Pre- and postnatal determinants of deciduous molar hypomineralisation in 6-year-old children. The generation R study

Deciduous Molar Hypomineralisation (DMH) and Molar Incisor Hypomineralisation (MIH) are common developmental disturbances in pediatric dentistry. Their occurrence is related. The same determinants as suggested for MIH are expected for DMH, though somewhat earlier in life. Perinatal medical problems...

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Veröffentlicht in:PloS one 2014-07, Vol.9 (7), p.e91057-e91057
Hauptverfasser: Elfrink, Marlies E C, Moll, Henriette A, Kiefte-de Jong, Jessica C, Jaddoe, Vincent W V, Hofman, Albert, ten Cate, Jacob M, Veerkamp, Jaap S J
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container_issue 7
container_start_page e91057
container_title PloS one
container_volume 9
creator Elfrink, Marlies E C
Moll, Henriette A
Kiefte-de Jong, Jessica C
Jaddoe, Vincent W V
Hofman, Albert
ten Cate, Jacob M
Veerkamp, Jaap S J
description Deciduous Molar Hypomineralisation (DMH) and Molar Incisor Hypomineralisation (MIH) are common developmental disturbances in pediatric dentistry. Their occurrence is related. The same determinants as suggested for MIH are expected for DMH, though somewhat earlier in life. Perinatal medical problems may influence the prevalence of DMH but this has not been studied sufficiently. This study aimed to identify possible determinants of DMH in a prospective cohort study among 6-year-old children. This study was embedded in the Generation R Study, a population-based prospective cohort study from fetal life until young adulthood. The the data were used to identify the determinants of DMH. Clinical photographs of clean, moist teeth were taken with an intra-oral camera in 6690 children (mean age 6.2 years; 49.9% girls). Data on possible determinants that had occurred during pregnancy and/or the child's first year of life were on the basis of manual standardized measurements (like length and weight) and questionnaires. Multivariate analyse with backward and forward selection was performed. A number of factors in the pre-, peri- and postnatal phase were found to be associated with DMH. After multivariate logistic regression analyses, Dutch ethnic background, low birth weight, maternal alcohol consumption during pregnancy, and fever episodes in the first year of the child's life were found to play a role in the development of DMH in 6-year-old children. This study shows that Dutch ethnicity, low birth weight, alcohol consumption by the mother during pregnancy and any fever in the first year of the child's life are associated with DMH. Not only childhood factors but also prenatal lifestyle factors need to be taken into account when studying determinants for DMH.
doi_str_mv 10.1371/journal.pone.0091057
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The generation R study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-07-02</date><risdate>2014</risdate><volume>9</volume><issue>7</issue><spage>e91057</spage><epage>e91057</epage><pages>e91057-e91057</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Deciduous Molar Hypomineralisation (DMH) and Molar Incisor Hypomineralisation (MIH) are common developmental disturbances in pediatric dentistry. Their occurrence is related. The same determinants as suggested for MIH are expected for DMH, though somewhat earlier in life. Perinatal medical problems may influence the prevalence of DMH but this has not been studied sufficiently. This study aimed to identify possible determinants of DMH in a prospective cohort study among 6-year-old children. This study was embedded in the Generation R Study, a population-based prospective cohort study from fetal life until young adulthood. The the data were used to identify the determinants of DMH. Clinical photographs of clean, moist teeth were taken with an intra-oral camera in 6690 children (mean age 6.2 years; 49.9% girls). Data on possible determinants that had occurred during pregnancy and/or the child's first year of life were on the basis of manual standardized measurements (like length and weight) and questionnaires. Multivariate analyse with backward and forward selection was performed. A number of factors in the pre-, peri- and postnatal phase were found to be associated with DMH. After multivariate logistic regression analyses, Dutch ethnic background, low birth weight, maternal alcohol consumption during pregnancy, and fever episodes in the first year of the child's life were found to play a role in the development of DMH in 6-year-old children. This study shows that Dutch ethnicity, low birth weight, alcohol consumption by the mother during pregnancy and any fever in the first year of the child's life are associated with DMH. Not only childhood factors but also prenatal lifestyle factors need to be taken into account when studying determinants for DMH.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24988443</pmid><doi>10.1371/journal.pone.0091057</doi><oa>free_for_read</oa></addata></record>
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subjects Alcohol
Alcohol Drinking
Alcohol use
Alcoholic beverages
Analysis
Antibiotics
Biology and Life Sciences
Birth weight
Child
Children
Children & youth
Cohort Studies
Defects
Dental enamel
Dentistry
Enamel
Epidemiology
Ethnicity
Female
Fetuses
Fever
Fever - complications
Girls
Health risk assessment
Hospitals
Humans
Infant, Low Birth Weight
Logistic Models
Low birth weight
Male
Medicine and Health Sciences
Mineralization
Minority & ethnic groups
Odds Ratio
Pediatrics
Population studies
Postnatal Care
Pregnancy
Pregnant women
Premature birth
Prenatal Exposure Delayed Effects
Prevalence
Prospective Studies
Public health
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Research and Analysis Methods
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Teeth
Tooth Demineralization - epidemiology
Tooth Demineralization - etiology
Tooth, Deciduous - abnormalities
title Pre- and postnatal determinants of deciduous molar hypomineralisation in 6-year-old children. The generation R study
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