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Published on: March 29, 2018
Dental caries in pre-term and low birth-weight children and related factors
M Ghasempour1, M Ahmadpour-Kacho, S Sheikhi
1Department of Pediatric Dentistry, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran. ma_ghasempour_ir@yahoo.com
Insights
Dental caries prevalence was similar in preterm, low birth weight (PLBW) and normal birth weight (NBW) children. Enamel hypoplasia and snacking were less common in PLBW children, potentially explaining the similar caries rates.
Area of Science:
- Pediatric Dentistry
- Neonatal Health
- Public Health
Background:
- Preterm birth and low birth weight (PLBW) are associated with various health complications.
- The impact of PLBW on early childhood dental caries requires further investigation.
- Understanding caries risk factors in PLBW children is crucial for targeted preventive strategies.
Purpose of the Study:
- To determine the prevalence of dental caries in 3-4-year-old children born PLBW compared to normal birth weight (NBW) children.
- To investigate the influence of risk factors on the development of dental caries in primary teeth among these groups.
Main Methods:
- A cross-sectional case-control study involving 90 children (45 PLBW, 45 NBW).
- Demographic data and feeding practices were collected via questionnaire.
- Dental caries status (dmft) was assessed and analyzed using Fisher's exact and Mann-Whitney U tests.
Main Results:
- No significant difference in dental caries prevalence was observed between PLBW and NBW children (mean dmft: 2.5 vs. 2.2).
- Twenty-five children (33.3%) were caries-free (8 PLBW, 17 NBW).
- Feeding duration was shorter in PLBW children, but this did not significantly impact caries rates.
Conclusions:
- The prevalence of dental caries does not differ between PLBW and NBW children at 3-4 years of age.
- Lower incidence of enamel hypoplasia and reduced snacking habits in PLBW children may contribute to the observed similar caries prevalence.
- These findings suggest that factors beyond birth weight influence early childhood caries development.
Aim:
The aims of this study were to determine the prevalence of dental caries in three to four-year-old children born pre-term and with a low birth weight (PLBW) to be compared with normal birth-weight children (NBW) and further to investigate the impact of relative risk factors on the development of dental caries in primary teeth.
Methods And Materials:
This cross-sectional case-control study was conducted on 90 children (45 PLBW and 45 NBW). The demographic data and information about feeding practices was ascertained using a structured questionnaire. Dental caries status (dmft) was determined, and the differences between the two groups were tested using the Fisher's exact and the Mann-Whitney U tests at a confidence level of 5%.
Results:
Twenty-five children (eight PLBW and 17 NBW) were caries free, and the mean+/-SD dmft was 2.5+/-0.3 in PLBW and 2.2+/-0.4 in NBW children (p>0.05). The length of feeding in PLBW children was lower than the NBW group (p>0.05).
Conclusion:
The prevalence of dental caries did not differ between the PLBW and NBW children.
Clinical Significance:
Enamel hypoplasia and snacking were not common in PLBW children which may account for the lack of difference in dental caries between the two groups.
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