Jan Kühnisch1,2, Lamiaa Kabary3, Yuri Malyk3, Katrin Rothmaier3, Isabel Metz3, Reinhard Hickel3, Joachim Heinrich4,5, David Manton6, Marie Standl4. 1. Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany. jkuehn@dent.med.uni-muenchen.de. 2. Klinik für Zahnerhaltung und Parodontologie, Klinikum der Ludwig-Maximilians-Universität München, Goethestraße 70, 80336, Munich, Germany. jkuehn@dent.med.uni-muenchen.de. 3. Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany. 4. Helmholtz Zentrum Munich - German Research Centre for Environmental Health, Institute of Epidemiology I, Neuherberg, Germany. 5. Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Inner City Clinic, University Hospital of Munich (LMU), Munich, Germany. 6. Elsdon Storey Chair of Child Dental Health, Oral Health CRC, Melbourne Dental School, The University of Melbourne, Parkville, Victoria, Australia.
Abstract
OBJECTIVE: This cross-sectional study compared the caries experience in 15-year-olds with and without demarcated hypomineralised lesions (DHL) in permanent teeth. MATERIAL AND METHODS: One thousand three hundred and two 15-year-old adolescents from two ongoing birth cohorts (GINIplus15 and LISAplus15) were examined to determine non-cavitated carious lesions (NCCL) and the DMF index. Furthermore, DHL was scored on all permanent teeth/surfaces according to the molar-incisor hypomineralisation criteria of the European Academy of Paediatric Dentistry (MIH/EAPD). Adolescents with DHL were categorised into those with a minimum of one DHL in the permanent dentition (DHL ≥ 1), with DHL on at least one first permanent molar (MIH/EAPD) and with DHL on at least one first permanent molar and permanent incisor (MIH/Severe). The study was conducted in the metropolitan area of Munich. RESULTS: The proportion of children without caries amounted to 63.7% (DMF > 0) and 26.0% (D1-4MF > 0); the caries experience was mean = 4.0(SD = 5.2) NCCL/T and 0.9(1.7) DMF/T. Existence of DHL ≥ 1, MIH/EAPD and MIH/Severe was detected in 40.2, 17.2 and 9.8% of all adolescents, respectively. The corresponding DMF/T values were: no DHL 0.9(1.7); DHL ≥ 1 1.0(1.7); MIH/EAPD 1.1(1.6); MIH/Severe 1.1(1.7). The group of adolescents with MIH/EAPD and MIH/Severe were found to have statistically higher caries rates in comparison to those with no DHL. CONCLUSIONS: Caries and DHL are prevalent and influenced the dental health of 15-year-old adolescents. A significant positive association existed between the presence of caries and DHL. CLINICAL RELEVANCE: Children with MIH/EAPD or MIH/Severe had a higher probability to develop carious lesions in the permanent dentition.
OBJECTIVE: This cross-sectional study compared the caries experience in 15-year-olds with and without demarcated hypomineralised lesions (DHL) in permanent teeth. MATERIAL AND METHODS: One thousand three hundred and two 15-year-old adolescents from two ongoing birth cohorts (GINIplus15 and LISAplus15) were examined to determine non-cavitated carious lesions (NCCL) and the DMF index. Furthermore, DHL was scored on all permanent teeth/surfaces according to the molar-incisor hypomineralisation criteria of the European Academy of Paediatric Dentistry (MIH/EAPD). Adolescents with DHL were categorised into those with a minimum of one DHL in the permanent dentition (DHL ≥ 1), with DHL on at least one first permanent molar (MIH/EAPD) and with DHL on at least one first permanent molar and permanent incisor (MIH/Severe). The study was conducted in the metropolitan area of Munich. RESULTS: The proportion of children without caries amounted to 63.7% (DMF > 0) and 26.0% (D1-4MF > 0); the caries experience was mean = 4.0(SD = 5.2) NCCL/T and 0.9(1.7) DMF/T. Existence of DHL ≥ 1, MIH/EAPD and MIH/Severe was detected in 40.2, 17.2 and 9.8% of all adolescents, respectively. The corresponding DMF/T values were: no DHL 0.9(1.7); DHL ≥ 1 1.0(1.7); MIH/EAPD 1.1(1.6); MIH/Severe 1.1(1.7). The group of adolescents with MIH/EAPD and MIH/Severe were found to have statistically higher caries rates in comparison to those with no DHL. CONCLUSIONS: Caries and DHL are prevalent and influenced the dental health of 15-year-old adolescents. A significant positive association existed between the presence of caries and DHL. CLINICAL RELEVANCE: Children with MIH/EAPD or MIH/Severe had a higher probability to develop carious lesions in the permanent dentition.
Authors: J Heinrich; G Bolte; B Hölscher; J Douwes; I Lehmann; B Fahlbusch; W Bischof; M Weiss; M Borte; H E Wichmann Journal: Eur Respir J Date: 2002-09 Impact factor: 16.671
Authors: Felicity A Crombie; David J Manton; Joseph E A Palamara; Ilya Zalizniak; Nathan J Cochrane; Eric C Reynolds Journal: J Dent Date: 2013-05-15 Impact factor: 4.379
Authors: Helen Schill; Uta Christine Wölfle; Reinhard Hickel; Norbert Krämer; Marie Standl; Joachim Heinrich; Jan Kühnisch Journal: Int J Environ Res Public Health Date: 2021-05-03 Impact factor: 3.390
Authors: Jan Kühnisch; Marie Standl; Reinhard Hickel; Joachim Heinrich Journal: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Date: 2021-07-02 Impact factor: 1.513