Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Preoperative Factors of Immature First Permanent Molars Treated with Vital Pulp Therapy

생활치수치료를 시행한 미성숙 제1대구치의 술전 상태

  • Lim, Heejung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Lee, Eungyung (Department of Pediatric Dentistry, Pusan National University Dental Hospital) ;
  • Park, Soyoung (Department of Pediatric Dentistry, Pusan National University Dental Hospital) ;
  • Jeong, Taesung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Shin, Jonghyun (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 임희정 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 이은경 (부산대학교 치과병원 소아치과) ;
  • 박소영 (부산대학교 치과병원 소아치과) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 신종현 (부산대학교 치의학전문대학원 소아치과학교실)
  • Received : 2020.11.03
  • Accepted : 2020.11.27
  • Published : 2021.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to analyze the preoperative factors of immature first molars treated with vital pulp therapy and to find out their correlation in pediatric patients. From May 2014 to January 2020, 523 patients and 1,242 immature first molars were investigated. Factors including age, sex, tooth location, Molar-incisor hypomineralization (MIH), caries cavity location, and history of previous restoration were evaluated. As a result of the study, the vital pulp therapy group had 5.56 times more MIH, 3.39 times more mesial cavities, and 8.73 times more distal cavities. In order to avoid vital pulp therapy in immature first molar, early diagnosis and active management of MIH and preventive treatment of mesial and distal caries are necessary after its immediate eruption.

이 연구는 소아 환자에서 생활치수치료를 시행한 미성숙 제1대구치의 술전 요인들을 분석하고 생활치수치료와의 상관관계를 알아보고자 하였다. 2014년 5월부터 2020년 1월까지 치료가 시행된 523명, 1,242개의 미성숙 제1대구치에 대해 조사하였다. 생활치수치료 후 수복치료를 받은 미성숙 제1대구치를 실험군으로, 생활치수치료 없이 수복치료만 받은 미성숙 제1대구치를 대조군으로 설정하였다. 연령, 성별, 치아의 위치, Molar-incisor hypomineralization (MIH), 우식 와동 위치 및 과거 수복치료 병력에 대해 조사하였다. 생활치수치료군은 대조군에 비하여 MIH가 5.56배, 근심 와동이 3.39배, 원심 와동이 8.73배 더 많은 것으로 나타났다. 미성숙 영구치의 생활치수치료를 예방하기 위해 제1대구치가 맹출된 후 MIH의 조기 진단 및 적극적인 관리와 근, 원심면 우식에 대한 예방적 처치가 필요할 것으로 사료된다.

Keywords

Acknowledgement

This study was supported by Clinical Research Grant, Pusan National University Dental Hospital in 2020.

References

  1. Kwon SY, Kim HJ, Kim YJ, Nam SH : Treatment of maxillary first molars with eruption failures. J Korean Acad Pediatr Dent, 36:281-287, 2009.
  2. Featherstone JD : Prevention and reversal of dental caries: role of low level fluoride. Community Dent Oral Epidemiol, 27:31-40, 1999. https://doi.org/10.1111/j.1600-0528.1999.tb01989.x
  3. Korean Academy of Pediatric Dentistry : Dentistry for the child and adolescent, 5th ed. Dental Wisdom Yenang Inc., Seoul, 382-386, 2014.
  4. Azarpazhooh A, Main PA : Pit and fissure sealants in the prevention of dental caries in children and adolescents: a systematic review. J Can Dent Assoc , 74:171-178, 2008.
  5. Weerheijm K, Jalevik B, Alaluusua S : Molar-incisor hypomineralisation. Caries Res, 35:390-391, 2001. https://doi.org/10.1159/000047479
  6. Almuallem Z, Busuttil-Naudi A : Molar incisor hypomineralisation (MIH)-an overview. Br Dent J, 225:601-609, 2018. https://doi.org/10.1038/sj.bdj.2018.814
  7. Taylor GD, Vernazza CR, Abdulmohsen B : Success of endodontic management of compromised first permanent molars in children: A systematic review. Int J Paediatr Dent, 30:370-380, 2020. https://doi.org/10.1111/ipd.12599
  8. Chueh LH, Ho YC, Chiang CP, et al. : Regenerative endodontic treatment for necrotic immature permanent teeth. J Endod, 35:160-164, 2009. https://doi.org/10.1016/j.joen.2008.10.019
  9. Eliyas S, Jalili J, Martin N : Restoration of the root canal treated tooth. Br Dent J, 218:53-62, 2015. https://doi.org/10.1038/sj.bdj.2015.27
  10. Ahmed H, Rahman M : Frequency and distribution of endodontically treated teeth. J Coll Physicians Surg Pak, 19:605, 2009. https://doi.org/10.2009/JCPSP.605608
  11. Lee SY, Lee KH, Kim S, et al. : A Survey on the Preoperative Conditions of Endodontically Treated First Molars in Children and Adolescents. J Korean Acad Pediatr Dent, 38:376-382, 2011.
  12. Wright JT : Diagnosis and treatment of molar-incisor hypomineralization. Handbook of Clinical Techniques in Pediatric Dentistry, John Wiley & Sons Inc., 99-106, 2015.
  13. Korean Academy of Conservative Dentistry : Conservative dentistry, 3rd ed. Dental Wisdom Yenang Inc., Seoul, 281-283, 2003.
  14. Demirjian A, Goldstein H, Tanner JM : A new system of dental age assessment. Hum Biol, 45:211-227, 1973.
  15. Jalevik B, Klingberg G : Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent, 12:24-32, 2002. https://doi.org/10.1046/j.0960-7439 .2001.00318.x
  16. Ghanim A, Silva M, Weerheijm K, et al. : Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice. Eur Arch Paediatr Dent, 18:225-242, 2017. https://doi.org/10.1007/s40368-017-0293-9
  17. Garot E, Manton D, Rouas P : Peripartum events and molarincisor hypomineralisation (MIH) amongst young patients in southwest France. Eur Arch Paediatr Dent, 17:245-250, 2016. https://doi.org/10.1007/s40368-016-0235-y
  18. Hubbard MJ : Molar hypomineralization: What is the US experience? J Am Dent Assoc, 149:329-330, 2018. https://doi.org/10.1016/j.adaj.2018.03.013
  19. Mittal R, Chandak S, Pimpale J, et al. : Assessment of association between molar incisor hypomineralization and hypomineralized second primary molar. J Int Society Preventive Community Dent, 6:34-39, 2016. https://doi.org/10.4103/2231-0762.175409
  20. Stenlund H, Mejare I, Kallestal C : Caries incidence rates in Swedish adolescents and young adults with particular reference to adjacent approximal tooth surfaces: a methodological study. Community Dent Oral Epidemiol, 31:361-367, 2003. https://doi.org/10.1034/j.1600-0528.2003.00015.x
  21. Straffon LH, Dennison JB, More FG : Three-year evaluation of sealant: effect of isolation on efficacy. J Am Dent Assoc, 110:714-717, 1985. https://doi.org/10.14219/jada.archive.1985.0425
  22. Dennison JB, Straffon LH, More FG : Evaluating tooth eruption on sealant efficacy. J Am Dent Assoc, 121:610-614, 1990. https://doi.org/10.14219/jada.archive.1990.0216
  23. Kato J, Moriya K, Awazu K, et al. : Prevention of dental caries in partially erupted permanent teeth with a CO2 laser. J Clin Laser Med Surg, 21:369-374, 2003. https://doi.org/10.1089/104454703322650185
  24. Mejare I, Kallestal C, Stenlund H, Johansson H : Caries Development from 11 to 22 Years of Age: A Prospective Radiographic Study Prevalence and Distribution. Caries Res, 32:10-16, 1998. https://doi.org/10.1159/000016424
  25. Nyvad B, Machiulskiene V, Baelum V : Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res, 33:252-260, 1999. https://doi.org/10.1159/000016526
  26. Takahashi N, Nyvad B : Caries ecology revisited: microbial dynamics and the caries process. Caries Res, 42:409-418, 2008. https://doi.org/10.1159/000159604
  27. Kim M, Lee S, Lee N : Diagnosis of Early Dental Caries with Dye-Enhancing Quantitative Light-Induced Fluorescence (QLF). J Korean Acad Pediatr Dent, 42:218-225, 2015.
  28. Lunder N, von der Fehr FR : Approximal cavitation related to bite-wing image and caries activity in adolescents. Caries Res, 30:143-147, 1996. https://doi.org/10.1159/000262151
  29. Bader JD, Shugars DA, Bonito AJ : Systematic reviews of selected dental caries diagnostic and management methods. J Dent Educ, 65:960-968, 2001. https://doi.org/10.1002/j.0022-0337.2001.65.10.tb03470.x
  30. Boucher Y, Matossian L, Machtou P, et al. : Radiographic evaluation of the prevalence and technical quality of root canal treatment in a French subpopulation. Int Endod J, 35:229-238, 2002. https://doi.org/10.1046/j.1365-2591.2002.00469.x