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Nutritional supplementation and the development of linear enamel hypoplasias in children from Tezonteopan, Mexico
A H Goodman1, C Martinez, A Chavez
1School of Natural Science, Hampshire College, Amherst, MA 01002.
Insights
Nutritional supplements significantly reduced linear enamel hypoplasias (LEHs) in Mexican adolescents. Undernutrition during tooth development is a key cause of LEHs, impacting dental health.
Area of Science:
- Human Health
- Nutritional Science
- Dental Development
Background:
- Linear enamel hypoplasias (LEHs) are indicators of developmental stress during tooth formation.
- Nutritional status is a critical factor influencing enamel development and health.
- Understanding the impact of early nutrition on LEH formation is crucial for public health.
Purpose of the Study:
- To investigate the effect of nutritional supplementation from birth on the incidence of LEHs in Mexican adolescents.
- To compare LEH prevalence between supplemented and nonsupplemented (control) groups.
- To identify potential correlations between LEH formation, age, sex, illness, and growth velocity.
Main Methods:
- Comparative study involving two groups of Mexican adolescents (n=42 each): one supplemented daily since birth and a control group.
- Assessment of LEH prevalence and distribution in both groups.
- Analysis of factors including age at formation, sex, illness days, and growth velocity.
Main Results:
- The supplemented group showed a significantly lower prevalence of LEHs (39.5%) compared to the control group (74.4%).
- LEH formation occurred at similar peak ages (2-2.5 years) in both groups, but early and late LEHs were more common in controls.
- LEH was more prevalent in females and associated with increased illness and decreased growth velocity.
Conclusions:
- Early nutritional supplementation substantially reduces the risk of developing linear enamel hypoplasias.
- Mild to moderate undernutrition during enamel formation is causally linked to LEH development.
- Nutritional interventions during critical developmental periods are vital for preventing dental defects and promoting overall child health.
Abstract:
The purpose of this study was to compare the effect of nutritional intake during tooth-crown formation on the subsequent development of linear enamel hypoplasias (LEHs) in Mexican nonsupplemented (control) adolescents (n = 42) and adolescents who had received daily nutritional supplements since birth (n = 42). The proportion of individuals with LEHs was nearly two-fold greater (74.4%; 95% CI 64.7-84.1%) in the control than in the supplemented group (39.5%; 95% CI 28.6-50.4%; chi 2 = 9.44; P = 0.001). Although the estimated peak age at formation, approximately 2-2.5 y, is similar in both groups, the proportion of early (before 1.5 y) and late (after 3.0 y) LEHs was greater in the control group. LEH was also more common in females and was associated with an increase in illness days and a decrease in growth velocity. Results of this study suggest that mild to moderate undernutrition during enamel formation is causally linked to the formation of LEHs.
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