Evidence map›Paper›PMID 33710526›Full record

ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2021

Congenital and acquired defects in enamel of primary teeth: prevalence, severity and risk factors in Brazilian children.

L K Y Almeida, T S Carvalho, D G Bussaneli, F Jeremias

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In one paragraph

Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Global prevalence of hypomineralised second primary molars: an updated systematic review with a meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
  2. Prevalence of developmental defects of enamel in Brazil: a systematic review and meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
  3. Article
  4. Hypomineralisation of anterior primary teeth.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

L K Y AlmeidaDepartment of Morphology, Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, UNESP, São Paulo State University, Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brasil.ORCID http://orcid.org/0000-0002-6308-0613
T S CarvalhoDepartment of Morphology, Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, UNESP, São Paulo State University, Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brasil.ORCID http://orcid.org/0000-0002-8628-9524
D G BussaneliDepartment of Morphology, Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, UNESP, São Paulo State University, Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brasil.ORCID http://orcid.org/0000-0001-9078-7385
F JeremiasDepartment of Morphology, Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, UNESP, São Paulo State University, Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brasil. f.jeremias@unesp.br.ORCID http://orcid.org/0000-0001-6633-7376
Morpho (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis cross-sectional study evaluated the prevalence of tooth enamel defects and risk factors associated in primary dentition.

methodsA sample of 656 schoolchildren (population based), aged 4 years old, from Araraquara-SP (Brazil) was evaluated by two trained examiners according to the following indexes: Dental fluorosis (DF), deciduous molar hypomineralization (DMH), non-fluoride related developmental defects of enamel (DDE), tooth erosion and tooth attrition. Structured questionnaires identified socioeconomic condition, medical/dental history, behavior and dietary habits. Data were analyzed using Chi-square tests (p < 0.05).

resultsOf the enamel congenital defects, DF was the most prevalent (6.1%, n = 40), followed by DMH (5.6%, n = 37). Of the acquired defects, attrition was the most prevalent (36.9%, n = 242), followed by erosion (2.4%, n = 16). The caries experience was similar between the affected children (29,5%; n = 94) and total sample (30.6%; n = 201). The etiological factors related to congenital defects were: not exclusively fed breast milk (p = 0.003) and jaundice at birth (p < 0.001); the association with acquired defects was found with vomiting frequent episodes (p = 0.037).

conclusionThe general prevalence of enamel defects in primary dentition in Araraquara was 48.6%. Enamel defects may be associated with health-related factors and current lifestyle.

Indexed as

Dental CariesDental Enamel HypoplasiaBrazilChildChild, PreschoolCross-Sectional StudiesDental EnamelFemaleHumansInfant, NewbornPrevalenceRisk FactorsTooth, DeciduousEnamel defectsPediatric dentistryPrevalencePrimary ToothTooth enamel

Identifiers

PMID33710526
OpenAlexW3134674127

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.