The use of transillumination in mapping demarcated enamel opacities in anterior teeth: A cross-sectional study.

enamel hypomineralization image analysis in vivo imaging intraoral devices molar incisor hypomineralization transillumination

Journal

International journal of paediatric dentistry
ISSN: 1365-263X
Titre abrégé: Int J Paediatr Dent
Pays: England
ID NLM: 9107511

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 08 03 2021
received: 17 11 2020
accepted: 09 03 2021
pubmed: 18 3 2021
medline: 24 12 2021
entrez: 17 3 2021
Statut: ppublish

Résumé

Despite intensive efforts for categorizing demarcated enamel opacities, often related to molar incisor hypomineralization (MIH), there is a lack of descriptive criteria aiming to describe them physically outside the scope of color and size. This is most likely due to the indices focusing on molar, not anterior, teeth. To map and classify demarcated lesions on permanent anterior teeth using reflected and transilluminated light. The association between classification and related lesion characteristics was also examined. Permanent anterior teeth with demarcated opacities related to MIH were selected. For each tooth, standardized photographs were taken using transmitted and reflected light. Each lesion was mapped and classified according to its color, lesion size, surface integrity, and type. The data were analyzed using the chi-square and Fisher's exact tests. A logistic regression analysis was performed to identify the risk of PEB. There were significant relationships between lesion size, color, and type with surface integrity. Lesion type and size were more important than lesion color for assessing the risk of PEB. There was also a significant relationship between lesion size and lesion color. Lesion size and type are significant clinical parameters for assessing the risk of PEB on enamel opacities related to MIH.

Sections du résumé

BACKGROUND BACKGROUND
Despite intensive efforts for categorizing demarcated enamel opacities, often related to molar incisor hypomineralization (MIH), there is a lack of descriptive criteria aiming to describe them physically outside the scope of color and size. This is most likely due to the indices focusing on molar, not anterior, teeth.
AIM OBJECTIVE
To map and classify demarcated lesions on permanent anterior teeth using reflected and transilluminated light. The association between classification and related lesion characteristics was also examined.
DESIGN METHODS
Permanent anterior teeth with demarcated opacities related to MIH were selected. For each tooth, standardized photographs were taken using transmitted and reflected light. Each lesion was mapped and classified according to its color, lesion size, surface integrity, and type. The data were analyzed using the chi-square and Fisher's exact tests. A logistic regression analysis was performed to identify the risk of PEB.
RESULTS RESULTS
There were significant relationships between lesion size, color, and type with surface integrity. Lesion type and size were more important than lesion color for assessing the risk of PEB. There was also a significant relationship between lesion size and lesion color.
CONCLUSIONS CONCLUSIONS
Lesion size and type are significant clinical parameters for assessing the risk of PEB on enamel opacities related to MIH.

Identifiants

pubmed: 33728689
doi: 10.1111/ipd.12790
doi:

Types de publication

Journal Article

Langues

eng

Pagination

49-55

Informations de copyright

© 2021 BSPD, IAPD and John Wiley & Sons Ltd.

Références

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Auteurs

Omar Marouane (O)

Private Practice, Restorative dentistry and Endodontics, Oralys Dental Clinic, Tunis, Tunisia.

David J Manton (DJ)

Paediatric Dentistry and Cariology, Centrum voor Tandheelkunde en Mondzorgkunde, UMCG, University of Groningen, Groningen, The Netherlands.

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