Prevalence of enamel defects and associated risk factors in both dentitions in preterm and full term born children

OBJECTIVES: The aim of this study was to evaluate the prevalence of enamel defects and their risk factors on primary and permanent dentitions of prematurely born children and full-term born children born at Regional Hospital of Asa Sul, Brasília, DF, Brazil. MATERIAL AND METHODS: Eighty 5-10-year-old children of both genders were examined, being 40 born prematurely (G1) and 40 born full term (G2). The demographic variables, medical history and oral health behaviors were retrieved using a questionnaire and data obtained from clinical examination were recorded. The teeth were examined and the presence of enamel defects was diagnosed according to the DDE Index and registered in odontograms. Subsequently, the defects were categorized in four groups according to one of the criteria proposed in 1992 by the FDI Commission on Oral Health, Research and Epidemiology. Kruskal-Wallis, Chi-square, Kappa, Mann-Whitney tests and logistic regression were used for statistical analysis. RESULTS: 75% of total sample had enamel defects. There was a major prevalence of hypoplasia of the enamel in G1 (p<0.001). There was a significant relationship between low weight and presence of the imperfections on the enamel in G1 on the primary dentition. The logistic regression model showed that the other risk factors such as monthly per capita family income, educational level, dietary and hygiene habits, fluoride exposure, trauma, and diseases were not associated with enamel defects and caries. CONCLUSIONS: Pre-term labor can be a predisposing factor for the presence of the enamel hypoplasia in the primary dentition

Structural development of vegetation on rehabilitated North Stradbroke Island: Above/belowground feedback may facilitate alternative ecological outcomes

Introduction: This study depicts broad-scale revegetation patterns following sand mining on North Stradbroke Island, south-eastern Queensland, Australia. Methods: Based on an ecological timeline spanning 4-20 years post-rehabilitation, the structure of these ecosystems (n = 146) was assessed by distinguishing between periods of 'older' (pre-1995) and 'younger' (post-1995) rehabilitation practices. Results: The general rehabilitation outlook appeared promising, whereby an adequate forest composition and suitable levels of native biodiversity (consisting of mixed-eucalypt communities) were achieved across the majority of rehabilitated sites over a relatively short time. Still, older sites (n = 36) appeared to deviate relative to natural analogues as indicated by their lack of under-storey heath and simplified canopy composition now characterised by mono-dominant black sheoak (Allocasuarina littoralis) reaching up to 60% of the total tree density. These changes coincided with lower soil fertility parameters (e.g., total carbon, total nitrogen, and nutrient holding capacity) leading us to believe that altered growth conditions associated with the initial mining disturbance could have facilitated an opportunistic colonisation by this species. Once established, it is suspected that the black sheoak's above/belowground ecological behaviour (i.e., relating to its leaf-litter allelopathy and potential for soil-nitrogen fixation) further exacerbated its mono-dominant distribution by inhibiting the development of other native species. Conclusions: Although rehabilitation techniques on-site have undergone refinements to improve site management, our findings support that putative changes in edaphic conditions in combination with the competitive characteristics of some plant species can facilitate conditions leading to alternative ecological outcomes among rehabilitated ecosystems. Based on these outcomes, future studies would benefit from in depth spatio-temporal analyses to verify these mechanisms at finer investigative scales