DENTAL CARIES INTENSITY IN CHILDREN WITH DISTURBANCES IN TOOTH FORMATION, SURVIVED AFTER THE CHORNOBYL NPP ACCIDENT

S F Liubarets1

  • 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).
Abstract

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