Prevalence of infraocclusion in primary molars and accompanying dental variations in a Turkish sample

Document Type : Original Article

Authors

1 Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Akdeniz University, Antalya, Turkey

2 Professor, Department of Pediatric Dentistry, School of Dentistry, Suleyman Demirel University, Isparta, Turkey

3 Specialist, Antalya Oral and Dental Health Center, Antalya, Turkey

Abstract

BACKGROUND AND AIM: Infraocclusion, a disorder of tooth eruption, can often be found with more than one different variation in a child. The objective of this study was to assess the prevalence and severity of infraocclusion and to investigate the selected dental variations associated with infraocclusion in the West Mediterranean region of Turkey.
METHODS: The sample consisted of 3,228 children aged 7-11 years. The prevalence and severity of infraocclusion and presence of other dental variations (tooth agenesis, supernumerary teeth (ST), dens invaginatus, and taurodontism) were determined by the examination of panoramic radiographies. The development degree of the corresponding permanent teeth was determined using the Nolla and Haavikko method. For statistical testing, the chi-square test was used to compare the data in SPSS software.
RESULTS: Infraocclusion was defined in 3.25% of the examined primary molars. There was no statistically significant difference in the prevalence of infraocclusion between girls (n = 51) and boys (n = 73) or between the right and left sides (P > 0.05). It was found that about half of the affected patients had two impacted molars. Infraocclusion had mainly affected the first mandibular molar. A dental variation was also found in addition to infraocclusion in 50.8% of the patients. It was observed that primary molars without successors had more severe infraocclusion. No difference in terms of tooth development was detected (P > 0.05).
CONCLUSION: Given the results of the present study, it was seen that half of the children with infraoccluded primary molar had additional dental variations. Therefore, all children in the mixed and primary dentition must be examined carefully for the infraocclusion of primary molars and accompanying dental variations. Early diagnosis and treatment may prevent the development of complications, so that the condition can be appropriately managed.

Keywords

Main Subjects


  1. Uloopi KS, Madhuri V, Gopal AS, Vinay C, Chandrasekhar R. Multiple unerupted permanent teeth associated with noonan syndrome. Ann Med Health Sci Res 2015; 5(4): 317-20.
  2. Frazier-Bowers SA, Puranik CP, Mahaney MC. The etiology of eruption disorders - further evidence of a 'genetic paradigm'. Semin Orthod 2010; 16(3): 180-5.
  3. de Moura MS, Pontes AS, Brito MH, de Deus ML, de Deus Moura de Lima, de Melo Simplicio AH. Restorative management of severely ankylosed primary molars. J Dent Child (Chic) 2015; 82(1): 41-6.
  4. Garcovich D, Aiuto R, Martin MA. Space regaining made easy: The case of a severely infraoccluded primary molar. Case Rep Dent 2019; 2019: 6916839.
  5. Tong A, Chow YL, Xu K, Hardiman R, Schneider P, Tan SS. Transcriptome analysis of ankylosed primary molars with infraocclusion. Int J Oral Sci 2020; 12(1): 7.
  6. Odeh R, Townsend G, Mihailidis S, Lahdesmaki R, Hughes T, Brook A. Infraocclusion: Dental development and associated dental variations in singletons and twins. Arch Oral Biol 2015; 60(9): 1394-402.
  7. Odeh R, Mihailidis S, Townsend G, Lahdesmaki R, Hughes T, Brook A. Prevalence of infraocclusion of primary molars determined using a new 2D image analysis methodology. Aust Dent J 2016; 61(2): 183-9.
  8. Antoniades K, Kavadia S, Milioti K, Antoniades V, Markovitsi E. Submerged teeth. J Clin Pediatr Dent 2002; 26(3): 239-42.
  9. Nirmala SV, Sandeep C, Sivakumar N, Babu MS, Lalitha V. Agenesis of premolar associated with submerged primary molar and a supernumerary premolar: An unusual case report. Contemp Clin Dent 2012; 3(Suppl 1): S99-S102.

10. Arhakis A, Boutiou E. Etiology, diagnosis, consequences and treatment of infraoccluded primary molars. Open Dent J 2016; 10: 714-9.

11. Proffit WR, Frazier-Bowers SA. Mechanism and control of tooth eruption: overview and clinical implications. Orthod Craniofac Res 2009; 12(2): 59-66.

12. Cobourne MT, Sharpe PT. Diseases of the tooth: The genetic and molecular basis of inherited anomalies affecting the dentition. Wiley Interdiscip Rev Dev Biol 2013; 2(2): 183-212.

13. Via WF. Submerged deciduous molars: Familial tendencies. J Am Dent Assoc 1964; 69: 127-9.

14. Cardoso SC, Maroto EM, Soledad Alvaro LM, Barberia LE. Primary molar infraocclusion: Frequency, magnitude, root resorption and premolar agenesis in a Spanish sample. Eur J Paediatr Dent 2014; 15(3): 258-64.

15. Peretz B, Absawi-Huri M, Bercovich R, Amir E. Inter-relations between infraocclusion of primary mandibular molars, tipping of adjacent teeth, and alveolar bone height. Pediatr Dent 2013; 35(4): 325-8.

  1. Al-Abdallah M, AlHadidi A, Hammad M, Al-Ahmad H, Saleh R. Prevalence and distribution of dental anomalies: A comparison between maxillary and mandibular tooth agenesis. Am J Orthod Dentofacial Orthop 2015; 148(5): 793-8.

17. Baccetti T. A controlled study of associated dental anomalies. Angle Orthod 1998; 68(3): 267-74.

18. Shalish M, Peck S, Wasserstein A, Peck L. Increased occurrence of dental anomalies associated with infraocclusion of deciduous molars. Angle Orthod 2010; 80(3): 440-5.

19. Brearley LJ, McKibben DH. Ankylosis of primary molar teeth. I. Prevalence and characteristics. ASDC J Dent Child 1973; 40(1): 54-63.

20. Nolla CM. The development of permanent teeth. J Dent Child 1960; 27: 254-66.

21. Haavikko K. The formation and the alveolar and clinical eruption of the permanent teeth. An orthopantomographic study. Suom Hammaslaak Toim 1970; 66(3): 103-70.

22. Kurol J. Infraocclusion of primary molars: An epidemiologic and familial study. Community Dent Oral Epidemiol 1981; 9(2): 94-102.

23. Kurol J, Thilander B. Infraocclusion of primary molars with aplasia of the permanent successor. A longitudinal study. Angle Orthod 1984; 54(4): 283-94.

24. Raducanu AM, Feraru V. Reimpaction of primary molars - epidemiological study, clinical cases. Oral Health Dent Manag 2005; 4(2): 28-35.

25. Shalish M, Har-Zion G, Zini A, Harari D, Chaushu S. Deep submersion: Severe phenotype of deciduous-molar infraocclusion with biological associations. Angle Orthod 2014; 84(2): 292-6.

26. McGeown M, O'Connell A. Management of primary molar infraocclusion in general practice. J Ir Dent Assoc 2014; 60(4): 192-8.