PREVALENCE OF NON-VITAL MOLARS AND INCISORS IN CHILDREN- A RETROSPECTIVE STUDY
DOI:
https://doi.org/10.61841/k835ht38Keywords:
Children; Dental Trauma; Dental Caries; Non Vital Teeth; PrevalenceAbstract
Non vital teeth are irreversibly damaged to the pulp which may be associated with necrotic pulp, pulpless or
immature permanent teeth. A dead tooth can be differentiated with a decrease in lightlessness and it is more
saturated. Trauma, untreated dental cavities are the most common cause of non-vitality which gradually causes
infection and the tooth eventually dies. The aim of this study is to investigate the prevalence of non vital incisors
and molars in children. Data collection was done in a private dental university setting. 557 case records were
reviewed from which 70 patients were selected fulfilling the inclusion and exclusion criteria.The molars and
incisors of those patients were reviewed from records i.e 1120 teeth, from which 96 incisors and molars was
found non vital. The following parameters were evaluated based on the dental records : age, gender, non vital
molar or incisor and presence of pain or discolouration if any all those datas were gathered. Excel tabulation
and SPSS version 23 was used and data was subjected to analysis. Chi square test was done. The level of
significance set at p<0.05. The results proved that overall prevalence of non vital incisors and molars was 8.6%
.Male (75%) had a higher prevalence of non vital incisors and molars than females (25%). The prevalence of
non vital teeth among the children peaked at the age groups of 11-14 years. The most frequent associated non
vital teeth were found to be 11 and 21. Statistically significant differences between age groups and non vital
teeth showed a higher proportion of 11-14 years old patients were associated with non vital teeth than other age
groups (p<0.05). Within the limits of this study, overall prevalence of non vital incisors and molars in 8 to 18 year old children was 8.6% The highest prevalence of non-vital molars and incisors exhibited in males within the age group of 11-14 years. The most frequently associated non vital teeth were found to be 11 and 21. Male had greater prevalence of non vitality when compared with females. As most of the non vital teeth were found to be asymptomatic,there is a need for regular dental visits which may eliminate the future tooth loss in children
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References
[1] Ng Y-L, Mann V, Gulabivala K. Outcome of secondary root canal treatment: a systematic review of the
literature. Int Endod J [Internet]. 2008 Dec;41(12):1026–46. Available from:
http://dx.doi.org/10.1111/j.1365-2591.2008.01484.x
[2] Abernathy JR, Graves RC, Greenberg BG, Bohannan HM, Disney JA. Application of life table
methodology in determining dental caries rates. Community Dent Oral Epidemiol [Internet]. 1986
Oct;14(5):261–4. Available from: http://dx.doi.org/10.1111/j.1600-0528.1986.tb01068.x
[3] Jeevanandan G. Kedo-S Paediatric Rotary Files for Root Canal Preparation in Primary Teeth - Case
Report. J Clin Diagn Res [Internet]. 2017 Mar;11(3):ZR03–5. Available from:
http://dx.doi.org/10.7860/JCDR/2017/25856.9508
[4] Govindaraju L, Jeevanandan G, Subramanian EMG. Comparison of quality of obturation and
instrumentation time using hand files and two rotary file systems in primary molars: A single-blinded
randomized controlled trial. Eur J Dent [Internet]. 2017 Jul;11(3):376–9. Available from:
http://dx.doi.org/10.4103/ejd.ejd_345_16
[5] Benn DK, Watson TF. Changes in the distribution of decayed and filled tooth surfaces and the
progression of approximal caries in children between the ages of 11-12 years and 15-16 years. Br Dent J
[Internet]. 1988 Jun 25;164(12):377. Available from: http://dx.doi.org/10.1038/sj.bdj.4806466
[6] Cheng R-B, Tao W, Zhang Y, Cheng M, Li Y. [Analysis of the first permanent molar caries
epidemiological investigation in an area of northeast China]. Hua Xi Kou Qiang Yi Xue Za Zhi [Internet].
2008 Feb;26(1):73–6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18357890
[7] Noronha JC, Massara M de L, Souki BQ, Nogueira AP. First permanent molar: first indicator of dental
carries activity in initial mixed dentition. Braz Dent J [Internet]. 1999;10(2):99–104. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/10863396
[8] Albadri S, Zaitoun H, McDonnell ST, Davidson LE. Extraction of first permanent molar teeth: results
from three dental hospitals. Br Dent J [Internet]. 2007 Oct 13;203(7):E14; discussion 408–9. Available
from: http://dx.doi.org/10.1038/bdj.2007.679
[9] Somasundaram S, Ravi K, Rajapandian K, Gurunathan D. Fluoride Content of Bottled Drinking Water in
Chennai, Tamil Nadu. J Clin Diagn Res [Internet]. 2015 Oct;9(10):ZC32–4. Available from:
[10] Jeevanandan G, Govindaraju L. Clinical comparison of Kedo-S paediatric rotary files vs manual
instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial
[Internet]. Vol. 19, European Archives of Paediatric Dentistry. 2018. p. 273–8. Available from:
http://dx.doi.org/10.1007/s40368-018-0356-6
[11] William V, Messer LB, Burrow MF. Molar incisor hypomineralization: review and recommendations for
clinical management. Pediatr Dent [Internet]. 2006 May;28(3):224–32. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/16805354
[12] Govindaraju L, Jeevanandan G, Subramanian EMG. Knowledge and practice of rotary instrumentation in
primary teeth among indian dentists: A questionnaire survey [Internet]. Vol. 9, Journal of International
Oral Health. 2017. p. 45. Available from: http://dx.doi.org/10.4103/jioh.jioh_4_17
[13] Gabris K, Tarjan I, Rozsa N. Dental trauma in children presenting for treatment at the Department of
Dentistry for Children and Orthodontics, Budapest, 1985-1999 [Internet]. Vol. 17, Dental Traumatology.
2001. p. 103–8. Available from: http://dx.doi.org/10.1034/j.1600-9657.2001.017003103.x
[14] Rajab LD. Traumatic dental injuries in children presenting for treatment at the Department of Pediatric
Dentistry, Faculty of Dentistry, University of Jordan, 1997-2000 [Internet]. Vol. 19, Dental
Traumatology. 2003. p. 6–11. Available from: http://dx.doi.org/10.1034/j.1600-9657.2003.00131.x
[15] Jokic NI, Bakarcic D, Fugosic V, Majstorovic M, Skrinjaric I. Dental trauma in children and young
Adults visiting a University Dental Clinic [Internet]. Vol. 25, Dental Traumatology. 2009. p. 84–7.
Available from: http://dx.doi.org/10.1111/j.1600-9657.2008.00711.x
[16] Eilert-Petersson E Andersson L Sorensen. Traumatic oral vs non-oral injuries. An epidemiological study
during one year in a Swedish county. Swed Dent J. 1997;21:55–68.
[17] Marcenes W, Al Beiruti N, Tayfour D, Issa S. Epidemiology of traumatic injuries to the permanent
incisors of 9-12-year-old schoolchildren in Damascus, Syria [Internet]. Vol. 15, Dental Traumatology.
1999. p. 117–23. Available from: http://dx.doi.org/10.1111/j.1600-9657.1999.tb00767.x
[18] Govindaraju L, Jeevanandan G, Subramanian E. Clinical Evaluation of Quality of Obturation and
Instrumentation Time using Two Modified Rotary File Systems with Manual Instrumentation in Primary
Teeth. J Clin Diagn Res [Internet]. 2017 Sep;11(9):ZC55–8. Available from:
http://dx.doi.org/10.7860/JCDR/2017/30069.10602
[19] Panchal V, Jeevanandan G, Subramanian E. Comparison of instrumentation time and obturation quality
between hand K-file, H-files, and rotary Kedo-S in root canal treatment of primary teeth: A randomized
controlled trial. J Indian Soc Pedod Prev Dent [Internet]. 2019 Jan;37(1):75–9. Available from:
http://dx.doi.org/10.4103/JISPPD.JISPPD_72_18
[20] Granville-Garcia AF, de Menezes VA, de Lira PIC. Dental trauma and associated factors in Brazilian
preschoolers [Internet]. Vol. 22, Dental Traumatology. 2006. p. 318–22. Available from:
http://dx.doi.org/10.1111/j.1600-9657.2005.00390.x
[21] Årtun J, Behbehani F, Al-Jame B, Kerosuo H. Incisor trauma in an adolescent Arab population:
Prevalence, severity, and occlusal risk factors [Internet]. Vol. 128, American Journal of Orthodontics and
Dentofacial Orthopedics. 2005. p. 347–52. Available from: http://dx.doi.org/10.1016/j.ajodo.2004.06.032
[22] Christabel SL, Linda Christabel S. Prevalence of Type of Frenal Attachment and Morphology of Frenum
in Children, Chennai, Tamil Nadu [Internet]. Vol. 6, World Journal of Dentistry. 2015. p. 203–7.
Available from: http://dx.doi.org/10.5005/jp-journals-10015-1343
[23] Traebert J, Bittencourt DD, Peres KG, Peres MA, de Lacerda JT, Marcenes W. Aetiology and rates of
treatment of traumatic dental injuries among 12-year-old schoolchildren in a town in southern Brazil
[Internet]. Vol. 22, Dental Traumatology. 2006. p. 173–8. Available from:
http://dx.doi.org/10.1111/j.1600-9657.2006.00359.x
[24] Ravikumar D, Jeevanandan G, Subramanian EMG. Evaluation of knowledge among general dentists in
Treatment of traumatic injuries in primary teeth: A cross-sectional questionnaire study. Eur J Dent
[Internet]. 2017 Apr;11(2):232–7. Available from: http://dx.doi.org/10.4103/ejd.ejd_357_16
[25] Govindaraju L, Gurunathan D. Effectiveness of Chewable Toothbrush in Children-A Prospective
Clinical Study. J Clin Diagn Res [Internet]. 2017 Mar;11(3):ZC31–4. Available from:
http://dx.doi.org/10.7860/JCDR/2017/24238.9528
[26] Packiri S, Gurunathan D, Selvarasu K. Management of Paediatric Oral Ranula: A Systematic Review. J
Clin Diagn Res [Internet]. 2017 Sep;11(9):ZE06–9. Available from:
http://dx.doi.org/10.7860/JCDR/2017/28498.10622
[27] American Academy of Pediatric Dentistry. Guideline on pulp therapy for primary and immature
permanent teeth. Ped Dent Ref Manu. 2011;33:194–201.
[28] Chen J-W, Leggitt VL. Pulp treatment for young first permanent molars: To treat or to extract? [Internet].
Vol. 23, Endodontic Topics. 2010. p. 34–40. Available from: http://dx.doi.org/10.1111/etp.12002
[29] Subramanyam D, Gurunathan D, Gaayathri R, Vishnu Priya V. Comparative evaluation of salivary
malondialdehyde levels as a marker of lipid peroxidation in early childhood caries [Internet]. Vol. 12,
European Journal of Dentistry. 2018. p. 067–70. Available from:
http://dx.doi.org/10.4103/ejd.ejd_266_17
[30] Fluoride, Fluoridated Toothpaste Efficacy And Its Safety In Children - Review [Internet]. Vol. 10,
International Journal of Pharmaceutical Research. 2018. Available from:
http://dx.doi.org/10.31838/ijpr/2018.10.04.017
[31] Zaleckiene V, Peciuliene V, Brukiene V, Drukteinis S. Traumatic dental injuries: etiology, prevalence
and possible outcomes. Stomatologija [Internet]. 2014;16(1):7–14. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/24824054
[32] Nair M, Jeevanandan G, Vignesh R, Subramanian EMG. Comparative evaluation of post-operative pain
after pulpectomy with k-files, kedo-s files and mtwo files in deciduous molars—-a randomized clinical
trial [Internet]. Vol. 21, Brazilian Dental Science. 2018. p. 411. Available from:
http://dx.doi.org/10.14295/bds.2018.v21i4.1617
[33] Gurunathan D, Shanmugaavel AK. Dental neglect among children in Chennai. J Indian Soc Pedod Prev
Dent [Internet]. 2016 Oct;34(4):364–9. Available from: http://dx.doi.org/10.4103/0970-4388.191420
[34] Duggal M, Jinn Tong H, Al-Ansary M, Twati W, Day PF, Nazzal H. Erratum to: Interventions for the
endodontic management of non-vital traumatised immature permanent anterior teeth in children and
adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric
Dentistry [Internet]. Vol. 18, European Archives of Paediatric Dentistry. 2017. p. 153–153. Available
from: http://dx.doi.org/10.1007/s40368-017-0292-x
[35] Oa EM, El Meligy OA, Al Nowaiser AM, Al Sheikh LA, Caliwag NO. Decision-making in the
Management of Badly Decayed First Permanent Molars in Children and Adolescents [Internet]. Vol. 2,
Journal of Dentistry and Oral Care Medicine. 2016. Available from: http://dx.doi.org/10.15744/2454-
3276.2.302
[36] Farhat Yaasmeen Sadique Basha , Rajeshkumar S , Lakshmi T, Anti-inflammatory activity of Myristica
fragrance extract. Int. J. Res. Pharm. Sci., 2019; 10(4), 3118-3120 DOI:
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