Breakdown of demarcated opacities related to molar-incisor hypomineralization: a longitudinal study.
Identifieur interne : 000070 ( Main/Exploration ); précédent : 000069; suivant : 000071Breakdown of demarcated opacities related to molar-incisor hypomineralization: a longitudinal study.
Auteurs : Aline Borburema Neves [Brésil] ; Gabriela Caldeira Andrade Americano [Brésil] ; Daniella Varela Soares [Brésil] ; Vera Mendes Soviero [Brésil]Source :
- Clinical oral investigations [ 1436-3771 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Déminéralisation dentaire, Hypoplasie de l'émail dentaire.
- Enfant, Femelle, Humains, Incisive, Molaire, Mâle, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- pathology : Dental Enamel Hypoplasia, Tooth Demineralization.
- Child, Female, Humans, Incisor, Longitudinal Studies, Male, Molar, Prospective Studies.
Abstract
OBJECTIVES
This prospective longitudinal study aimed to evaluate if the occurrence of post-eruptive breakdown of demarcated opacities in hypomineralized teeth is influenced by the color or location of the opacity.
MATERIALS AND METHODS
Patients diagnosed with molar-incisor hypomineralization (MIH) between 2012 and 2014 were eligible. Two calibrated examiners performed the initial and follow-up evaluations according to European Academy of Paediatric Dentistry (EAPD) criteria. Sixty-five patients were included. Fifty-eight (89.2%), with a mean age of 8.8 years (SD: 1.4), were reassessed after 1 year. Two hundred and nine of 1155 tooth surfaces were considered for the study: 86 with white opacity (OP-W), 91 with yellow opacity (OP-Y), and 32 with enamel breakdown (EB).
RESULTS
From the OP-W, OP-Y, and EB, 14, 27.5, and 46.9% worsened to breakdown exposing dentin, atypical restoration, or extraction (DB + RA or EXT), respectively. Yellow opacities tended to be more prone to breakdown than white opacities. The occurrence of EB, DB + AR, or EXT was not influenced by the location (p = 0.25).
CONCLUSIONS
The color of the opacity seems to play an important role on the occurrence of fracture and should be considered as a potential predictor.
CLINICAL RELEVANCE
Dentists should be aware that demarcated opacities related to MIH tend to fracture over time. Moreover, children with MIH should be seen at shorter intervals.
DOI: 10.1007/s00784-018-2479-x
PubMed: 29725848
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Dental Enamel Hypoplasia (pathology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Incisor (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Molar (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Tooth Demineralization (pathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Déminéralisation dentaire (anatomopathologie)</term>
<term>Enfant (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hypoplasie de l'émail dentaire (anatomopathologie)</term>
<term>Incisive (MeSH)</term>
<term>Molaire (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Études longitudinales (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Déminéralisation dentaire</term>
<term>Hypoplasie de l'émail dentaire</term>
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<term>Female</term>
<term>Humans</term>
<term>Incisor</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Incisive</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>This prospective longitudinal study aimed to evaluate if the occurrence of post-eruptive breakdown of demarcated opacities in hypomineralized teeth is influenced by the color or location of the opacity.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>Patients diagnosed with molar-incisor hypomineralization (MIH) between 2012 and 2014 were eligible. Two calibrated examiners performed the initial and follow-up evaluations according to European Academy of Paediatric Dentistry (EAPD) criteria. Sixty-five patients were included. Fifty-eight (89.2%), with a mean age of 8.8 years (SD: 1.4), were reassessed after 1 year. Two hundred and nine of 1155 tooth surfaces were considered for the study: 86 with white opacity (OP-W), 91 with yellow opacity (OP-Y), and 32 with enamel breakdown (EB).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>From the OP-W, OP-Y, and EB, 14, 27.5, and 46.9% worsened to breakdown exposing dentin, atypical restoration, or extraction (DB + RA or EXT), respectively. Yellow opacities tended to be more prone to breakdown than white opacities. The occurrence of EB, DB + AR, or EXT was not influenced by the location (p = 0.25).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The color of the opacity seems to play an important role on the occurrence of fracture and should be considered as a potential predictor.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CLINICAL RELEVANCE</b>
</p>
<p>Dentists should be aware that demarcated opacities related to MIH tend to fracture over time. Moreover, children with MIH should be seen at shorter intervals.</p>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">This prospective longitudinal study aimed to evaluate if the occurrence of post-eruptive breakdown of demarcated opacities in hypomineralized teeth is influenced by the color or location of the opacity.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Patients diagnosed with molar-incisor hypomineralization (MIH) between 2012 and 2014 were eligible. Two calibrated examiners performed the initial and follow-up evaluations according to European Academy of Paediatric Dentistry (EAPD) criteria. Sixty-five patients were included. Fifty-eight (89.2%), with a mean age of 8.8 years (SD: 1.4), were reassessed after 1 year. Two hundred and nine of 1155 tooth surfaces were considered for the study: 86 with white opacity (OP-W), 91 with yellow opacity (OP-Y), and 32 with enamel breakdown (EB).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">From the OP-W, OP-Y, and EB, 14, 27.5, and 46.9% worsened to breakdown exposing dentin, atypical restoration, or extraction (DB + RA or EXT), respectively. Yellow opacities tended to be more prone to breakdown than white opacities. The occurrence of EB, DB + AR, or EXT was not influenced by the location (p = 0.25).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The color of the opacity seems to play an important role on the occurrence of fracture and should be considered as a potential predictor.</AbstractText>
<AbstractText Label="CLINICAL RELEVANCE" NlmCategory="CONCLUSIONS">Dentists should be aware that demarcated opacities related to MIH tend to fracture over time. Moreover, children with MIH should be seen at shorter intervals.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Neves</LastName>
<ForeName>Aline Borburema</ForeName>
<Initials>AB</Initials>
<AffiliationInfo><Affiliation>Department of Preventive and Community Dentistry, Pediatric Dental Clinic, Rio de Janeiro State University, Boulevard Vinte e Oito de Setembro, 157, Rio de Janeiro, Brazil. alineb.neves@gmail.com.</Affiliation>
</AffiliationInfo>
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<ForeName>Gabriela Caldeira Andrade</ForeName>
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<AffiliationInfo><Affiliation>Department of Preventive and Community Dentistry, Pediatric Dental Clinic, Rio de Janeiro State University, Boulevard Vinte e Oito de Setembro, 157, Rio de Janeiro, Brazil.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Dental School, Faculdade Arthur Sá Earp Neto, Petrópolis, Brazil.</Affiliation>
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<AffiliationInfo><Affiliation>Dental School, Faculdade Arthur Sá Earp Neto, Petrópolis, Brazil.</Affiliation>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Demarcated opacity</Keyword>
<Keyword MajorTopicYN="N">Dental enamel hypoplasia</Keyword>
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