DISEASES OF THE TEETH AND ALVEOLAR PROCESS : ENAMEL HYPOPLASIA OF TEETH (HYPOPLASIA ADAMANTINAE) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Insufficient and flawed mineralization (calcification) of the enamel due to disturbances in the nutrition of the tooth Bud.
The pathogenesis. The reasons for the lack of mineralization of dental tissues depend on common violations of the trophic and mineral metabolism in the developing tooth. Sometimes have a value of hypovitaminosis D, endocrine diseases, abnormal pregnancy.
Symptoms. The appearance of white chalk-like spots without further compromising the integrity of the enamel. The presence of grooves on the enamel surface, scalloped cutting edges on the cutters, immature tubercles on the molars.
Course and complications. The presence of hypoplasia leads to decrease in mechanical strength of the tooth, increased breakage, discoloration (pigmentation and depigmentation).
The presence of irregularities that scatter the recess grooves. On cutters cutting edge reminiscent of cloves. Pigmentation of various kinds, often dark brown. In some cases, losing their luster, dull mottled enamel.
The presence of persistent structural changes in the enamel makes the prediction of adverse, especially when a large amount of hypoplasia.
Correct hygiene-diet regime pregnant woman and child. Special attention should be paid to adequate amounts of vitamin D, lime, phosphorus and fluorine in the diet, good ultraviolet irradiation. In areas where there is fluorosis due to the excessive content of fluoride in drinking water, it is necessary to provide the population with normal water with fluoride content of no higher than 1 to 2 mg per liter.
Fish oil, vitamin D. Diet therapy. Local flyuorizatsiya paste Lukomsky containing 75% sodium fluoride. Local and ultraviolet radiation.