Developmental Defect of Enamel in Permanent Teeth Associated With Chronic Endodontic Abscess in Deciduous Teeth: A Retrospective Study

IF 2.2 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical and Experimental Dental Research Pub Date : 2025-07-23 DOI:10.1002/cre2.70185

Federica Guglielmi, Angela Malatesta, Anna Alessandri-Bonetti, Patrizia Gallenzi

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引用次数: 0

Abstract

Objectives

Destructive carious lesions on deciduous teeth often result in dental abscesses. Sometimes, the exudative process may extend to the dental follicle of the permanent tooth, leading to various types of consequences. This study primarily seeks to determine the prevalence of developmental defects of enamel (DDE) in premolars whose predecessors developed endodontic abscesses. Furthermore, it investigates how the prevalence of DDE is influenced by the type of treatment the affected deciduous molar received. Lastly, the study compares the prevalence of DDE between maxillary and mandibular premolars.

Material and Methods

Demographics, medical and dental history, and records of DDE were extracted from the medical records of 1164 pediatric patients. DDE of 107 premolars from patients who had experienced abscesses in their deciduous molars were compared to DDE of 107 premolars from patients who naturally shed healthy deciduous molars. DDE were also compared between different treatment modalities and anatomical regions. Fisher's exact tests were used to compare groups, while demographic data were analyzed by descriptive statistics and reported as mean ± standard deviation or as median and interquartile range for the continuous variables.

Results

Compared to premolars whose predecessors did not exhibit signs of pathology, those that developed endodontic abscesses reported a higher prevalence of DDE (57% vs. 17.8%; OR 6.14; p < 0.0001). Endodontic treatment on deciduous molars was associated with higher DDE prevalence compared to surgical treatment (70.2% vs. 46.7%; OR 2.69; p = 0.016). Maxillary premolars showed a higher prevalence of DDE compared to mandibular premolars (75.4% vs. 24.6%; OR 5.23; p = 0.00008).

Conclusions

Chronic endodontic abscess on deciduous molars significantly increases the risk of DDE in the corresponding premolars. ET on deciduous molars is associated with higher incidence of DDE compared to extraction. Maxillary premolars are more likely to develop DDE than mandibular premolars.

Abstract Image

查看原文本刊更多论文

乳牙慢性牙髓脓肿与恒牙釉质发育缺陷的回顾性研究

目的乳牙的破坏性龋齿病变常导致牙脓肿。有时，渗出过程可能延伸到恒牙的牙囊，导致各种类型的后果。本研究主要旨在确定前磨牙牙釉质发育缺陷（DDE）的患病率，其前身发展为牙髓脓肿。此外，它还调查了受影响乳牙接受治疗类型对DDE患病率的影响。最后，研究比较了上颌和下颌前磨牙的DDE患病率。材料与方法从1164例儿科患者的病历中提取人口统计学、病史和牙科史以及DDE记录。107颗乳牙脓肿患者的乳牙DDE与107颗自然脱落健康乳牙患者的乳牙DDE进行比较。并比较了不同治疗方式和解剖区域间DDE的差异。采用Fisher精确检验进行组间比较，而人口统计数据采用描述性统计分析，连续变量以均数±标准差或中位数和四分位数范围报告。结果：与前磨牙未表现出病理迹象的前磨牙相比，发生牙髓脓肿的前磨牙报告了更高的DDE患病率(57% vs. 17.8%；或6.14;p < 0.0001)。与手术治疗相比，乳牙的根管治疗与更高的DDE患病率相关(70.2% vs 46.7%；或2.69;p = 0.016)。上颌前磨牙的DDE患病率高于下颌骨前磨牙(75.4% vs. 24.6%；或5.23;p = 0.00008)。结论乳牙慢性牙髓脓肿可显著增加相应前磨牙发生DDE的风险。与拔牙相比，乳牙上的ET与DDE的发生率较高有关。上颌前磨牙比下颌骨前磨牙更容易发生DDE。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.