Analysis of the mineral composition of hypomineralized first permanent molars

Background/Aim. Hypomineralization of molars and incisors (molar-incisor hypomineralization - MIH) is defined as enamel hypomineralization of systemic origin of one or more of the four first permanent molars, which may be associated with changes in the maxillary, and less frequently in the...

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Main Authors: Martinović Brankica, Ivanović Mirjana, Milojković Zoraida, Mladenović Raša
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2015-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500071M.pdf
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author Martinović Brankica
Ivanović Mirjana
Milojković Zoraida
Mladenović Raša
author_facet Martinović Brankica
Ivanović Mirjana
Milojković Zoraida
Mladenović Raša
author_sort Martinović Brankica
collection DOAJ
description Background/Aim. Hypomineralization of molars and incisors (molar-incisor hypomineralization - MIH) is defined as enamel hypomineralization of systemic origin of one or more of the four first permanent molars, which may be associated with changes in the maxillary, and less frequently in the permanent mandibular incisors. The aim of this study was to investigate the mineral content in hypomineralized teeth as a contribution to under-standing the origin of these changes, which will be important for effective restorative approach. Methods. A total of 10 extracted first permanent molars diagnosed with MIH were used in the study as the experimental group, and intact first premolars extracted for orthodontic reasons were used as the control group. A certain surface of hypomineralized аnd healthy enamel and dentin was analyzed using a scanning electron microscope equipped with an energydispersive spectrometer (SEM/EDS). Results. By conducting quantitative chemical analysis of the distribution of the basic chemical elements, it was found that the concentration of calcium (Ca) and phosphorus (P) was significantly higher in healthy enamel (Ca = 28.80 wt%, and P = 15.05 wt%) compared to hypomineralized enamel (Ca = 27.60 wt% and P = 14.32 wt%). Carbon (C) concentration was statistically significantly higher in hypomineralized enamel (C = 11.70 wt%) compared to healthy enamel (C = 10.94 wt%). Hypomineralized and healthy enamel did not differ significantly regarding the ratio of calcium and phosphorus concentrations whereas the ratio of calcium and carbon concentrations was statistically significantly higher in healthy enamel compared to hypomineralized enamel. Conclusion. Concentration of the main chemical elements, primarily calcium and phosphorus, is significantly reduced in hypomineralized enamel whereas carbon concentration is increased compared to healthy enamel.
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spelling doaj.art-bdfc6949cefa4d66859ea2a68c6eb6e32022-12-22T02:52:52ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202015-01-01721086486910.2298/VSP140310071M0042-84501500071MAnalysis of the mineral composition of hypomineralized first permanent molarsMartinović Brankica0Ivanović Mirjana1Milojković Zoraida2Mladenović Raša3University of Priština, Faculty of Medicine, Department of Dentistry, Kosovska Mitrovica, SerbiaUniversity of Belgrade, Faculty of Dental Medicine, Department of Preventive Dentistry and Pedodontics, Belgrade, SerbiaUniversity of Priština, Faculty of Medicine, Department of Dentistry, Kosovska Mitrovica, SerbiaUniversity of Priština, Faculty of Medicine, Department of Dentistry, Kosovska Mitrovica, SerbiaBackground/Aim. Hypomineralization of molars and incisors (molar-incisor hypomineralization - MIH) is defined as enamel hypomineralization of systemic origin of one or more of the four first permanent molars, which may be associated with changes in the maxillary, and less frequently in the permanent mandibular incisors. The aim of this study was to investigate the mineral content in hypomineralized teeth as a contribution to under-standing the origin of these changes, which will be important for effective restorative approach. Methods. A total of 10 extracted first permanent molars diagnosed with MIH were used in the study as the experimental group, and intact first premolars extracted for orthodontic reasons were used as the control group. A certain surface of hypomineralized аnd healthy enamel and dentin was analyzed using a scanning electron microscope equipped with an energydispersive spectrometer (SEM/EDS). Results. By conducting quantitative chemical analysis of the distribution of the basic chemical elements, it was found that the concentration of calcium (Ca) and phosphorus (P) was significantly higher in healthy enamel (Ca = 28.80 wt%, and P = 15.05 wt%) compared to hypomineralized enamel (Ca = 27.60 wt% and P = 14.32 wt%). Carbon (C) concentration was statistically significantly higher in hypomineralized enamel (C = 11.70 wt%) compared to healthy enamel (C = 10.94 wt%). Hypomineralized and healthy enamel did not differ significantly regarding the ratio of calcium and phosphorus concentrations whereas the ratio of calcium and carbon concentrations was statistically significantly higher in healthy enamel compared to hypomineralized enamel. Conclusion. Concentration of the main chemical elements, primarily calcium and phosphorus, is significantly reduced in hypomineralized enamel whereas carbon concentration is increased compared to healthy enamel.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500071M.pdftooth demineralizationmolardental enameldentinelementsmicroscopyelectronscanning
spellingShingle Martinović Brankica
Ivanović Mirjana
Milojković Zoraida
Mladenović Raša
Analysis of the mineral composition of hypomineralized first permanent molars
Vojnosanitetski Pregled
tooth demineralization
molar
dental enamel
dentin
elements
microscopy
electron
scanning
title Analysis of the mineral composition of hypomineralized first permanent molars
title_full Analysis of the mineral composition of hypomineralized first permanent molars
title_fullStr Analysis of the mineral composition of hypomineralized first permanent molars
title_full_unstemmed Analysis of the mineral composition of hypomineralized first permanent molars
title_short Analysis of the mineral composition of hypomineralized first permanent molars
title_sort analysis of the mineral composition of hypomineralized first permanent molars
topic tooth demineralization
molar
dental enamel
dentin
elements
microscopy
electron
scanning
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500071M.pdf
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AT ivanovicmirjana analysisofthemineralcompositionofhypomineralizedfirstpermanentmolars
AT milojkoviczoraida analysisofthemineralcompositionofhypomineralizedfirstpermanentmolars
AT mladenovicrasa analysisofthemineralcompositionofhypomineralizedfirstpermanentmolars