title: Developmental dental aberrations after the dioxin accident in Seveso.
abstract: Children's developing teeth may be sensitive to environmental dioxins, and in animal studies developing teeth are one of the most sensitive targets of toxicity of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). Twenty-five years after the dioxin accident in Seveso, Italy, 48 subjects from the contaminated areas (zones A and B) and in patches lightly contaminated (zone R) were recruited for the examination of dental and oral aberrations. Subjects were randomly invited from those exposed in their childhood and for whom frozen serum samples were available. The subjects were frequency matched with 65 subjects from the surrounding non-ABR zone for age, sex, and education. Concentrations of TCDD in previously analyzed plasma samples (zone ABR subjects only) ranged from 23 to 26,000 ng/kg in serum lipid. Ninety-three percent (25 of 27) of the subjects who had developmental enamel defects had been < 5 years of age at the time of the accident. The prevalence of defects in this age group was 42% (15 of 36) in zone ABR subjects and 26% (10 of 39) in zone non-ABR subjects, correlating with serum TCDD levels (p = 0.016). Hypodontia was seen in 12.5% (6 of 48) and 4.6% (3 of 65) of the zone ABR and non-ABR subjects, respectively, also correlating with serum TCDD level (p = 0.05). In conclusion, developmental dental aberrations were associated with childhood exposure to TCDD. In contrast, dental caries and periodontal disease, both infectious in nature, and oral pigmentation and salivary flow rate were not related to the exposure. The results support our hypothesis that dioxins can interfere with human organogenesis.
authors.affiliation: Department of Pedodontics and Orthodontics, Institute of Dentistry, University of Helsinki, Helsinki, Finland. satu.alaluusua@helsinki.fi
authors.forename: Satu
authors.initials: S
authors.lastname: Alaluusua
authors.forename: Pier
authors.initials: P
authors.lastname: Calderara
authors.forename: Pier Mario
authors.initials: PM
authors.lastname: Gerthoux
authors.forename: Pirjo-Liisa
authors.initials: PL
authors.lastname: Lukinmaa
authors.forename: Outi
authors.initials: O
authors.lastname: Kovero
authors.forename: Larry
authors.initials: L
authors.lastname: Needham
authors.forename: Donald G
authors.initials: DG
authors.lastname: Patterson
authors.forename: Jouko
authors.initials: J
authors.lastname: Tuomisto
authors.forename: Paolo
authors.initials: P
authors.lastname: Mocarelli
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D000848:Anodontia / Q000453:epidemiology / Q000209:etiology; D016022:Case-Control Studies; D003743:Dental Enamel / Q000002:abnormalities* / Q000187:drug effects*; D004785:Environmental Pollutants / Q000506:poisoning*; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D000072317:Polychlorinated Dibenzodioxins / Q000506:poisoning*; D014070:Tooth / Q000254:growth & development*; D014071:Tooth Abnormalities / Q000453:epidemiology* / Q000209:etiology*
chemical_list: D004785:Environmental Pollutants; D000072317:Polychlorinated Dibenzodioxins