Malocclusion traits and orthodontic treatment needs in prematurely born children
Liselotte Paulsson1, Björn Söderfeldt, Lars Bondemark
1Department of Orthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden. liselotte.paulsson@od.mah.se
Insights
Prematurely born children, including very preterm (VPT) and extremely preterm (EPT) infants, exhibit a higher prevalence of malocclusion traits and increased orthodontic treatment needs compared to full-term infants. These findings highlight the importance of monitoring dental development in this vulnerable population.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Neonatal Health
Background:
- Premature birth is associated with various developmental challenges.
- Understanding the long-term dental implications of prematurity is crucial for early intervention.
Purpose of the Study:
- To investigate the prevalence of malocclusion traits in prematurely born children.
- To assess orthodontic treatment needs in preterm versus full-term born children.
Main Methods:
- Comparison of 73 preterm children (VPT and EPT) with 41 matched full-term controls.
- Assessment of malocclusion traits using clinical examinations, study casts, and panoramic radiographs.
- Evaluation of orthodontic treatment need via the Index of Orthodontic Treatment Need (IOTN).
Main Results:
- Preterm children (EPT and VPT) showed a significantly higher occurrence of two or more malocclusion traits (83.3% and 73.0%) compared to full-term controls (51.2%).
- Deep bites were more prevalent in EPT and VPT groups, representing the most common malocclusion.
- Preterm children exhibited a greater need for orthodontic treatment, with no significant differences between VPT and EPT subgroups.
Conclusions:
- Clinicians should anticipate a higher incidence of malocclusion and increased orthodontic treatment requirements in prematurely born individuals.
- Early dental monitoring and orthodontic assessment are recommended for preterm infants to address potential developmental issues.
Objective:
To evaluate if prematurely born children have higher prevalence of malocclusion traits and greater orthodontic treatment need than matched full-term born controls.
Materials And Methods:
Seventy-three preterm children were selected from the Medical Birth Register and divided into two subgroups according to their gestational age. One group consisted of 37 very preterm children (VPT), born in gestational week 29-32, and the other of 36 extremely preterm children (EPT), born before the 29th gestational week. The subjects were compared with a control group of 41 full-term children, who were matched for sex, age, and nationality. Data from clinical examinations, study casts, and panoramic radiographs were used to determine malocclusion traits. The dental health component of the index of orthodontic treatment need (IOTN) was used to rank the treatment need.
Results:
Two or more malocclusion traits occurred significantly more often among EPT (83.3%) and VPT children (73.0%), compared with the full-term children (51.2%). Significantly higher prevalence of deep bites and was found in EPT and VPT groups compared with the full-term control group. Deep bite was the most common malocclusion trait in the EPT and VPT group. Higher orthodontic treatment need was found for the preterm children but no differences in prevalence of malocclusion traits and treatment need were found between VPT and EPT children.
Conclusion:
The clinician should be aware of the potential for a higher number of malocclusion traits and greater orthodontic treatment need in prematurely born children compared with full-term children.
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