Yeast hypoplasia: Causes, treatment, and prevention.

Enamel hypoplasia can be a lifelong condition that affects the quality and quantity of enamel. Yeast hypoplasia can lead to many conditions that require multiple treatments. It could be: fillings, crowns and even extractions. To understand what causes enamel hypoplasia and how to treat and prevent it, we need to know how enamel works. Why it doesn't always form correctly enamel. Join SignsSymptomsList to learn more about enamel hypoplasia and how dentists treat it.

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1. What is enamel?

Enamel is the hard outer protective layer of teeth. This is the hardest part of your body; acts like a suit of armor protecting the soft and sensitive areas. Tooth enamel helps protect you from hot and cold stimuli that cause pain. This protective coating also helps to resist physical forces applied to the teeth.

Unfortunately, tooth enamel is almost 90% mineral. They are soluble in acidic media. When we eat highly acidic foods like fruit or candy, the bacteria in our mouth turn it into lactic acid, which can wear down tooth enamel. Once your protective enamel is gone, it cannot be restored. That is why many dentists emphasize good oral hygiene from a young age to keep the enamel strong. However, children and adults do not always have the right amount of enamel. fit. This condition that occurs is called yeast hypoplasia.

2. What is yeast hypoplasia?

Enamel hypoplasia is a lack of enamel that leaves teeth vulnerable to damage and decay. Usually presents as grooves, pits or lines in the tooth, on the surface or at certain points. Depending on the severity, enamel hypoplasia can look like a small indentation in one tooth, or on multiple teeth in the mouth. There may be discoloration in one area of ​​the tooth, or the entire tooth may turn dark brown.

Although enamel hypoplasia can occur in both primary and adult teeth, it usually develops before the age of three. When baby teeth are erupting, the enamel is still soft and weak, creating an opportunity for early damage.

Yeast hypoplasia: Causes, treatment, and prevention.

3. Causes and classification of yeast hypoplasia

According to the cause, yeast hypoplasia can be classified: genetic and environmental.

3.1. Hereditary yeast hypoplasia

Often in hereditary enamel hypoplasia, both primary and adult teeth are affected. Genetic defects cause enamel to miss one of three key developmental stages: formation, mineralization, and maturation. When the enameling process cannot develop fully, the enamel becomes brittle and prone to cracking, or soft and easily worn. In hereditary cases, there is no way to prevent yeast hypoplasia. Children will have to have their teeth treated when they start to grow and show signs of defects.

Congenital hypoplasia may occur singly; or be part of a syndrome that affects other parts of the body.

Other genetic syndromes that can cause enzyme hypoplasia are:

  • Usher
  • Seckel
  • Ellis-van Creveld
  • Treacher Collins
  • Psychiatric syndrome
  • 22q11 syndrome (myocardial syndrome)
  • Heimler

3.2. Yeast hypoplasia due to environment

In most cases, yeast hypoplasia is preventable; if it is the result of environmental factors acting during tooth development. According to the European Council of Pediatric Dentistry, environmental factors in childhood can affect baby teeth, permanent teeth, or both. These changes can happen: in the womb, during childbirth, and in the months after birth.

Yeast hypoplasia can also be caused by prenatal problems such as:

  • Mother lacks vitamin D , gain weight, smoke, use drugs.
  • Lack of prenatal care.
  • Premature birth or low birth weight.

Environmental factors and other problems in newborns that can cause enzyme hypoplasia include:

  • Tooth trauma.
  • Severe infections: Rubella, measles, pneumonia, syphilis, high fever.
  • Malnutrition. Lack of calcium, phosphate, vitamins A, C or D.
  • Jaundice, liver disease.
  • Celiac disease.
  • Cerebral palsy due to maternal or fetal infection.
  • Poisoning, radioactive contamination.

Even perfectly healthy babies can get it from trauma to their mouth or teeth at the time of their eruption. Intubated children requiring surgery may have trauma to their developing teeth. Enamel becomes soft or deformed when baby teeth begin to erupt.

4. Characteristics of yeast hypoplasia

There are many distinctive features seen in cases of yeast hypoplasia. Signs of enamel hypoplasia in teeth appear as they grow in the mouth. Common features of yeast hypoplasia include:

  • The enamel has not formed enough thickness. The enamel is soft and thin, leading to chipping or pitting, separating from the underlying dentin.
  • The crown may become discolored, such as white or opaque spots. This varies depending on the type of disorder and ranges from white to yellowish white to brown.
  • Congenital syphilis enamel hypoplasia: Usually affects incisors and first molars. The incisors often have the following characteristics: sharp at the biting edge, with a notch to hold the biting edge (Hutchinson teeth). The molars have a lobe or multiple occlusal surfaces called mulberry molars.
  • Decreased production occurs due to local infection or trauma during tooth formation; exhibits enamel discoloration from light brown to severe pitting and irregularity of the crown. This can affect a single tooth, called a Turner Tooth.
  • When drinking water containing too much fluoride during tooth formation, it leads to enamel hypoplasia or poorly calcified enamel. Called fluorosis - fluorosis. Enamel will be mottled; characterized by occasional white or brown spots on the enamel. This degree ranges between white spots and opalescent areas to pitting and brown areas on the enamel surface. These teeth tend to wear down or break.

Yeast hypoplasia: Causes, treatment, and prevention.

Hutchinson teeth in children with congenital syphilis.

5. Potential complications of yeast hypoplasia

Without proper treatment, complications can include:

  • Increased risk of tooth decay
  • Teeth are easily worn and broken
  • Sensitive
  • Teeth discolored brown
  • Had to pull teeth
  • Anxiety and shyness about aesthetics, affecting the smile

>> More reference:  Tooth decay in children: What parents should know!

6. Treatment of yeast hypoplasia

The course of treatment for enzyme hypoplasia varies depending on the severity of the condition and the age of the child. The goals of treatment are:

  • Prevent tooth decay.
  • Maintain a good bite.
  • Preservation of tooth structure.
  • Keep teeth in good shape.

6.1. For mild cases

Some smaller defects that do not cause depth or sensitivity may not require immediate treatment. However, periodic monitoring is still required. Dentists may apply topical fluoride to help protect teeth.

In cases of sensitivity, decay, or mildly discolored or worn tooth structures, treatment options include:

  • Regenerative fillings:

This can improve tooth sensitivity. Use reproducible resin-based composite fillings that match the tooth color.

  • Teeth whitening

If there is only slight discoloration, your dentist may recommend bleaching the tooth so it looks like healthy teeth. Some patients may need to have their teeth whitened regularly with hydrogen peroxide.

Yeast hypoplasia: Causes, treatment, and prevention.

Teeth whitening for patients with discolored teeth.

6.2. For more serious problems

Such as pitting or visible decay, the dentist can do restorative treatment. This will help reduce sensitivity and pain if the affected part is only in a small part of the tooth.

However, it will not completely solve the problem if the entire tooth is affected. In that case, the dentist may recommend a more permanent solution, which is a crown.

There are cases where the permanent teeth are so misaligned that it is best to have them extracted. If so, you can consult an orthodontist first.

In more severe cases, the tooth may need to be completely removed and replaced with a bridge or dental implant.

The purpose of a dental implant is to prevent other teeth from moving to close the gap, support chewing, and make your smile more complete.

7. Prevention of yeast hypoplasia

One of the most important factors in the treatment of yeast hypoplasia is early detection. Dentists should detect affected areas early to restore; before the decay spreads to lead to tooth extraction.

Because many cases of yeast hypoplasia due to malnutrition. The addition of Vitamins A and D can help promote tooth development. Patients can take vitamin supplements, or increase their consumption of milk, orange juice, and green vegetables. You can refer to the following article: Vitamin A: Is it important for children?

For many patients, enamel hypoplasia is a lifelong condition. Therefore, it is important to regularly maintain good oral hygiene to prevent tooth decay. Your dentist may ask you to have regular check-ups. Oral hygiene also requires specialized toothpaste and brushes. Limit sugary and acidic foods and drinks as much as possible. Also, always brush and wash your teeth thoroughly after eating.

As with many other dental diseases, proper hygiene and a regular treatment plan are all that is needed to reduce discomfort and eat and drink comfortably.

Yeast hypoplasia is a congenital or acquired condition. It affects tooth enamel and can cause many conditions such as tooth decay, sensitivity, discoloration... Early detection and appropriate treatment plan will help to overcome minimal effects. As with other conditions, oral hygiene and routine care are important. Therefore, patients diagnosed with enamel hypoplasia need to follow good oral care: proper brushing, regular hygiene, limiting sweets...

Doctor Truong My Linh