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Teeth displaying enamel hypoplasia lines, linear defects of enamel that form during crowns development as a result of periods of nutritional stress or disease during infancy and childhood Enamel hypoplasia is a risk factor for dental caries in children including early childhood caries (ECC), which continues to be a burden for many children.
Plane-form enamel hypoplasia is a dental condition that is distinguished by defects in the teeth enamel, that can occur due to genetic or environmental factors. It is common for the disease to occur during the developmental stages of the teeth, and childhood illnesses, such as respiratory infections, are often linked to disturbance of the enamel formation [5] [6].
Prevention of early childhood caries begins before the baby is born; women are advised to maintain a well-balanced diet of high nutritional value during pregnancy. [9] This is important since teeth start developing before birth if the diet is not sufficient, a condition called developmental dental defect may occur including enamel hypoplasia. [12]
Molar incisor hypomineralisation (MIH) is a type of enamel defect affecting, as the name suggests, the first molars and incisors in the permanent dentition. [1] MIH is considered a worldwide problem with a global prevalence of 12.9% and is usually identified in children under 10 years old. [2]
] It is the most common type of enamel hypoplasia reported in clinical and archaeological samples, with other types including plane-form enamel hypoplasia and pitting enamel hypoplasia. [12] Linear enamel hypoplasia can be caused by a variety of factors, from genetic conditions to malnutrition and illnesses during childhood.
Typically, all baby teeth will be present by the age of three. As for all adult teeth, they erupt between the ages 6 to 14, with the exception of the third molar, also known as the wisdom teeth which normally erupt between 17 and 25 years of age. If the tooth has yet to erupt by an appropriate age, panoramic x-rays are taken.
A residue may form on newly erupted teeth of both dentitions that may leave the teeth extrinsically stained. This green-gray residue, Nasmyth membrane, consists of the fused tissue of the reduced enamel epithelium and oral epithelium, as well as the dental cuticle placed by the ameloblasts on the newly formed outer enamel surface.
Sometimes, only a couple of ameloblasts stop forming enamel, leading to small PEH defects, with large pits forming when hundreds of these enamel-forming cells stop production. [6] This does not occur in other forms of enamel hypoplasia, such as linear and plane-form, in which all ameloblast activity is affected. [4]