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DENTAL CARIES INTENSITY IN CHILDREN WITH DISTURBANCES IN TOOTH FORMATION, SURVIVED AFTER THE CHORNOBYL NPP ACCIDENT
1Bogomolets National Medical University of the Ministry of Health of Ukraine, 13 Tarasa Shevchenko Blvd., Kyiv, 01601, Ukraine.
Insights
Children with tooth formation disturbances living in Chernobyl-affected areas show significantly higher dental caries intensity. Systemic enamel hypoplasia (SEH) presented higher caries rates than molar incisor hypomineralisation (MIH) in permanent teeth.
Area of Science:
- Environmental Health
- Pediatric Dentistry
- Radiation Biology
Background:
- The Chornobyl Nuclear Power Plant (NPP) accident resulted in widespread radiological contamination.
- Disturbances in tooth formation (DTF) are a known health concern.
- The impact of living in contaminated territories on dental health, particularly in children with DTF, requires thorough investigation.
Purpose of the Study:
- To assess and compare dental caries intensity in children with DTF residing in radiologically contaminated areas.
- To evaluate the influence of specific DTF subtypes, namely systemic enamel hypoplasia (SEH) and molar incisor hypomineralisation (MIH), on caries development.
- To analyze the correlation between radiation exposure history and dental caries prevalence in this population.
Main Methods:
- A study cohort of 1470 children aged 6-14 years was recruited, including 528 residents of contaminated territories.
- Children with DTF were classified into SEH and MIH subtypes.
- Dental caries intensity was measured using df+DMF and dfs+DMFS coefficients for mixed occlusion and DMF and DMFS coefficients for permanent occlusion. Personal radiation history was recorded.
Main Results:
- Children with DTF in contaminated areas exhibited significantly higher caries intensity compared to exposed children without DTF and the control group (p < 0.001).
- The highest caries intensity in permanent teeth was observed in children with SEH (6.95 ± 2.3) compared to those with MIH (5.68 ± 1.97).
- Significant differences in caries intensity (df+DMF, dfs+DMFS) were noted in children with mixed occlusion (7.2 ± 2.07 and 8.98 ± 2.4, p < 0.001) and permanent occlusion (DMF = 6.79 ± 2.34, DMFS = 8.69 ± 2.75, p < 0.001).
Conclusions:
- Children aged 6-14 years with DTF living in Chornobyl-contaminated territories demonstrate markedly elevated caries intensity.
- Factors contributing to high caries intensity likely include low-dose ionizing radiation and socioeconomic factors such as unbalanced diet.
- Systemic enamel hypoplasia (SEH) in children exposed to Chornobyl fallout is associated with significantly higher permanent tooth caries intensity compared to molar incisor hypomineralisation (MIH).
Objective:
assessment of dental caries intensity in children with disturbances in tooth formation living in radiologically contaminated territories as a result of the Chornobyl NPP accident.
Materials And Methods:
Children aged 6-14 years old (n = 1470) suffering from disturbances in tooth formation(DTF) with the residents of radiologically contaminated territories (n = 528) among them were enrolled in the study.The DTF subtypes were assayed, namely the systemic enamel hypoplasia (SEH) and molar incisor hypomineralisation(MIH). Personal radiation history was recorded. Intensity of caries and caries of surfaces in the mixed (i.e. transitional) occlusion (df+DMF, dfs+DMFS coefficients) and permanent occlusion (DMF, DMFS coefficients) was identified.
Results:
Caries intensity in the exposed children suffering DTF with mixed and permanent dental occlusion was sig-nificantly higher vs. either in children exposed to ionizing radiation with no DTF or in the control group (р < 0.001,р < 0.001 and р < 0.05, р < 0.001 correspondingly). The highest caries intensity of the permanent teeth was revealedin the residents of contaminated territories suffering SEH (6.95 ± 2.3) vs. cases of MIH (5.68 ± 1.97) as a result ofnonsymmetrical teeth involvement.
Conclusions:
The highest values of df+DMF, dfs+DMFS coefficients were diagnosed in children with a mixed dentalocclusion aged 6-14 years old living on territories contaminated as a result of the ChNPP accident as compared tothe not exposed subjects and control group (7.2 ± 2.07 and 8.98 ± 2.4, р < 0.001). A very high intensity of cariesand surface caries of permanent teeth (DMF = 6.79 ± 2.34, DMFS = 8.69 ± 2.75, р < 0.001) was established in children exposed to ionizing radiation and suffering DTF. Such a high intensity may be due to the impact of a set of negative factors including the ionizing radiation in low doses and peculiarities of economic component of social sta-tus of study subjects, namely the unbalanced diet. In case of permanent occlusion the intensity of caries and cariesof tooth of in children survived after the ChNPP accident and suffering SEH was significantly (р < 0.05) higher compared to the persons suffering MIH.
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