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Published on: March 29, 2018
Amoxicillin may cause molar incisor hypomineralization
1Health Center, Ylämaa, Finland.
Journal of Dental Research
|March 13, 2009
Summary
Early amoxicillin use is a significant factor in molar incisor hypomineralization (MIH). This study found a higher prevalence of MIH in children who received amoxicillin during their first year of life.
Area of Science:
- Pediatric Dentistry
- Developmental Biology
- Pharmacology
Background:
- The causes of molar incisor hypomineralization (MIH) remain largely unknown.
- Antibiotic use in early childhood is a potential, yet unconfirmed, etiological factor for MIH.
Purpose of the Study:
- To investigate the association between early antibiotic exposure and the development of molar incisor hypomineralization (MIH).
- To explore the potential role of amoxicillin in the pathogenesis of MIH.
Main Methods:
- A cohort of 141 schoolchildren was assessed for MIH.
- Medical records were reviewed to determine antibiotic usage, specifically amoxicillin and erythromycin, before the age of 4.
- In vitro studies cultured mouse E18 teeth with varying concentrations of amoxicillin.
Main Results:
- Molar incisor hypomineralization (MIH) was diagnosed in 16.3% of the children studied.
- Children exposed to amoxicillin or erythromycin in their first year showed a significantly higher incidence of MIH.
- In vitro amoxicillin exposure led to increased enamel thickness but not dentin thickness in developing teeth.
Conclusions:
- Early exposure to amoxicillin is identified as a potential causative factor in the development of molar incisor hypomineralization (MIH).
- Altered amelogenesis patterns due to amoxicillin may disrupt proper enamel mineralization, leading to MIH.
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