (%) 85.2 [77.3, 90.7]
GRADE not reported
13 studies · 2440 participants
General dental practitionersSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Comfortable providing treatment to children with MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: General dental practitioners
Proportion (%) 63.4 [53.2, 72.6]
GRADE not reported
11 studies · 1647 participants
Pediatric dentistsSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Confidence in diagnosing MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: Pediatric dentists
Proportion (%) 92.1 [84.3, 96.2]
GRADE not reported
13 studies · 1070 participants
Pediatric dentistsSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: Pediatric dentists
Proportion (%) 85.6 [80.9, 89.7]
GRADE not reported
5 studies · 622 participants
Pediatric dentistsSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Referral of children with MIH to a pediatric dentist
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: Pediatric dentists
Proportion (%) 59.7 [28.1, 84.9]
GRADE not reported
3 studies · 310 participants
Pediatric dentistsSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Need for further MIH-related training
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Specialty: Pediatric dentists
Proportion (%) 83.0 [66.3, 92.4]
GRADE not reported
6 studies · 406 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), AsiaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Asia
Proportion (%) 72.8 [66.7, 78.2]
GRADE not reported
3 studies · 1099 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), AsiaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Awareness of MIH diagnostic criteria (self-reported knowledge)
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Asia
Proportion (%) 66.0 [48.7, 80.0]
GRADE not reported
9 studies · 2910 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), AsiaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Need for further MIH-related training
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Asia
Proportion (%) 83.2 [72.2, 90.4]
GRADE not reported
10 studies · 2587 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), EuropeSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Confidence in diagnosing MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Europe
Proportion (%) 74.3 [61.8, 83.7]
GRADE not reported
9 studies · 1812 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), EuropeSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Need for further MIH-related training
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Europe
Proportion (%) 74.4 [68.4, 79.5]
GRADE not reported
5 studies · 1529 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), EuropeSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Europe
Proportion (%) 88.1 [68.4, 96.2]
GRADE not reported
5 studies · 1378 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), AmericaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Confidence in diagnosing MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: America
Proportion (%) 76.5 [72.6, 79.9]
GRADE not reported
3 studies · 514 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), AmericaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Referral of children with MIH to a pediatric dentist
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: America
Unresolved: the two extractors disagree on this row.
Proportion (%) 73.2 [64.3, 80.6]
GRADE not reported
1 study · 116 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), AmericaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Need for further MIH-related training
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: America
Proportion (%) 58.2 [51.9, 64.6]
GRADE not reported
3 studies · 406 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), AmericaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: America
Proportion (%) 86.5 [79.7, 91.2]
GRADE not reported
4 studies · 1149 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), OceaniaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Awareness of MIH diagnostic criteria (self-reported knowledge)
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Oceania
Unresolved: the two extractors disagree on this row.
Proportion (%) 90.2 [83.1, 94.5]
GRADE not reported
1 study · 112 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), OceaniaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Comfortable providing treatment to children with MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Oceania
Unresolved: the two extractors disagree on this row.
Proportion (%) 83.0 [74.9, 88.9]
GRADE not reported
1 study · 112 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), OceaniaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Referral of children with MIH to a pediatric dentist
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Oceania
Unresolved: the two extractors disagree on this row.
Proportion (%) 83.0 [74.9, 88.9]
GRADE not reported
1 study · 112 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), OceaniaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Confidence in diagnosing MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Oceania
Unresolved: the two extractors disagree on this row.
Proportion (%) 92.9 [86.4, 96.4]
GRADE not reported
1 study · 112 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), OceaniaSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Region: Oceania
Unresolved: the two extractors disagree on this row.
Proportion (%) 88.5 [81.2, 93.2]
GRADE not reported
1 study · 112 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), low risk of bias studiesSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Confidence in diagnosing MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Risk of bias: Low
Proportion (%) 71.6 [60.7, 80.5]
GRADE not reported
11 studies · 2765 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), low risk of bias studiesSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Referral of children with MIH to a pediatric dentist
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Risk of bias: Low
Proportion (%) 64.9 [41.3, 77.7]
GRADE not reported
6 studies · 1416 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), low risk of bias studiesSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Need for further MIH-related training
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Risk of bias: Low
Proportion (%) 78.9 [63.4, 89.0]
GRADE not reported
5 studies · 1354 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), moderate risk of bias studiesSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Perception of a different caries pattern in MIH compared with non-MIH teeth
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Risk of bias: Moderate
Proportion (%) 87.1 [71.5, 94.8]
GRADE not reported
5 studies · 1380 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), moderate risk of bias studiesSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Need for further MIH-related training
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Risk of bias: Moderate
Proportion (%) 81.7 [70.9, 89.2]
GRADE not reported
13 studies · 3168 participants
Dental professionals (dentists, specialists, hygienists, therapists, postgraduate students), moderate risk of bias studiesSelf-reported MIH knowledge, perception and clinical experience (exposure)None (single-group pooled proportion)Confidence in diagnosing MIH
Cross-sectional · Dental professionals in 29 countries, self-reported questionnaires · Risk of bias: Moderate
Proportion (%) 63.4 [48.9, 75.9]
GRADE not reported
12 studies · 3019 participants

Included primary studies 34

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Hussein 2014
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Sajadi 2021
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Silva 2016
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Alanzi 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bagher 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bardellini 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Costa 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Craveia 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Crombie 2008
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
da Costa Rosa et al., 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Delgado 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Gambetta-Tessini 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Gamboa 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ghanim 2011
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Gómez-Clavel 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Hamza 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Humphreys 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Hussein 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kalkani 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Karkoutly 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Marquillier 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Mc Carra 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Negrescu 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Onsuren 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ostermann 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Papanikolaou 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Salerno 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Seremidi 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Serna-Muñoz 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Skaare 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Tagelsir 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Tarhuni 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Upadhyay 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Wall 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationDental professionals (dentists, specialists, hygienists, therapists, mixed groups) and postgraduate dental studentsDental professionals (n=15,113 across 36 studies; GDPs 3921, PDs 1503, other specialists 948)
InterventionExposure: self-reported knowledge, awareness, perceptions, confidence and clinical experience related to MIHSelf-reported MIH awareness of diagnostic criteria, caries pattern perception, comfort treating, referral, diagnostic confidence, need for training
ComparisonNo predefined comparison group; subgroup differences extracted when availableNone (pooled proportions); subgroup contrasts by specialty and region
OutcomesLevel of knowledge, diagnostic accuracy, perceived confidence, clinical management practices regarding MIHAwareness 72.1% (n=10,181); caries pattern 84.8% (n=3,739); comfort 64.1% (n=2,536); referral 52.5% (n=2,907); confidence 67.5% (n=5,784); training need 80.7% (n=4,522)
Study designsCross-sectional observational studies using structured questionnaires36 cross-sectional studies (31 in quantitative synthesis), 2008-2024, 29 countries
TimingNot specifiedNot specified