Risk of Dental Caries in Primary Teeth with Developmental Defects of Enamel: A Longitudinal Study with a Multilevel Approach

2019 ◽  
Vol 53 (6) ◽  
pp. 667-674
Author(s):  
Suzane Paixão-Gonçalves ◽  
Patrícia Corrêa-Faria ◽  
Fernanda Morais Ferreira ◽  
Maria Letícia Ramos-Jorge ◽  
Saul Martins Paiva ◽  
...  
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
Primary Dentition ◽  
Enamel Hypoplasia ◽  
Developmental Defects ◽  
Posterior Teeth ◽  
Multilevel Approach ◽  
Two Stages ◽  
Developmental Defects Of Enamel

The risk of dental caries seems to be greater in the presence of developmental defects of enamel (DDE). The aim was to determine whether the presence of DDE in the primary teeth of preschool children increases the risk of dental caries in the primary dentition after a period of approximately 2 years. This study was conducted in two stages: baseline (T0) and follow-up (T1). At T0, examinations were conducted for the diagnosis of enamel defects using the DDE index (FDI, 1992), dental caries, and oral hygiene. The participants were allocated to two groups according to the presence (affected) or absence (unaffected) of DDE. At the second evaluation (T1), examinations were performed for the diagnosis of dental caries. Poisson regression analysis with a multilevel approach was used to determine the association between DDE and dental caries. The two levels of the analysis were tooth and child. Among the 339 children (113 affected and 226 unaffected) examined at baseline (T0), 325 were re-examined at follow-up (T1). According to the multilevel analysis, teeth with enamel hypoplasia had a greater risk of having dental caries (RR: 1.99; 95% CI: 1.19–3.33). The risk of caries was greater on posterior teeth (RR: 2.59; 95% CI: 2.18–3.07) and maxillary teeth (RR: 1.48; 95% CI: 1.26–1.75) that had DDE at T0. On the child level, dental caries at T1 was associated with having dental caries at T0 (RR: 1.38; 95% CI: 1.32–1.46). In conclusion, enamel hypoplasia and previous dental caries are risk factors for carious lesions in the primary dentition.

The Oral Health of Children with Clefts of the Lip, Palate, or Both

2001 ◽  
Vol 38 (5) ◽  
pp. 525-528 ◽  
Author(s):  
J. R. Chapple ◽  
J. H. Nunn
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
National Survey ◽  
Primary Teeth ◽  
Dental Health ◽  
Oral Disease ◽  
Permanent Teeth ◽  
Developmental Defects ◽  
Aggressive Approach ◽  
Developmental Defects Of Enamel

Objective: The purpose of this study was to assess the prevalence of dental caries, developmental defects of enamel, and related factors in children with clefts. Design: This cross-sectional prevalence study used standard dental indices for assessment. Setting: Children underwent a dental examination under standard conditions of seating and lighting in the outpatient department of a dental hospital as part of an ongoing audit to monitor clinical outcomes. Participants: Ninety-one children aged 4, 8, and 12 years were included in the study. Outcome Measurements Dental caries were assessed by use of the decayed, missing, and filled index for primary teeth (dmft); Decayed, Missing, and Filled index for permanent teeth (DMFT) according to the criteria as used in the national survey of children's dental health in the United Kingdom (O'Brien, 1994). Developmental defects were assessed using the modified Developmental Defects of Enamel Index (Clarkson and O'Mullane, 1989). Dental erosion was assessed using the criteria derived for the national survey of children's dental health (O'Brien, 1994). Results: Caries prevalence increased with age; 63% of patients at 4 years and 34% at 12 years were caries free. The mean dmft for the 4-year-olds was 1.3 with a mean DMFT for the 12-year-olds of 1.8. All the 4-year-olds had evidence of erosion of enamel in the primary teeth (incisors and first molars) and 56% of the 12-year-olds had erosion of permanent teeth (incisors and first permanent molars). Developmental defects of enamel became more prevalent with age, with at least one opacity in 56% of 4-year-olds and 100% of 12-year-olds. Hypoplasia was not found in the primary dentition but affected permanent teeth in 38% of 8-year-olds and 23% of the 12-year-olds. Conclusion: This study has shown that dental disease is prevalent in these patients. These assessments not only provide a baseline on oral health parameters in young people with clefts but underline the need for a more aggressive approach to prevention of oral disease to optimize clinical outcome.

Does Caries in Primary Teeth Predict Enamel Defects in Permanent Teeth? A Longitudinal Study

2005 ◽  
Vol 84 (3) ◽  
pp. 260-264 ◽  
Author(s):  
J.M. Broadbent ◽  
W.M. Thomson ◽  
S.M. Williams
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
Economic Status ◽  
Permanent Teeth ◽  
Primary Tooth ◽  
Water Fluoridation ◽  
Developmental Defects ◽  
Health And Development ◽  
Maxillary Incisors ◽  
Developmental Defects Of Enamel

The notion that caries in primary teeth causes developmental defects of enamel in permanent teeth has been recently revived. The research objective was to test this hypothesis through analysis of data from the Dunedin Multidisciplinary Health and Development Study, a longstanding prospective cohort study. The maxillary incisors of 663 children were assessed for existing restorations and dental caries at age five and for developmental defects of enamel at age nine. Where a primary tooth had been carious, the permanent successor was more likely to have a demarcated opacity after adjustment for gender, family socio-economic status, years of exposure to water fluoridation, trauma to primary teeth, and early loss of primary teeth (unadjusted OR = 2.3, 95% CI 1.3, 4.1; adjusted OR = 2.2, 95% CI 1.1, 4.3). These findings support a time-ordered association between dental caries in primary maxillary incisors and demarcated opacities in their permanent successors.

Developmental defects of enamel and dental caries in the primary dentition: A systematic review and meta-analysis

2017 ◽  
Vol 60 ◽  
pp. 1-7 ◽  
Author(s):  
Francine S. Costa ◽  
Ethieli R. Silveira ◽  
Gabriela S. Pinto ◽  
Gustavo G. Nascimento ◽  
William Murray Thomson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dental Caries ◽  
Meta Analysis ◽  
Primary Dentition ◽  
Developmental Defects ◽  
Developmental Defects Of Enamel

Dental Caries, Developmental Defects of Enamel and Enamel Microhardness Associated with Genetic Polymorphisms in the RANK/RANKL/OPG System

2020 ◽  
Vol 44 (1) ◽  
pp. 35-40
Author(s):  
E Calvano Küchler ◽  
C Maschietto Pucinelli ◽  
K Carpio Horta ◽  
R Assed Bezerra da Silva ◽  
M de Castro Costa ◽  
...  
Keyword(s):  
Dental Caries ◽  
Genetic Polymorphisms ◽  
Primary Dentition ◽  
Caries Experience ◽  
Chi Square ◽  
Developmental Defects ◽  
Allele Distribution ◽  
Chain Reactions ◽  
Significant Difference ◽  
Developmental Defects Of Enamel

Purpose: Recent studies have suggested that disruptions in the RANKL/RANK/OPG system might be involved in enamel conditions. The aim of this study was to test whether genetic polymorphisms in RANK, RANKL and OPG are associated with dental caries, developmental defects of enamel (DDE) and enamel microhardness. Study design: Saliva samples were collected from two subsets for the purpose of genomic DNA extraction. In the first subset, composed of 248 children, dental caries and DDE were evaluated during their clinical examination. In the second subset, composed of 72 children, enamel samples from the buccal surface of primary teeth were used for enamel microhardness analysis. Genetic polymorphisms in RANK, RANKL and OPG were genotyped by real-time polymerase chain reactions in all samples from both populations. The chi-square test was used for dental caries and DDE analysis while, one-way ANOVA with Tukey's post-test was used for microhardness analysis. Hardy-Weinberg equilibrium was also calculated. The established alpha was 5%. Results: Caries experience analysis demonstrated a statistically-significant difference for OPG allele distribution in primary dentition (p=0.033). The studied polymorphisms in RANK, RANKL and OPG were not associated with DDE or enamel microhardness (p>0.05). Conclusion: The genetic polymorphism rs2073618 in OPG is associated with dental caries experience in primary dentition.

scholarly journals Perinatal factors associated with developmental defects of enamel in primary teeth: a case-control study

2013 ◽  
Vol 27 (4) ◽  
pp. 363-368 ◽  
Author(s):  
Patricia Correa-Faria ◽  
Paulo Antonio Martins-Junior ◽  
Raquel Goncalves Vieira-Andrade ◽  
Leandro Silva Marques ◽  
Maria Leticia Ramos-Jorge
Keyword(s):  
Primary Teeth ◽  
Case Control Study ◽  
Case Control ◽  
Perinatal Factors ◽  
Developmental Defects ◽  
Factors Associated ◽  
Developmental Defects Of Enamel ◽  
Control Study

scholarly journals Dental Anomalies in Permanent Teeth after Trauma in Primary Dentition

2017 ◽  
Vol 41 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Elena Bardellini ◽  
Francesca Amadori ◽  
Stefania Pasini ◽  
Alessandra Majorana
Keyword(s):  
Retrospective Study ◽  
Study Design ◽  
Primary Teeth ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Dental Anomalies ◽  
Enamel Hypoplasia ◽  
White Spots ◽  
The Status

Objective: This retrospective study aims to evaluate the prevalence of dental anomalies in permanent teeth as a result of a trauma concerning the predecessor primary teeth. Study design: A total of 241 records of children (118 males and 123 females, mean age 3.62 ± 1.40) affected by trauma on primary teeth were analyzed. All patients were recalled to evaluate the status of the permanent successor teeth by clinical and radiographic investigations. Results: Out of 241 patients, 106 patients (for a total of 179 traumatized primary teeth) presented at the recall. Dental anomalies on successor permanent teeth were detected in 21 patients (19.8%), for a total of 26 teeth (14.5%) and 28 anomalies. Anomalies of the eruptive process were the most observed disturbances (60.7%), followed by enamel hypoplasia (25%) and white spots (14.3%). A higher percentage of anomalies on permanent teeth was observed when trauma occurred at an age less than 36 months (38.5% of cases). Intrusive and extrusive luxation were related with the most cases of clinical disturbances in the successor permanent teeth. Conclusions: The results of this study highlight the risk of dental anomalies after a trauma in primary dentition, especially in early-aged children and in case of intrusive luxation.

scholarly journals THE RELATION OF MOTHERS’ NUTRITIONAL STATUS TO PRIMARY TEETH DENTAL CARIES

2018 ◽  
Vol 9 ◽  
pp. 141
Author(s):  
Iwany Amalliah Badruddin ◽  
Muthia Khansa ◽  
Risqa R Darwita ◽  
Anton Rahardjo
Keyword(s):  
Dental Caries ◽  
Nutritional Status ◽  
Primary Teeth ◽  
National Health Survey ◽  
Primary Dentition ◽  
Study Objective ◽  
Maternal Nutritional Status ◽  
Poor Nutritional Status ◽  
The Relationship ◽  
Children Under 5

Objective: According to the National Health Survey in 2013, nutritional problems in Indonesia are still a concern, and caries is the most prevalent dental disease. Primary dentition is developed during a mother’s pregnancy period. Thus, mothers’ nutritional status during pregnancy could determine the health of their children’s primary dentition. This study objective was to analyze the relationship between mothers’ nutritional status and dental caries in their children’s primary teeth.Methods: In total, 281 children under 5-year-old were selected from a health screening in Depok Sub-District, West Java. Information about maternal nutritional status was collected through the mother and child’s health book. Information about dental caries was collected through clinical examinations using the dmft index.Result: The prevalence of mothers with poor nutritional status was 22.8%, and 55.2% of their children had caries. The occurrence of dental caries in primary dentition between children of mothers with poor and good nutritional status was significantly different (p<0.001). The likelihood of getting caries was 1.85 times higher (95% confidence interval: 1.5–2.2) among children of mothers with poor nutritional status than among children of mothers with a good nutritional status.Conclusion: Children of mothers with a poor nutritional status would likely present with dental caries and had a higher risk of dental caries compared to children of mothers with a good nutritional status.

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