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Bednar's aphthae in neonates: incidence and associated factors

Sandra Nebgen1, Hans-Udo Kasper, Daniel Schäfer

  • 1Department of Neonatology, Children's Hospital, University of Cologne, Cologne, Germany.

Neonatology
|March 27, 2010
PubMed

Insights

Bednar's aphthae, or oral ulcers in newborns, are still common, affecting 15.8% of infants studied. These ulcers are linked to factors like spontaneous birth and formula feeding.

Area of Science:

  • Neonatal Medicine
  • Pediatric Dentistry
  • Oral Pathology

Background:

  • Bednar's aphthae, oral ulcers in neonates, are infrequently mentioned in current pediatric literature.
  • Despite their apparent rarity in publications, their clinical presence in newborns persists.

Purpose of the Study:

  • To determine the incidence of Bednar's aphthae in newborns within the first week of life.
  • To identify associated factors contributing to the development of these oral ulcers.

Main Methods:

  • A prospective study involving 1,654 infants examined in two Cologne, Germany obstetric hospitals.
  • Clinical data and statistical analysis were collected from infants undergoing routine preventive examinations.
  • Focus on visualizing the entire palate for accurate assessment.

Main Results:

  • Bednar's aphthae were identified in 236 out of 1,494 neonates (15.8%) with visualized palates.
  • The presence of aphthae was associated with spontaneous term birth.
  • Formula nutrition and mucosal hyperemia in the typical location were also linked to Bednar's aphthae.

Conclusions:

  • Bednar's aphthae remain a common finding in neonates.
  • The study suggests that this condition is not rare, contrary to its diminished presence in recent literature.
Abstract

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