Developmental Defect of Enamel in Permanent Teeth Associated With Chronic Endodontic Abscess in Deciduous Teeth: A Retrospective Study

TL;DR

This study shows that chronic abscesses in baby molars increase the risk of enamel defects in adult premolars, with maxillary teeth being more affected.

Contribution

The study identifies a link between chronic abscesses in deciduous teeth and enamel defects in permanent teeth, comparing treatment effects and anatomical differences.

Findings

Endodontic abscesses in deciduous molars significantly increase the risk of developmental enamel defects in permanent premolars.

Endodontic treatment of deciduous molars is associated with higher DDE prevalence compared to surgical extraction.

Maxillary premolars show a higher prevalence of DDE than mandibular premolars.

Abstract

Destructive carious lesions on deciduous teeth often result in dental abscesses. Sometimes, the exudative process may extend to the dental follicle of the permanent tooth, leading to various types of consequences. This study primarily seeks to determine the prevalence of developmental defects of enamel (DDE) in premolars whose predecessors developed endodontic abscesses. Furthermore, it investigates how the prevalence of DDE is influenced by the type of treatment the affected deciduous molar received. Lastly, the study compares the prevalence of DDE between maxillary and mandibular premolars.

Demographics, medical and dental history, and records of DDE were extracted from the medical records of 1164 pediatric patients. DDE of 107 premolars from patients who had experienced abscesses in their deciduous molars were compared to DDE of 107 premolars from patients who naturally shed healthy deciduous molars. DDE were also compared between different treatment modalities and anatomical regions. Fisher's exact tests were used to compare groups, while demographic data were analyzed by descriptive statistics and reported as mean ± standard deviation or as median and interquartile range for the continuous variables.

Compared to premolars whose predecessors did not exhibit signs of pathology, those that developed endodontic abscesses reported a higher prevalence of DDE (57% vs. 17.8%; OR 6.14; p < 0.0001). Endodontic treatment on deciduous molars was associated with higher DDE prevalence compared to surgical treatment (70.2% vs. 46.7%; OR 2.69; p = 0.016). Maxillary premolars showed a higher prevalence of DDE compared to mandibular premolars (75.4% vs. 24.6%; OR 5.23; p = 0.00008).

Chronic endodontic abscess on deciduous molars significantly increases the risk of DDE in the corresponding premolars. ET on deciduous molars is associated with higher incidence of DDE compared to extraction. Maxillary premolars are more likely to develop DDE than mandibular premolars.

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