Prevalence and association of caries and enamel hypomineralisation (EH)/molar-incisor hypomineralisation (MIH) in 8- to 10-year-old children from Bavaria, Germany.

IF 2.9 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Caries Research Pub Date : 2024-09-12 DOI:10.1159/000541351
Karl-Ferdinand Fresen,Ramy Gaballah,Helen Irini Schill,Stefanie Amend,Kousha Sarpari,Vinay Pitchika,Norbert Krämer,Jan Kühnisch
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Abstract

INTRODUCTION The aim of this cross-sectional epidemiological study was to record caries and enamel hypomineralisation (EH), including molar-incisor hypomineralisation (MIH), and assess associations between both entities in 8- to 10-year-olds from Bavaria, Germany. METHODS A total of 5,418 children (mean age 9.8 years; 2,726 females, 2,692 males) were examined using the dmft/DMFT index with additional inclusion of initial or non-cavitated carious lesions (it/IT). EH were recorded in the primary (eh) and permanent dentition (EH), and individuals with different EH phenotypes were determined as follows: at least one EH, at least one hypomineralised second primary molar (HSPM), at least one hypomineralised first permanent molar (MIH), and at least one hypomineralised first permanent molar and incisor (M+IH). Multiple logistic regression models were constructed to assess association between caries and EH. RESULTS The percentage of children without caries in the permanent dentition (DMF=0) was 88.9%. When data regarding initial carious lesions were included (IDMF=0), the prevalence decreased to 75.7%. The caries experience was idmf/t=1.6 and the IDMF/T=0.6. The mean number of carious teeth in subjects with no eh/EH was higher than that in subjects with HSPM, MIH or M+IH. The presence of HSPM, MIH and M+IH was associated with a significantly lower probability of caries in the permanent dentition; the corresponding adjusted odds ratios were 0.55 (95% CI: 0.41-0.75), 0.67 (95% CI: 0.56-0.81) and 0.54 (95% CI: 0.41-0.72), respectively. CONCLUSIONS Caries and EH are prevalent conditions in 8- to 10-year-old Bavarian schoolchildren; both dental diseases were negatively associated with each other.
德国巴伐利亚州 8 至 10 岁儿童龋齿和牙釉质矿化不足 (EH) / 磨牙-尖牙矿化不足 (MIH) 的患病率及相关性。
方法采用dmft/DMFT指数对5418名儿童(平均年龄9.8岁;2726名女性,2692名男性)进行了检查,并额外纳入了初期或非龋齿性病变(it/IT)。EH记录在基牙(eh)和恒牙(EH)中,不同EH表型的个体按以下方式确定:至少有一颗EH、至少有一颗第二基磨牙(HSPM)矿化不足、至少有一颗第一恒磨牙(MIH)矿化不足、至少有一颗第一恒磨牙和切牙(M+IH)矿化不足。结果恒牙区无龋齿(DMF=0)的儿童比例为 88.9%。当包括初始龋损数据(IDMF=0)时,患病率降至75.7%。龋齿经验为 idmf/T=1.6,IDMF/T=0.6。无Eh/EH的受试者的平均龋齿数高于有HSPM、MIH或M+IH的受试者。HSPM、MIH 和 M+IH 与恒牙发生龋齿的概率显著降低有关;相应的调整后几率分别为 0.55(95% CI:0.41-0.75)、0.67(95% CI:0.56-0.81)和 0.54(95% CI:0.41-0.72)。
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来源期刊
Caries Research
Caries Research 医学-牙科与口腔外科
CiteScore
6.30
自引率
7.10%
发文量
34
审稿时长
6-12 weeks
期刊介绍: ''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.
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