Hypodontia (tooth agenesis) is regarded as the most common congenital dental anomaly. The present review discusses the epidemiological characteristics of congenitally missing second permanent molars (CMSPMs) within a systematic review of the literature. The review was based on Pubmed library associated with the search of various scientific databases or academic resources, improved by hand search of reference lists. The terms 'hypodontia' or 'anodontia' in combination with 'prevalence' or 'epidemiology' were searched in the data sources for studies published between January 2001 and December 2020. Abstracts of non-English papers were also analyzed. The inclusion criteria were as follows: i) Study provided precise data about CMSPMs, even if no second permanent molar was reportedly missing; ii) the number of CMSPMs distributed by jaw was provided and iii) studies on subjects >3 years were used. The exclusion criteria were as follows: i) Studies on patients with history of trauma of the maxilla or the mandible, any type of syndrome affecting bone metabolism, metabolic disorders, previous extraction or tooth loss due to dental caries, cleft lip and palate; ii) studies performed on cohorts of patients with hypodontia and iii) studies reporting data including third molars, except for those that presented sufficient data to perform correct calculations. A total of 79 studies were selected, accumulating a population of 281,968 people, with an average sample size of 3,524.60±11,255.25. The prevalence of CMSPMs (IpHSPM) was 2.79±3.16% among all missing teeth (1.03±1.59% for upper CMSPMs and 1.76±2.32% for lower CMSPMs; P= 0.011). There were no significant differences (P= 0.250) in IpHSPM between men (1.59±1.52%) and women (2.13±1.67%). However, significant differences were recorded between continents. Furthermore, lower CMSPMs were found more frequently in orthodontic samples (P=0.033). The prevalence of CMSPMs is low compared with the overall prevalence of CM teeth. Despite the rarity of these anomalies, early detection is important to enable practitioners to plan and start treatment at the best time for optimal results.
The present study aimed to assess the dentin lesion activity in non-superficial carious lesions affecting vital immature permanent molars and to investigate possible associations between microbiological status, clinical dentin alterations, and salivary cortisol levels. Study sample consisted of a total number of 22 immature permanent molars of 13 children. After clinical estimation of lesion activity, a fine sample of deep dentin layer was removed and inoculated on bacteria tests. Salivary cortisol was assessed using an ELISA method. Most molars were diagnosed as actively carious progressing. There was a gradual increase in the bacterial counts, with higher lactobacilli (p=0.001) and mutans streptococci (p=0.045) loads in deep carious lesions, without any salivary cortisol level association. The findings of the present study discriminate between different clinical characteristics of carious lesions, supporting a conservative cavity preparation approach.
Congenitally missing teeth, the most common dental anomaly, refers to teeth whose germ did not develop sufficiently to allow the differentiation of the dental tissues. This study aimed to determine the importance of genetic investigations on oral health-related quality of life in children with congenitally missing lateral incisors. We are presenting a genetic study performed by the A.S. Division of Medical Genetics, in Bucharest, Romania, in the case of a patient (16-year-old boy) presenting bilateral maxillary lateral incisor agenesis in the permanent dentition, a hereditary, non-syndromic familial hypodontia in three successive generations, which suggest an autosomal dominant inheritance, combined with aplasia of maxillary third molars. The oral visual examination and the radiological exam of the patient were completed with the oral photographic examination, the family historyinvestigation, the pedigree, and the analysis of the studied family’s genealogical tree, after acquiring the signed informed consent of the patient. The genetic investigations of the congenitally missing lateral incisors, allow the calculation of the anomaly recurrence risk amongst offspring, and the direct and specialized monitoring of affected families, in order to limit the potential complications.
In the recent years, the number of patients treated with fixed orthodontic appliances is permanently increasing, as well as their interest for esthetic treatment issues. One potential unwanted consequence of orthodontic therapy is the onset of white spot lesions on teeth enamel during treatment. The present review includes studies published between 2010 and 2021 on three different databases (Science Direct, PubMed, Google Scholar) regarding the implications of nanoparticles in white spots prevention. The initial databases search identified 471 entries. Following the PRISMA-P 2015 guide, 39 scientific articles were selected for full text evaluation. The studies were divided into four categories. The interpretation of studies included in this review permits us to sustain the idea that the use of nanoparticles in various orthodontic materials improves their bioactivity, decreases the biofilm appearance around components of the fixed appliances, and can even initiate remineralization in the enamel proximity. Most of the analysed articles are in-vitro studies of new biomaterials properties, in the recent years depicting an increase interest of the researchers towards randomized control trials regarding clinical use of new orthodontic biomaterials.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.