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Health: In Germany, nearly 30% of 12-year-olds suffer from a fusion disorder that in the worst case causes extremely porous teeth. The causes are still unclear
Max Maschmann
26/11/2018
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Stand 27.11.2018, 09:44 am
Bielefeld. Many children know her, the story of Karius and Baktus. This story about small creatures that live in the teeth – and so animate the care of the teeth. The headaches of the disease are now replaced by headaches due to tooth decay: Incisional molar hypermineralization (MIH) – better known as the chalk tooth – is now considered a new common disease. As the current study on oral health in Germany shows, 28.7% of 12-year-olds are affected by the disease across the country. Moreover, at NRW, chalk teeth are regularly diagnosed. Christoph Koch works as a dentist in Balve, a small town in Kreis Märkischer. 40% of patients who come to his office are children. "20% of them are affected," said Koch, "the number of cases has increased in ten years." The insidious aspect of the disease is that the teeth are making their way to the mouth. "It can also cling to baby teeth, but is more often affected teeth with which patients should chew up to 90 years," says Koch.The surface of the incisors and molars is then often whitish or amber, in stronger forms, patients are hypersensitive, such as heat or cold.In rare cases, the enamel is so porous that the teeth literally collapse.After all, if the teeth are in good health in the mouth, there is no risk of MIH As the disease becomes noticeable only when permanent teeth break, dental examinations in elementary schools are gaining importance Claudia Sauerland of the Zahngesundheit Westfalen-Lippe working group Regularly advises parents in case of illness to carry out group prophylaxis in nurseries and schools in 27 counties and independent cities The number of cases of MIH has not increased , according to Claudia Sauerland. "On the decade, however, already seen." Cavity increases the effect of the treatment of a patient with MIH depends on the force with which the teeth are affected. While they are only stained and undisturbed on the surface, Koch is particularly interested in the prophylactic monitoring of teeth and the implementation of special cleaning techniques during dental care. So, no caries bacteria should spread in prone teeth. "Dental caries is a demineralization of enamel and thus increase the effect of the disease." Koch is a more difficult treatment for patients extremely sensitive to the influence of heat or cold – or even to the fall of their teeth. In difficult cases, doctors also rely on crowns. "For patients in these categories, the disease is due to pain at the expense of quality of life," says Koch. Infections or antibiotics as a trigger? Although more and more young people are suffering from chalk teeth, researchers know little about the origins of the disease, which was first scientifically described in 1987 and has had a unique name since 2001. Katrin Bekes, from Hattingen, who heads the Department of Pediatric Dentistry at the University Hospital Vienna, says: "Students can not answer the question of certainty, for example, different approaches to influencing infectious diseases, antibiotics or bisphenol A on the formation of permanent teeth between the end of pregnancy and the age of 4 years were used by French researchers to experiment with this substance used in everyday objects, such as baby pacifiers or cans and thus causes porous structures similar to those of MIH. "That would be a coherent explanation, but it's not at all certain that this is transferable to humans," notes Koch A fast education is not in sight.
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