Dentists warn of a new disease

For a long time, caries was the biggest Problem in the mouths of the students in Germany. But now dentists are a completely different clinical picture reason to worry: more and more children suffer from porous teeth in which the tooth enamel is not properly formed. In a recent press release, the German society of Dental oral and craniomandibular Sciences (DGZMK) warns of a new national disease.

In the case of the so-called molar-inclined incisors-Hypomineralisation – short-MIH – tracks, the teeth are already damage your way through the jaw into the oral cavity. In some children the disorder shows itself at first only by the appearance of spots on the surface of the teeth. Others suffer from the additional heat and touch sensitivity. In the worst case, the teeth are so porous, that part is lost already during the penetration of the jaw.

According to recent studies, about ten to 15 percent of all children develop in Germany, the disease. In the case of the twelve-year-olds, the rate of German oral health study revealed that more than 30 percent. “Based on the oral health and quality of life of the children, MIH is now a bigger Problem than tooth decay in this age group,” says Norbert Krämer of the University of Giessen.

Since 1987 only known

Most MIH relates to one or more cheek teeth. Rare the porous enamel but can also occur in the case of cutting or milk on the teeth. To diagnose the disease, a well-trained eye in the mouth. Chalk teeth have whitish-cream colored to yellowish-brown spots. The darker the colour, the more porous the enamel. A Tooth enters the cave healthy in the mouth, there is no longer a danger.

Light (left) and heavy (right) shape of the MIH

Although the number of people Affected is growing, knowledge of physicians so far, only little is known about the disease. Scientifically described for the first time in 1987, with a single name for you since a conference in the year 2001. “It is still a very young disease,” says Krämer. “As I was trained in the eighties, was more of the issue, if anyone has seen such teeth before.” Today chalk, teeth were everywhere.

Nevertheless, the Problem is often ignored, says Krämer. “It would have to be urgently researched. But there are always less chairs for children’s dentistry in Germany.” Especially the cause of the porous teeth is to puzzle. Sure is only, that the enamel of the affected teeth are developed in the period between the eighth month of pregnancy and the child’s fourth birthday. The first year of life seems to be for the malformation to be crucial. Then, probably, several factors must come together in order to MIH.

Materials made of plastic as a trigger?

“Recent studies suggest that Bisphenol A plays in the emergence of a large role,” says Krämer. In experiments with rats, the animals developed after the administration of the substance to porous teeth. Bisphenol A is used as a plasticizer in plastic, in baby bottles has been banned since 2011. “For me, fabrics made from plastic would be the number one trigger, but also very plausible,” says Krämer, with a view to the young history of the disease. “In this regard, has changed our behavior in the past few years. Today, even the organic packaged-cucumber in plastic.”

Still, it was only suspicion, restricts the expert. In addition, among other things, infectious diseases, antibiotics, chicken pox, influences due to environmental toxins such as Dioxin, problems during pregnancy, or diseases of the upper respiratory tract as a possible trigger imaginable.

The Problem: as Long as Doctors do not know the exact cause, you can’t prevent. What are the consequences of that, I had to Krämer, the President of the German society for pediatric dentistry observe, even in his own family: his granddaughter, the physician discovered porous molars in the milk dentition.

Tooth decay avoid teeth

A child MIH, the treatment aims currently, tooth decay away. In the porous surface of the affected teeth, harmful bacteria can settle particularly well. Add to that the rough surface let worse clean and the touch is sensitive, writes Stefan Zimmer, Professor at the University of Witten/Herdecke and President of the German society for Preventive dentistry, in a Statement. The more difficult oral hygiene.

In order to protect the teeth from decay, advises the expert, especially to fluoride in the Form of toothpaste, enriched salt, a special varnish or mouth rinses. The trace element found naturally in Tooth. It ensures that minerals can be stored in the melt and as a Film on the Tooth. In addition, dentists can seal the Grooves of teeth with plastic. The teeth are attacked by extremely and pieces of leaves, crowns are necessary.

Whether a child is suffering from MIH, is best at the age of eight years to investigate. At this time, the body is pushed in, as a rule, all jaws and cutting teeth are completely in the oral cavity. In severe forms can make the problems even earlier noticeable when the teeth the jaw break through.

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