Kuscu Ozgur Onder, Caglar Esber, Aslan Seda, Durmusoglu Ertan, Karademir Aykan, Sandalli Nuket
Department of Paediatric Dentistry, Dental School, Yeditepe University, Istanbul, Turkey.
Int J Paediatr Dent. 2009 May;19(3):176-85. doi: 10.1111/j.1365-263X.2008.00945.x. Epub 2008 Nov 11.
Children's developing teeth may be sensitive to environmental pollutants such as polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans. The term molar incisor hypomineralization (MIH) was introduced to describe the clinical appearance of enamel hypomineralization of systemic origin affecting one or more permanent first molars (PFMs) that are associated frequently with affected incisors.
The aim of this study was to determine the prevalance of MIH in children from the most industrialized and polluted region and the most green-energy island of Turkey.
In September 2007, a retrospective study was initiated in two elementary schools: one, a group of children (N = 153) who fitted the criteria from Tavsancil, Kocaeli (N = 109) and the other from Bozcaada island, Canakkale (N = 44). The soil samples were collected from selected regions in order to determine the contamination levels in a heavily industrialized area and a non-industrialized area.
Prevalance of MIH in children in Bozcaada island was 9.1%, while prevalance of MIH was 9.2% in Tavsancil. The PCDD/F levels in soil samples collected from Bozcaada and Tavsancil were determined as 1,12 and 8,4 I-TEQ ng/kg dry soil, respectively (P < 0.001).
In this preliminary study with a small study population, prevalence of MIH did not seem to be associated with the levels of PCDD/Fs in the environment.
儿童正在发育的牙齿可能对多氯二苯并 - 对 - 二恶英(PCDDs)和多氯二苯并呋喃等环境污染物敏感。引入了磨牙切牙矿化不全(MIH)这一术语,用于描述影响一颗或多颗恒第一磨牙(PFMs)的全身性起源的釉质矿化不全的临床表现,这些恒第一磨牙常伴有受累切牙。
本研究的目的是确定土耳其工业化程度最高、污染最严重地区以及最绿色能源岛屿的儿童中MIH的患病率。
2007年9月,在两所小学开展了一项回顾性研究:一所小学的一组儿童(N = 153)符合来自科贾埃利省塔夫尚西尔的标准(N = 109),另一所小学的儿童来自恰纳卡莱省博兹贾阿达岛(N = 44)。为了确定重工业区和非工业区的污染水平,从选定地区采集了土壤样本。
博兹贾阿达岛儿童中MIH的患病率为9.1%,而塔夫尚西尔儿童中MIH的患病率为9.2%。从博兹贾阿达和塔夫尚西尔采集的土壤样本中PCDD/F水平分别测定为1.12和8.4 I-TEQ纳克/千克干土(P < 0.001)。
在这项研究人群较小的初步研究中,MIH的患病率似乎与环境中PCDD/Fs的水平无关。