Skip to main content

Advertisement

Log in

Prevalence of enamel defects and association with dental caries in preschool children

  • Original Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Aim

This was to evaluate the prevalence of the developmental defects of enamel (DDE) in primary teeth and its association with dental caries.

Methods

A cross-sectional study with a randomised representative sample was carried out with 1101 children aged 2–5 years enrolled in public preschools (50% prevalence of DDE in primary teeth, a standard error of 3%, and a confidence level of 95%). Three calibrated dentists (K > 0.62) performed clinical examination. Data collected were: sex, age, DDE (Modified DDE Index) and dental caries (WHO). Descriptive analysis, Chi-square test and multinomial logistic regression were applied for data analysis.

Results

Among children, 565 (51.3%) were boys; mean age was 3.7 (±0.9 years). The prevalence of enamel defect was 39.1%; the prevalence of diffuse opacities, demarcated opacities and enamel hypoplasia was 25.3, 19.1 and 6.1%, respectively. The prevalence of dental caries was 31.0%, with mean def-t 1.14 (±2.44). Primary teeth with enamel hypoplasia had three times the odds of having dental caries than those with absence of enamel defects (OR = 3.10; 95% CI: 1.91, 5.01).

Conclusion

The presence of enamel defects was moderate and associated with dental caries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Carvalho JC, Silva EF, Gomes RR, Fonseca JA, Mestrinho HD. Impact of enamel defects on early caries development in preschool children. Caries Res. 2011;45(4):353–60.

    Article  PubMed  Google Scholar 

  • Caufield PW, Li Y, Bromage TG. Hypoplasia-associated severe early childhood caries—a proposed definition. J Dent Res. 2012;91(6):544–50.

    Article  PubMed  PubMed Central  Google Scholar 

  • Correa-Faria P, Martins-Junior PA, Vieira-Andrade RG, Marques LS, Ramos-Jorge ML. Perinatal factors associated with developmental defects of enamel in primary teeth: a case-control study. Braz Oral Res. 2013a;27(4):363–8.

    Article  PubMed  Google Scholar 

  • Correa-Faria P, Martins-Junior PA, Vieira-Andrade RG, et al. Developmental defects of enamel in primary teeth: prevalence and associated factors. Int J Paediatr Dent. 2013b;23(3):173–9.

    Article  PubMed  Google Scholar 

  • Correa-Faria P, Paixao-Goncalves S, Paiva SM, et al. Dental caries, but not malocclusion or developmental defects, negatively impacts preschoolers’ quality of life. Int J Paediatr Dent. 2016;26(3):211–9.

    Article  PubMed  Google Scholar 

  • Davies GN, Barmes DE. An evaluation of proposed revisions to the WHO manual “Oral Health Surveys-Basic Methods”. Community Dent Oral Epidemiol. 1976;4(2):55–65.

    Article  PubMed  Google Scholar 

  • Farmakis E, Puntis JW, Toumba KJ. Enamel defects in children with coeliac disease. Eur J Paediatr Dent. 2005;6(3):129–32.

    PubMed  Google Scholar 

  • FDI Working Group. A review of the developmental defects of enamel index (DDE Index). Commission on oral health, research & epidemiology. Report of an FDI Working Group. Int Dent J. 1992;42(6):411–26.

    Google Scholar 

  • Hoffmann RH, de Sousa Mda L, Cypriano S. Prevalence of enamel defects and the relationship to dental caries in deciduous and permanent dentition in Indaiatuba, Sao Paulo, Brazil. Cad Saude Publica. 2007;23(2):435–44 (Portuguese).

    Article  PubMed  Google Scholar 

  • Brazilian Institute of Geography and Statistics (homepage). Brasília (DF): Brazilian Institute of Geography and Statistics; 2010 (cited 2016 Mar 27). http://www.censo2010.ibge.gov.br/sinopse/index.php?uf=42&dados=1. Accessed 15 Jan 2016.

  • Brazilian Institute of Geography and Statistics | cities | Santa Catarina | Florianopolis | School-enrollment, Teachers and School Network —2012 (cited 2016 Jan 7). http://www.cidades.ibge.gov.br/xtras/temas.php?lang=&codmun=420540&idtema=117&search=santacatarina%7cflorianopolis%7censino-matriculas-docentes-e-rede-escolar-2012. Accessed 7 Jan 2016.

  • Jin LJ, Lamster I, Greenspan JS, Pitts N, Scully C, Warnakulasuriya S. Global burden of oral diseases: emerging concepts, management and interplay with systemic health. Oral Dis. 2015.

  • Kar S, Sarkar S, Mukherjee A. Prevalence and distribution of developmental defects of enamel in the primary dentition of IVF children of West Bengal. J Clin Diagn Res. 2014;8(7):73–6.

    Google Scholar 

  • Li Y, Navia JM, Caufield PW. Colonization by mutans streptococci in the mouths of 3- and 4-year-old Chinese children with or without enamel hypoplasia. Arch Oral Biol. 1994;39(12):1057–62.

    Article  PubMed  Google Scholar 

  • Li Y, Navia JM, Bian JY. Caries experience in deciduous dentition of rural Chinese children 3–5 years old in relation to the presence or absence of enamel hypoplasia. Caries Res. 1996;30(1):8–15.

    Article  PubMed  Google Scholar 

  • Lunardelli SE, Peres MA. Breast-feeding and other mother-child factors associated with developmental enamel defects in the primary teeth of Brazilian children. J Dent Child (Chic). 2006;73(2):70–8.

    Google Scholar 

  • Lunardelli SE, Peres MA. Prevalence and distribution of developmental enamel defects in the primary dentition of pre-school children. Braz Oral Res. 2005;19(2):144–9.

    Article  PubMed  Google Scholar 

  • Macek MD, Beltran-Aguilar ED, Lockwood SA, Malvitz DM. Updated comparison of the caries susceptibility of various morphological types of permanent teeth. J Public Health Dent. 2003;63(3):174–82.

    Article  PubMed  Google Scholar 

  • Oliveira AF, Chaves AM, Rosenblatt A. The influence of enamel defects on the development of early childhood caries in a population with low socioeconomic status: a longitudinal study. Caries Res. 2006;40(4):296–302.

    Article  PubMed  Google Scholar 

  • Robles MJ, Ruiz M, Bravo-Perez M, Gonzalez E, Penalver MA. Prevalence of enamel defects in primary and permanent teeth in a group of schoolchildren from Granada (Spain). Med Oral Patol Oral Cir Bucal. 2013;18(2):187–93.

    Article  Google Scholar 

  • Saha R, Sood PB, Sandhu M, Diwaker A, Upadhyaye S. Association of amelogenin with high caries experience in indian children. J Clin Pediatr Dent. 2015;39(5):458–61.

    Article  PubMed  Google Scholar 

  • Schroth RJ, Lavelle C, Tate R, et al. Prenatal vitamin D and dental caries in infants. Pediatrics. 2014;133(5):1277–84.

    Article  Google Scholar 

  • Seow WK. Biological mechanisms of early childhood caries. Community Dent Oral Epidemiol. 1998;26(1 Suppl):8–27.

    Article  PubMed  Google Scholar 

  • Seow WK. Clinical diagnosis of enamel defects: pitfalls and practical guidelines. Int Dent J. 1997;47(3):173–82.

    Article  PubMed  Google Scholar 

  • Soares FC, Cardoso M, Bolan M. Altered esthetics in primary central incisors: the child’s perception. Pediatr Dent. 2015;37(5):29–34.

    PubMed  Google Scholar 

  • Targino AG, Rosenblatt A, Oliveira AF, Chaves AM, Santos VE. The relationship of enamel defects and caries: a cohort study. Oral Dis. 2011;17(4):420–6.

    Article  PubMed  Google Scholar 

  • Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Int J Surg. 2014;12(12):1500–24.

    Article  PubMed  Google Scholar 

  • Vargas-Ferreira F, Zeng J, Thomson WM, Peres MA, Demarco FF. Association between developmental defects of enamel and dental caries in schoolchildren. J Dent. 2014;42(5):540–6.

    Article  PubMed  Google Scholar 

  • Vargas-Ferreira F, Salas MM, Nascimento GG, Tarquinio SB, Faggion CM Jr, Peres MA, et al. Association between developmental defects of enamel and dental caries: a systematic review and meta-analysis. J Dent. 2015;43(6):619–28.

    Article  PubMed  Google Scholar 

  • Von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495–9.

    Article  Google Scholar 

  • Wong HM, Peng SM, Wen YF, King NM, McGrath CP. Risk factors of developmental defects of enamel: a prospective cohort study. PLoS One. 2014;9(10):e109351. doi:10.1371/journal.pone.0109351.

    Article  PubMed  PubMed Central  Google Scholar 

  • World Health Organization. What is the burden of oral disease? Geneva, 2010 (cited 2010 Jan 5). http://www.who.int/oral_health/disease_burden/global/en/. Accessed 10 Jan 2016.

  • Yadav PK, Saha S, Jagannath GV, Singh S. Prevalence and association of developmental defects of enamel with, dental-caries and nutritional status in pre-school children, Lucknow. J Clin Diagn Res. 2015;9(10):71–4.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Cardoso.

Ethics declarations

Ethical approval

“All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.”

Informed consent

Informed consent was obtained from all individual participants included in the study.

Funding source

No funding was secured for this study.

Financial disclosure

The authors have no financial relationships relevant to this article to disclose.

Conflict of interest

The authors have no conflicts of interest to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Massignan, C., Ximenes, M., da Silva Pereira, C. et al. Prevalence of enamel defects and association with dental caries in preschool children. Eur Arch Paediatr Dent 17, 461–466 (2016). https://doi.org/10.1007/s40368-016-0254-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40368-016-0254-8

Keywords

Navigation