Background: Developmental enamel defects (DDE) exert significant effects both on esthetics and occlusal function and prevention should be the general clinical approach to DDE. The purpose of this cross-sectional study was, therefore, to detect, within a pediatric sample, any significant association between DDE and children’s psychosocial attitudes towards home oral hygiene, as well as potential associations between primary preventive procedures and DDE. Methods: 394 schoolchildren (197 males and 197 females, 8.9 ± 1.4 years) underwent an intra-oral examination; they were then interviewed with a brief questionnaire. Results: 5–6% and 12–14% of participants had, respectively at least one molar and one incisor affected by DDE. In general, no associations were observed in the examined clinical categories (caries and other oral health indices). A strong relationship was found between the presence of molar DDE and children’s positive vs. negative psychosocial attitudes towards home oral hygiene. Conclusions: The probability of finding DDE in our sample of examined children was approximately more than doubled for children with negative psychosocial attitudes towards home oral hygiene, than for children with positive attitudes towards home oral hygiene.

中文翻译：

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发育性牙釉质缺陷（DDE）及其与口腔健康，预防程序以及儿童对家庭口腔卫生的心理社会态度的关联：跨部门研究。

背景：发育性釉质缺损（DDE）对美学和咬合功能均具有重要作用，因此预防应成为DDE的一般临床治疗方法。因此，这项横断面研究的目的是在儿科样本中检测DDE与儿童对家庭口腔卫生的心理社会态度之间的任何显着关联，以及初级预防程序与DDE之间的潜在关联。方法：对394名学童（男197名，女197名，8.9±1.4岁）进行了口内检查；然后，他们接受了简短的问卷调查。结果：5–6％和12–14％的参与者分别受到DDE影响的至少一颗磨牙和一颗切牙。通常，在所检查的临床类别（龋齿和其他口腔健康指数）中未发现关联。发现磨牙DDE的存在与儿童对家庭口腔卫生的积极和消极社会心理态度之间存在密切关系。结论：在对家庭口腔卫生持消极社会心理态度的儿童中，在我们接受检查的儿童样本中发现DDE的可能性比对家庭口腔卫生持积极态度的儿童高出大约两倍。