Interproximal caries and premature tooth loss in primary dentition as risk factors for loss of space in the posterior sector

Abstract

Dental caries—a highly prevalent public health problem in preschoolers and school children—is the main cause of premature dental loss during childhood, and this may be related to loss of space in the posterior sector. The objective of this study was to evaluate whether interproximal caries and premature tooth loss (D and/or E) are risk factors for loss of space in the posterior sector.A comparative cross-sectional study (split-mouth type) was performed in schoolchildren (6–8 years old). Seventeen gypsum models were evaluated. These children presented with unilateral loss of a dental organ or interproximal caries (teeth D and/or E) and without such affectations on the other side. Measurements were made with a digital Vernier caliper. The dependent variable was the difference (loss of space, mm) between the control and case sides. The independent variables were type of affectation (interproximal caries or tooth loss), sex, age, arcade, and number of interproximal surfaces affected.The mean age was 6.82 ± 0.44 years and 64.7% were boys. The average space loss was 1.09 ± 0.18 mm (control vs case; P < .0001). A greater loss of space was observed among those who lost a dental organ than those with interproximal caries (P = .0119). A correlation was observed between the variable loss of space and the number of interproximal surfaces affected (r = 0.5712, P = .0166).Interproximal caries and tooth loss were risk factors for loss of space in the posterior segment in this sample of Mexican schoolchildren.

Massive Radicular Cyst in the Maxillary Sinus as a Result of Deciduous Molar Tooth Pulp Necrosis

“…The premature loss of deciduous molars before the eruption of the first permanent molars causes significant mesial movement of the first permanent molars, which are mesialized at the moment of the eruption, using the available space and thereby reducing the arc length. To avoid loss of space when teeth are lost, there is possibility to place a space maintainer [9]. In this case, occlusal disorders that result from premature loss of deciduous molars and second premolar germ were so significant that this simple way of treatment was useless, and highly specialized orthodontic treatment was recommended to guide the swelling of permanent teeth.…”

Leche humana y su efecto sobre la mineralización del esmalte: revisión de literatura

“…En México, a los 6 años, la caries dental en la dentición primaria alcanza valores, de los índices de ceod, que van de 0.73 a 5.35 y prevalencias (18) entre el 26.3% a 77.5% . Por lo que también en México se trata del principal problema de salud pública bucal, ya que tiene diversos impactos en las (19)(20)(21)(22) personas, familias y el sistema de salud .…”

Influence of a programme for prevention of early childhood caries on early orthodontic treatment needs

“…Children with ECC may suffer from dental pain, tooth destruction and odontogenic infections [1][2][3][4]. Premature loss of deciduous teeth, lack of space and a higher risk of caries development in the permanent dentition are considered to be possible longterm consequences of ECC, even though the available data is limited [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Primary maxillary incisors and the first and second molars are the teeth often affected by ECC-caused tooth loss [2][3][4][8][9][10][11][12][13][14][15][16][17].…”

“…While the premature loss of anterior teeth causes no space loss, the early loss of primary molars may result in reduced arch length and is worst when tooth loss occurs before eruption of the permanent first molar [8][9][10][11][12][13][14][15][16]. Tooth migration, crowding, rotations, reduction in space and eruption problems of succeeding teeth are possible effects on the dentition and thus may lead to an increase in orthodontic treatment need [8][9][10][11][12][13][14][15]. Malocclusion is a prevalent condition in Europe and other countries [18,19].…”