Abnormal pulp calcification in primary molars after fluoride supplementation.

Abstract

Forty-five caries-free primary molars from children with continuous fluoride supplementation (n = 28) after birth and from children without fluoride prophylaxis (n = 17) were investigated by light microscopy. The following results were obtained: The prophylaxis group evidenced a special form of calcification consisting of fibrodentin-like hard tissue developing intramurally in the dentin wall especially at the pulp floor and spreading irregularily into the pulp cavity by displacing the degenerating pulp tissue (n = 24). These teeth were ankylosed in the bi- and trifurcation area as well as inside the roots. This kind of hard tissue was not observed in the teeth from untreated children. Only 5 children had greater calcifications attached at the pulp wall. Nevertheless, this difference was statistically significant (p = 0.001) and indicates a relationship between fluoride prophylaxis, the special form of pulp calcification and tooth ankylosis.

• Authors: Eva-Andrea Holtgrave, Werner Hopfenmüller, Sandra Ammar
• Journal: ASDC journal of dentistry for children (ASDC J Dent Child) 2002 May-Aug Vol. 69 Issue 2 Pg. 201-6, 126 ISSN: 1945-1954 [Print] United States
• PMID: 12515068 (Publication Type: Journal Article)

Chemical References

• Cariostatic Agents
• Fluorides

Topics

• Adolescent
• Cariostatic Agents (adverse effects)
• Case-Control Studies
• Child
• Dental Pulp Calcification (chemically induced, complications, pathology)
• Dietary Supplements (adverse effects)
• Female
• Fluorides (adverse effects)
• Humans
• Male
• Molar (drug effects)
• Tooth Ankylosis (etiology)
• Tooth, Deciduous (drug effects)