低出生体重儿和早产儿乳牙釉质发育缺陷与龋齿易感性的研究

Studies on developmental enamel defects in the primary dentition of children with histories of low birth weight and prematurity and their susceptibility to dental caries

目的从临床和实验研究两方面探讨乳牙釉质发育缺陷与龋齿易感性的关系。方法选择１７６例３～８岁的低出生体重儿和早产儿，分析乳牙釉质发育缺陷与龋齿的相关性；将４颗自然脱落的釉质发育不全乳前牙用于釉质溶解度的研究，比较发育不全部位和正常部位釉粉的溶解度。结果临床研究发现乳牙釉质发育缺陷与龋齿的发生显著相关；乳牙釉质混浊和釉质发育不全分别与龋齿的发生显著相关。溶解度研究发现发育不全的釉质溶解度大，且达到平衡的时间短。

Objective From the clinical and experimental aspects, to study the susceptibility of dental enamel defects to dental caries in the primary dentition.Methods One hundred and seventy six children (aged 3～8) with histories of low birth weight and premature birth were studied about the relationship of dental enamel defect to caries. Four exfoliated hypoplastic anterior deciduous teeth were studied about the solubility of dental enamel in order to compare the solubility of the defective enamel with that of the normal enamel in the same teeth.Results The prevalence of both enamel opacity and enamel hypoplasia was significantly interrelated to prevalence of dental caries in those particular teeth. The solubility of the hypoplastic enamel powder was higher than that of the normal enamel in the same teeth. It took shorter time for the hypoplastic enamel powder to attain an equilibrium than the normal did.Conclusion The defective enamel was much easier attacked by caries.