Biomedical subjects

E J Etty

Publications and source records attributed to E J Etty.

6 recordsLinked to original sources

PubMed1994

Influence of oral hygiene on early enamel caries.

For 548 children aged 4-16 years, mean (+/- SD) age 10.3 +/- 2.7 at visit 1, the dental status was recorded at four consecutive 6-monthly visits. Simultaneously oral hygiene was scored according to a modified patient hygiene performance (PHP) index after application of disclosing solution and before the dental examination. The following cariogenic changes could be observed: initiation (white spot formation), progression (cavitation), stabilisation and regression (disappearance of a white spot). The PHP score was examined in relation to these changes in smooth surfaces, as well as in fissures. For fissures when oral hygiene worsened, stabilisation of a white spot increased significantly. Also, regression of a white spot into sound enamel increased with poor oral hygiene, but the significance was only marginal. White spots turning into cavities, however, did not change with poor oral hygiene. It was speculated that under low oral hygiene conditions the remaining plaque of children receiving intensive fluoride treatment can bind fluoride to the fissure surfaces, thereby promoting enamel maturation concomitant with stabilisation and regression of white spots, which in an earlier study were also found to be dependent on posteruptive age.

Adolescent↗

PubMed1990

Posteruptive age dependency of cariogenic changes in enamel of permanent teeth of children.

During a cariogenic attack at the enamel surface a white spot can be formed (initiation) or disappear (regression) or remain the same (stabilisation). In the present clinical study it was shown that at least regression and stabilisation depend significantly on the posteruptive age and may be associated therefore with changes in porosity or mineral composition in the young enamel surface after eruption. In contrast, the progression of a white spot towards a cavity, which took place in this study almost exclusively in the fissures, does not change with posteruptive age. An explanation for this may be that in such white spots remineralization is less effective due to retention of acids in the fissures. On the other hand, rapid development of a cavity from sound enamel within half a year decreased with posteruptive age.

Adolescent↗

PubMed1989

Use of fluoride by young children and prevalence of mottled enamel.

The prevalence of mottled enamel in the permanent dentition of children participating in a fluoride (F-) program at the dental school of the Vrije Universiteit (Amsterdam) was investigated in a study utilizing the Thylstrup-Fejerskov (TF) index. The randomly chosen children received a F- regime considered optimal by the Dutch Advisory Committee for Prevention of Oral and Dental Diseases. From the children examined (n = 83; 49 boys and 34 girls; mean age, 13 years and 5 months), 74% exhibited mottled enamel in a slight to moderate degree. More teeth were affected and the degree of mottling was higher when children started to use F- at an earlier age. Unintentional ingestion of toothpaste containing 0.15% F- during frequent toothbrushing in combination with the daily intake of F- tablets before the age of four may explain the high prevalence of mottled enamel. After these treatments, F- concentrations in plasma of young children can reach values which can directly affect the developing tooth germ.

Adolescent↗

PubMed1989

[Fluoride and mottled enamel].

The prevalence of mottled enamel in permanent teeth of children, visiting the pediatric clinic of the Dental School ACTA in Amsterdam and using fluoride, has been examined utilizing the Thylstrup-Fejerskov index for enamel fluorosis. Of all children examined (n = 83) 74% exhibited mottled enamel, varying from a very mild to a moderate degree. The amount and degree of mottling increased when children started using fluoride at an earlier age. A high frequency of toothbrushing along with a high concentration of 0.15% fluoride in toothpaste, in combination with ingesting fluoride tablets, may be responsible for the high prevalence of enamel fluorosis.

Child↗

PubMed1989

Prevalence of mottled enamel in permanent dentition of children participating in a fluoride programme at the Amsterdam dental school.

The prevalence of mottled enamel in the permanent dentition of children participating a fluoride (F-) programme at the Amsterdam Dental School has been investigated in a pilot study, utilizing the Thylstrup-Fejerskov (TF) index. From all children examined (n = 83) 74% exhibited mottled enamel, in a slight to moderate degree. More teeth were affected and the degree of mottling was higher when children started to use F- at an earlier age. Unintentional ingestion of toothpaste containing 0.15% F- during frequent tooth brushing in combination with the daily intake of F- tablets before the age of four may explain the high prevalence of mottled enamel.

Adolescent↗

PubMedDate not supplied

Influence of fluoride in saliva during the early cariogenic changes in the enamel of boys and girls.

In boys and girls cariogenic changes in the dental enamel in relation to fluoride (F-) concentrations in stimulated and unstimulated saliva were studied in a six-month period. Also the use of various types of applications of F- was assessed. No difference in the use of F- between boys and girls before and after the interval was observed. Also no clear differences were found between boys and girls in the levels of F- in both types of saliva, determined at the end of the six-month period. The most important finding was that for all children, a significantly positive relationship was found between the disappearance of white spots turning into sound enamel (regression) and the F-concentration in unstimulated saliva. In addition, girls who developed new white spots had higher levels of F-, but those who developed new cavities had lower F- levels in both types of saliva. Apparently F- can prevent dental caries by acting very early on remineralization and demineralization processes in enamel surfaces.

Adolescent↗