scholarly journals Does dental caries affect dental development in children and adolescents?

2018 ◽  
Vol 18 (2) ◽  
pp. 198-205 ◽  
Author(s):  
Brunilda Dhamo ◽  
Besiana Elezi ◽  
Lea Kragt ◽  
Eppo B Wolvius ◽  
Edwin M Ongkosuwito

Although a link between dietary changes, caries, and dental development has been observed, the literature provides little insight about this relationship. The aim of our study was to investigate the association between dental caries and dental development in a clinical sample of Albanian children and adolescents. In total, 118 children and adolescents, born between 1995 and 2004 and aged 6–15 years, were included. Dental caries in the deciduous dentition was assessed using the Decayed, Filled Teeth (dft) index and dental caries in the permanent dentition was assessed using the Decayed, Missing, Filled Teeth (DMFT) index. Dental development during the permanent dentition was determined using the Demirjian method. Linear and ordinal regression models were applied to analyze the associations of dental caries with dental age and developmental stages of each left mandibular tooth. Dental caries in the deciduous dentition, estimated as a median dft of 2.0 (90% range, 0.0–9.1), was significantly associated with lower dental age (β = -0.21; 90% CI: -0.29, -0.12) and with delayed development of the canine, both premolars, and the second molar. Untreated dental caries (dt) was associated with lower dental age (β = -0.19; 90% CI: -0.28, -0.10). Dental caries in the permanent dentition, estimated as a median DMFT of 1.0 (90% range, 0.0–8.0), was not significantly associated with dental age (β = 0.05; 90% CI: -0.04, 0.14). However, the DMFT was associated with the advanced stages of development of both premolars and the second molar. The untreated dental caries in the deciduous dentition delays the development of permanent teeth.

1997 ◽  
Vol 34 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Scott Kaloust ◽  
Kazuhiro Ishii ◽  
Karin Vargervik

Objective Apert syndrome has been extensively studied and described. However, an area that has not been studied is the dental development of these Individuals. The purpose of this study was to evaluate the development of the dentition and compare it with that of unaffected children. There appears to be clinical observations Indicating delayed eruption of the permanent teeth in the Apert child. Methods This retrospective study examined all Apert syndrome patients from four craniofacial centers who had a panoramic radiograph taken before the age of 16 years. Thirty-six individuals, 19 boys and 17 girls ranging In age from 4.1 to 15.8 (mean = 9.3) years were examined. The seven left mandibular permanent teeth, second molar to central incisor, were rated on an eight-stage scale (A–H) using methods described by Demirjian and Goldstein (1976). The stage of each tooth was converted to the corresponding numeric value, and then all seven values were added to obtain a dental maturity score, which corresponded to a dental age, based on the sample of 4500+ normal children of the Demirjian et al. study. The dental age and chronologic age were compared using a paired t test. The correlation between chronologic age and length of delay was also determined. Results Thirty-one of 36 individuals had a dental age lower than their chronologic age. Compared to the normal sample, the mean developmental dental delay was 0.96 years (p < .001). The range in delay was 0.5 years advanced to 2.9 years delayed. There was a positive correlation to increased age with greater delay in dental development (p < .05). Conclusion Our study confirmed our clinical impressions: The results showed a mean developmental delay of 0.96 years, with a trend of Increasing delay with increased age. This positive correlation found between increased age and increased delay parallels the general growth of Apert children, with a greater degree of delay as the child grows older.


2006 ◽  
Vol 7 (4) ◽  
pp. 63-70 ◽  
Author(s):  
Abdalla M. Hazza'a ◽  
Ghaida Al-Jamal

Abstract Aim The aim of this study was to evaluate the dental development of patients with â-thalassemia major and to compare it with unaffected children. Methods and Materials Panoramic radiographs of 44 thalassemic patients taken before the age of 16 years were examined. The subjects consisted of 29 males and 15 females ranging in age from 4.9 to 15.7 (mean = 10.8±2.9) years and 44 controls matched for age and sex. The seven left mandibular permanent teeth, second molar to central incisor, were rated on an eight stage scale using the methods described by Demirjian et al.10 The stage of each tooth was converted to the corresponding numeric value and then all values were added to obtain a dental maturity score which corresponded to a dental age. Dental and chronologic ages were compared using a paired t-test. The relationship between the chronologic age and the amount of delay was also determined. Results Thirty-nine patients had a delay in the development of their dentition. The mean developmental dental delay was found to be 1.01 years (p<0.05). The range in delay was from 0.1 to 2.9 years. There was no significant difference between the mean chronologic and dental age of the control group (p> 0.05). The amount of delay in dental development increases as the patient.s age increased (p<0.05). Males were found to have a greater delay (mean 1.16 years) than females (mean delay 0.73 years), but this difference was not statistically significant. Conclusions The delay in dental development in β-thalassemia major varied according to the patient.s age. This positive correlation parallels the general growth of thalassemic children. Citation Hazza.a AM, Al-Jamal G. Dental Development in Subjects with Thalassemia Major. J Contemp Dent Pract 2006 September;(7)4:063-070.


2008 ◽  
Vol 65 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Olivera Trickovic-Janjic ◽  
Mirjana Apostolovic ◽  
Mirjana Janosevic ◽  
Gordana Filipovic

Introduction/Aim. Anthropometric methods of measuring the whole body and body parts are the most commonly applied methods of analyzing the growth and development of children. Anthropometric measures are interconnected, so that with growth and development the change of one of the parameters causes the change of the other. The aim of the paper was to analyse whether dental development follows the overall growth and development and what the ratio of this interdependence is. Methods. The research involved a sample of 134 participants, aged between 6 and 8 years. Dental age was determined as the average of the sum of existing permanent teeth from the participants aged 6, 7 and 8. With the aim of analyzing physical growth and development, commonly accepted anthropometric indexes were applied: height, weight, circumference of the head, the chest cavity at its widest point, the upper arm, the abdomen, the thigh and thickness of the epidermis. The dimensions were measured according to the methodology of the International Biological Programme. The influence of the pertinent variables' related size on the analyzed variable was determined by the statistical method of multivariable regression. Results. The middle values of all the anthropometric parametres, except for the thickness of the epidermis, were slightly bigger with male participants, and the circumference of the chest cavity was statistically considerably bigger (p < 0.05). The results of anthropometric measurement showed in general a distinct homogeneity not only of the sample group but also within gender, in relation to all the dimensions, excyt for the thickness of the epidermis. The average of the dental age of the participants was 10.36, (10.42 and 10.31 for females and males respectively). Considerable correlation (R = 0.59) with high statistical significance (p < 0.001) was determined between dental age and the set of anthropometric parameters of general growth and development. Conclusion. There is a considerable positive correlation (R = 0.59) between dental age and anthropometric parameters of general growth and development, which confirms that dental development follows the overall growth and development of children, aged between 6 and 8 years.


2018 ◽  
Vol 41 (4) ◽  
pp. 397-403
Author(s):  
Brunilda Dhamo ◽  
Amanda M Nguee ◽  
Edwin M Ongkosuwito ◽  
Vincent W V Jaddoe ◽  
Eppo B Wolvius ◽  
...  

Summary Background Timing of dental development might help orthodontists to optimize initiation of treatment and to prevent and intercept dental misalignment. This study examines the association between timing of dental development and aberrant dental traits such as crowding, impaction, and hypodontia. Methods This study was performed using 4446 ten-year-old children from a multiethnic birth cohort, the Generation R Study. Dental development was defined using the Demirjian method. Crowding, impaction, and hypodontia were ascertained from 2D and 3D pictures and radiographs. We built three series of logistic regression models to test the associations of dental age with crowding, impaction, and hypodontia. Similar models were built to investigate the associations of the developmental stages of each left mandibular tooth with crowding, impaction, and hypodontia. Results Inverse associations were found between every 1-year increase in dental age and the presence of crowding [odds ratio (OR) = 0.84, 95% confidence interval (CI): 0.79, 0.89], impaction of teeth (OR = 0.66, 95% CI: 0.52, 0.84), and hypodontia (OR = 0.52, 95% CI: 0.47, 0.56). Lower developmental stages of the second premolar were associated with the presence of crowding (OR = 0.90, 95% CI: 0.83, 0.98). Lower developmental stages of the second premolar (OR = 0.88, 95% CI: 0.79, 0.98), first molar (OR = 0.76, 95% CI: 0.65, 0.90), and the second molar (OR = 0.83, 95% CI: 0.73, 0.94) were associated with the presence of tooth impaction. Lower developmental stages of all mandibular teeth except the central incisor were associated with hypodontia (P < 0.05). Conclusion Accelerated dental development is associated with lower occurrence of crowding, impaction, and hypodontia.


2016 ◽  
Vol 40 (3) ◽  
pp. 227-234 ◽  
Author(s):  
Aida Carolina Medina ◽  
Rodrigo Del Pozo ◽  
Lucila Blanco de Cedres

Background: Dental agenesis is the most common developmental anomaly in humans, frequently associated with disorders in dental development and maturation. Aim: The purpose of this study is to determine radiographic variations in dental maturation in a group of Venezuelan children with dental agenesis. Study design: 1,188 panoramic radiographs, from healthy patients ages 5 to 12 years old were studied for agenesis of permanent teeth. Dental maturation was assessed by relative eruption and dental age according to Nolla, comparing children affected with dental agenesis to a stratified control group selected from the same population, excluding children with premature loss of primary teeth in the left quadrants and unclear radiographs. Descriptive analysis, and differences between means and medians (Student t test, Kruskall-Wallis p=0.05) were performed. Results: Medians for Nolla stages were similar between groups, with delay in tooth formation in the agenesis group for second molars (p&lt;0.05) and maxillary lateral incisors and second premolars. Dental age was significantly underestimated for both groups, −0.89 (±0.78) for the control group and −1.20 (±0.95) for the study group. Tooth eruption was similar between groups. Conclusion: Dental age was significantly delayed in Venezuelan children with dental agenesis, with variable significance for tooth formation of studied teeth.


2020 ◽  
Author(s):  
Bo-Mi Shin ◽  
Se-Hwang Jung ◽  
Myong-Hee Kim ◽  
Jae-In Ryu

Abstract Background Dental sealants have been covered by the National Health Insurance Service (NHIS) since December 2009 in South Korea. This study aims to determine whether the socioeconomic inequality in untreated dental caries decreased after implementing the extended coverage policy for dental sealant.Methods The data were derived from the fourth (2007–2009) and sixth (2013–2015) waves of the Korean National Health and Nutrition Examination Survey (KNHANES) conducted by the Korea Centers for Disease Control and Prevention (KCDC). Dental caries and sealant experience by income quartiles were tested using the Rao-Scott chi-squared test. In order to examine socioeconomic inequalities and their trends over time, the prevalence ratios (PRs), slope index of inequality (SII), and relative index of inequality (RII) were estimated for each wave and age group. All analyses were conducted using SAS version 9.3.Results The adjusted PRs of untreated dental caries and sealants in the poorest in the aged 6-11 group were significantly higher and lower, respectively, compared to the most affluent quartile group for the fourth wave; however, all significant differences disappeared for the sixth wave, after the sealant coverage. The gap between the lowest and the highest was similar for the aged 12-18 group but it widened in the untreated dental caries even after the sealant coverage. The statistical significance of the PRs was maintained at the sixth wave for both caries and sealants. Children showed decreases in both SII and RII over time so its significance disappeared. The SII among adolescents decreased over time but the RII of untreated dental caries increased.Conclusions This study found that the NHIS coverage expansion of dental care had a positive effect on overall status in dental health among children and adolescents. However, younger children benefited more in terms of inequalities. Our findings indicate that strategies to enhance access to preventive dental services should consider the differential effects for the vulnerable population in terms of socioeconomic status and age from the beginning stage of the policy.


2017 ◽  
Author(s):  
Simon Haworth ◽  
Dmitry Shungin ◽  
Justin T van der Tas ◽  
Strahinja Vucic ◽  
Carolina Medina Gomez ◽  
...  

AbstractPrior studies suggest dental caries traits in children and adolescents are partially heritable, but there has been no large-scale consortium genome-wide association study (GWAS) to date. We therefore performed GWAS for caries in participants aged 2.5-18.0 years from 9 contributing centers. Phenotype definitions were created for the presence or absence of treated or untreated caries, stratified by primary and permanent dentition. All studies tested for association between caries and genotype dosage (imputed to Haplotype Reference Consortium or 1000 Genomes phase 1 version 3 panels) accounting for population stratification. Fixed–effects meta-analysis was performed weighted by inverse standard error. Analysis included up to 19,003 individuals (7,530 affected) for primary teeth and 13,353 individuals (5,875 affected) for permanent teeth. Evidence for association with caries status was observed at rs1594318-C for primary teeth (intronic within ALLC, Odds Ratio (OR) 0.85, Effect Allele Frequency (EAF) 0.60, p 4.13e-8) and rs7738851-A (intronic within NEDD9, OR 1.28, EAF 0.85, p 1.63e-8) for permanent teeth. Consortium-wide estimated heritability of caries was low (h2 of 1% [95% CI: 0%:7%] and 6% [95% CI 0%:13%] for primary and permanent dentitions, respectively) compared to corresponding within-study estimates (h2 of 28%, [95% CI: 9%:48%] and 17% [95% CI:2%:31%]) or previously published estimates. This study was designed to identify common genetic variants with modest effects which are consistent across different populations. We found few single variants associated with caries status under these assumptions. Phenotypic heterogeneity between cohorts and limited statistical power will have contributed; these findings could also reflect complexity not captured by our study design, such as genetic effects which are conditional on environmental exposure.Author summaryDental caries (tooth decay) is a common disease in children. Previous studies suggest genetic factors alter caries risk, but to date there is a gap of knowledge in identifying which specific genetic variants are responsible. We undertook analysis in a consortium including around 19,000 children and investigated whether any of 8 million common genetic variants were associated with risk of caries in primary (milk) or permanent teeth. If identified, these variants are used as ‘tags’ to highlight genes which may be involved in a disease. We identified variants in two loci associated with caries status; in the primary (rs1594318) and permanent dentition (rs7738851). The former is intronic in ALLC, a gene with poorly understood function. The latter is an intronic variant within NEDD9, a gene which has several known functions including a role in development of craniofacial structures. To gain a more comprehensive understanding of genetic effects which influence caries larger studies and a better understanding of environmental modifiers or interactions with genetic effects are required.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 8 ◽  
Author(s):  
Marwa M.S. Abbass ◽  
Sara Ahmed Mahmoud ◽  
Sara El Moshy ◽  
Dina Rady ◽  
Nermeen AbuBakr ◽  
...  

Background: Dental caries is a chronic, multifactorial disease, with limited data available for the Egyptian population. The aim of this study is to assess the prevalence of dental caries among Egyptian children and adolescents in correlation with age, gender, body mass index, socioeconomic status, parental education, biological risk factors and dietary habits. Methods: A total number of 369 Egyptian children and adolescents (age ranges from 3-18 years) were examined over the period from 15th November 2017 to 13th January 2018. Socio-demographic data, oral hygiene measures and dietary habits for children were recorded. Dental status was analyzed using decayed, missing and filled tooth index (dmft) for deciduous dentition and (DMFT) index for permanent dentition. For mixed dentition (deft) index was used, d (decayed tooth indicated for filling), e (decayed tooth indicated for extraction) and f (filled tooth). Results: 74% of the children had dental caries with mean dmft: 3.23±4.07; deft: 4.21±3.21; DMFT: 1.04±1.56. In primary dentition, dmft of the children was positively correlated with age, beans, candies, crackers, chocolates and inversely correlated with gender, socio-economic status (SES), parental education, brushing frequency of the parent, brushing frequency of the parent to the child teeth, brushing frequency of the child and consumption of eggs, fruits/vegetables, milk and milk products. In mixed dentition, deft was positively correlated with candies, crackers, citric juices, while negatively correlated with age, SES, parental education, brushing frequency of the parent to the child, brushing frequency of the child, fruits/vegetables. In permanent dentition, DMFT in children was positively correlated with age and chocolates while not correlated with any of the remaining risk factors. Conclusion: The present study clarifies the significant risk factors associated with dental caries amongst Egyptian children. This will help in planning strategies to prevent and treat such disease.


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