Planning and Care for Children and Adolescents with Dental Enamel Defects : Etiology, Research and Contemporary Management

Defective development of tooth enamel or dentin is a significant dental problem for children and adolescents in various respects, and dentists and other oral health workers find managing these problems challenging and stressful. While a considerable amount of relevant research is currently being undertaken, much further investigation is needed. This book discusses the known causes of defective dental enamel and explains why it is so difficult to restore. Most importantly, it presents the signs and symptoms that allow accurate diagnosis and documents the best contemporary management. The full range of enamel defects is considered, including defects in primary teeth and permanent teeth, associated syndromes, molar incisor hypomineralization, and genetic defects. The clinical chapters are well illustrated, providing clear guidelines for each procedure. In addition, avenues for future research are identified, with explanation of their rationale. Developmental Defects of Enamel (DDE) pose a significant dental problem for children and adolescents. Affected teeth are discolored, often sensitive and prone to fracture or wear easily, increasing the risk of dental caries. Furthermore, they are often very difficult to restore because conventional dental materials do not bond effectively to the defective enamel. Clinically, affected individuals have heightened levels of dental anxiety making management challenging and stressful for the child, parent and clinician alike. This book discusses the epidemiology and etiology of DDE, including defects of both primary and permanent teeth, associated syndromes, Molar Incisor Hypomineralization and more generalized genetic defects. The structure and mechanical properties of affected enamel are discussed particularly in relation to clinical behavior. The signs and symptoms that allow accurate diagnosis are outlined and management protocols described. The clinical chapters are well illustrated, providing clear, evidence based guidelines where appropriate. Importantly the impact of living with DDE is explored from the young person’s perspective. These insights challenge the dental profession to seek improved understanding of the condition and to develop new management strategies. Avenues for future research are identified that may help the profession rise to this challenge and to better meet the needs and expectations of future generations of children and adolescents Front Matter....Pages i-xvi Dental Enamel Defects in the Primary Dentition: Prevalence and Etiology....Pages 1-14 Enamel Defects in the Permanent Dentition: Prevalence and Etiology....Pages 15-30 Molar Incisor Hypomineralization and Hypomineralized Second Primary Molars: Diagnosis, Prevalence, and Etiology....Pages 31-44 Syndromes and Diseases Associated with Developmental Defects of Enamel....Pages 45-58 Amelogenesis Imperfecta: Current Understanding of Genotype-Phenotype....Pages 59-72 Molar Incisor Hypomineralization: Structure, Composition, and Properties....Pages 73-84 The Psychosocial Impacts of Developmental Enamel Defects in Children and Young People....Pages 85-97 Examination and Treatment Planning for Hypomineralized and/or Hypoplastic Teeth....Pages 99-112 Managing the Prevention of Dental Caries and Sensitivity in Teeth with Enamel Defects....Pages 113-122 Restorative Management of Dental Enamel Defects in the Primary Dentition....Pages 123-137 Restorative Management of Permanent Teeth Enamel Defects in Children and Adolescents....Pages 139-155 Future Possibilities for Managing Dental Enamel Defects: Recent and Current Research Approaches....Pages 157-167 Final Comments....Pages 169-170 Back Matter....Pages 171-175 Bernadette K. Drummond, Nicola Kilpatrick, Editors. Includes Bibliographical References And Index. Mode Of Access: World Wide Web.