Tooth mineral density of different types of hypomineralised molars: a micro-CT analysis
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This study sought to evaluate the tooth mineral density (TMD) for the different lesion types in hypomineralised first permanent molars (FPMs) and compare them to unaffected enamel in clinically sound FPMs.
Eighteen FPMs with varying degrees of hypomineralised enamel were grouped into brown, yellow/creamy and white lesion types. Micro-CT was used to determine the TMD for each lesion type, and for unaffected enamel at different locations in the outer, middle, and inner-third of the enamel.
The average TMD for brown, yellow/creamy, white and unaffected enamel was 1.79, 2.21, 2.43 and 2.46 g/cm3, respectively. Brown and yellow/creamy lesions exhibited a statistically significant difference when compared to white lesions and unaffected enamel. However, no statistical difference was evident in TMD between white lesions and unaffected enamel. The TMD increased from the outer-third to inner-third for brown and yellow/creamy lesions (p < 0.05), while in white lesions and unaffected enamel, the TMD decreased from the outer-third to inner-third (p < 0.05).
TMD was lowest for brown lesions followed by yellow/creamy lesions while the TMD for white lesions was similar to unaffected enamel.
KeywordsHypomineralisation Tooth mineral density Permanent molars Molar-incisor hypomineralisation
The authors acknowledge the facilities, and the scientific and technical assistance of the National Imaging Facility at the Centre for Microscopy, Characterisation and Analysis, and University of Western Australia, a facility funded by the University, State and Commonwealth Governments. The authors would also wish to sincerely thank the Australian Dental Research Foundation for its financial support of this research.
Compliance with ethical standards
Conflict of interest
The authors declare no conflict of interest.
This research is supported by the Australian Dental Research Fund.
- Commission on Oral Health Report. A review of the developmental defects of enamel index (DDE Index). Int Dent J. 1992;42:411–26.Google Scholar
- Farah RA, Drummond BK, Swain MV, Williams S. Linking the clinical presentation of molar-incisor hypomineralisation to its mineral density. Int J Paediatr Dent. 2010b;36:915–21.Google Scholar
- Garot E, Rouas P, D’Incau E, et al. Mineral density of hypomineralised and sound enamel. Bull Group Int Rech Sci Stomatol Odontol. 2016;53:33–6.Google Scholar
- Oliver K, Messer LB, Manton DJ, et al. Distribution and severity of molar hypomineralisation: trial of a new severity index. Int Dent J. 2014;24:131–51.Google Scholar
- Weerheijm KL, Duggal M, Mejare I, et al. Judgement criteria for molar incisor hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003. Eur Arch Paediatr Dent. 2006;4:110–3.Google Scholar