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Breakdown of demarcated opacities related to molar-incisor hypomineralization: a longitudinal study.

Identifieur interne : 000070 ( Main/Exploration ); précédent : 000069; suivant : 000071

Breakdown 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 :

RBID : pubmed:29725848

Descripteurs français

English descriptors

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:


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<term>Humans (MeSH)</term>
<term>Incisor (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Molar (MeSH)</term>
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<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>
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<b>OBJECTIVES</b>
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<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>
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<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>
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<p>
<b>RESULTS</b>
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<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>
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<b>CONCLUSIONS</b>
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<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>
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<b>CLINICAL RELEVANCE</b>
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<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>
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