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Deciduous Teeth Hypomineralisation and Perinatal Risk Factors.

Kasandra Yupanqui1, Diego Girotto Bussaneli1, Aline Leite de Farias2

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Deciduous molar hypomineralisation (DMH) involves enamel defects in primary teeth, predicting future permanent tooth issues. Early life health events, especially around birth, may increase DMH risk, requiring further study.

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Area of Science:

  • Pediatric Dentistry
  • Dental Enamel Research
  • Developmental Biology

Background:

  • Deciduous molar hypomineralisation (DMH) presents as demarcated opacities and enamel defects in primary teeth.
  • These defects can predict similar issues in permanent dentition and pose diagnostic challenges.
  • DMH affects deciduous molars, canines, and first molars, with variable global prevalence.

Purpose of the Study:

  • To explore the clinical characteristics and potential etiological factors of deciduous teeth hypomineralisation.
  • To highlight the diagnostic difficulties and prevalence variations of DMH.
  • To investigate the association between early life health events and DMH development.

Main Methods:

  • Clinical observation of demarcated opacities and enamel defects in deciduous dentition.
  • Review of existing literature on DMH prevalence and clinical presentation.
  • Exploration of potential links between prenatal, perinatal, and postnatal health events and DMH.

Main Results:

  • DMH is characterized by opacities, enamel breakdown, and atypical caries.
  • Perinatal events like complications, prematurity, and low birth weight are suspected contributors to DMH.
  • Increased health-related events during critical early periods may correlate with higher DMH incidence.

Conclusions:

  • DMH is a significant dental defect in primary teeth with implications for permanent dentition.
  • Perinatal health factors are strongly suspected etiological agents for DMH.
  • Further prospective research is crucial to confirm associations and inform prevention strategies.