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Original Research

Open Access

Do hypomineralized teeth affect parents' emotional states and attitudes more than other discoloration conditions?

  • Didem Sakaryalı Uyar1,*,
  • Tansel Uyar2

1Pediatric Dentistry, Faculty of Dentistry, Başkent University, 06490 Ankara, Turkey

2Biomedical Engineering, Faculty of Engineering, Başkent University, 06790 Ankara, Turkey

DOI: 10.22514/jocpd.2023.066 Vol.47,Issue 5,September 2023 pp.162-169

Submitted: 30 April 2023 Accepted: 12 June 2023

Published: 03 September 2023

*Corresponding Author(s): Didem Sakaryalı Uyar E-mail:


Discoloration poses a significant esthetic issue, and parents’ opinions and emotional states may vary regarding different types of discoloration, such as molar incisor hypomineralization, caries or chromogenic bacteria. This study aimed to assess parent’s emotional state and attitudes towards discoloration in primary and permanent teeth. A two-part questionnaire was designed, consisting of questions about demographic data and simulated visuals of different primary and permanent teeth discoloration conditions. The Visual Analog Scale (VAS) was used to determine the emotional state, while parents’ attitudes towards dental consultation for each simulated visual were determined using statements such as “Absolutely yes”; “Yes”; “I don’t have an idea”; “No”; “Absolutely no”. The simulated visuals included cases of “caries with cavitation”, “yellow-brown hypomineralized area”, “white hypomineralized area” and “chromogenic bacteria”. The questionnaire was distributed to 300 parents through online communication channels. Categorical variables were analyzed using Pearson chi-square, with statistical significance set as p < 0.05. A total of 230 parents completed the questionnaire. The highest VAS scores and the highest percentage of “Absolutely yes” responses were observed for “caries with cavitation” in both primary (77.8%, 81.7%) and permanent (60.4%, 94.3%) teeth. Additionally, statistically significant differences were found in the VAS scores for chromogenic bacteria (p = 0.04), caries with cavitation (p = 0.005), white hypomineralized area (p = 0.01) and yellow-brown hypomineralized area (p = 0.02). Comparatively, parental preferences showed statistically significant differences for chromogenic bacteria (p = 0.01), caries with cavitation (p = 0.01), yellow-brown hypomineralized area (p = 0.01) and white hypomineralized area (p = 0.004). Parents displayed stronger emotional responses towards “caries with cavitation” compared to hypomineralization and chromogenic bacteria discolorations and expressed a positive attitude towards seeking dental consultation.


Caries; Chromogenic bacteria; Discoloration; Esthetics; Molar incisor hypomineralization; Parent’s response; Seeking for dental therapy

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Didem Sakaryalı Uyar,Tansel Uyar. Do hypomineralized teeth affect parents' emotional states and attitudes more than other discoloration conditions?. Journal of Clinical Pediatric Dentistry. 2023. 47(5);162-169.


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