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Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Oral health of children born small for gestational age
A C O'Connell1, S M O'Connell, E O'Mullane
1Division of Public and Child Dental Health, Dental School, and Department of Paediatrics Trinity College, Dublin 2. anne.oconnell@dental.tcd.ie
Insights
Children born small for gestational age (SGA) exhibit significant oral health issues, including high rates of dental decay and erosion. Early dental assessment is crucial for these children to ensure proper oral health and feeding habits.
Area of Science:
- Pediatric Dentistry
- Neonatal Health
- Public Health
Background:
- Children born small for gestational age (SGA) may face unique health challenges.
- Oral health surveillance is critical for overall child well-being.
Purpose of the Study:
- To evaluate the oral health status of children born small for gestational age (SGA).
- To identify common oral health problems in this specific pediatric population.
Main Methods:
- Cross-sectional study involving children aged 4-8 years born SGA (birth weight < -2 SDS).
- Standardized oral examinations and parent-completed oral health questionnaires were utilized.
- Data collected on snacking habits, beverage consumption, dental decay, and erosion.
Main Results:
- Nearly half (47%) of the children experienced dental decay, with 92% of cases untreated.
- Erosion was observed in 20% of the children.
- High prevalence of between-meal snacking (71%) and frequent carbonated beverage consumption (30%) was noted.
Conclusions:
- Children born SGA present with a high burden of untreated dental decay and erosion.
- Oral health should be integrated into the general health surveillance of SGA children.
- Referral for dental assessment within the first two years is recommended to guide parents on safe feeding practices.
Abstract:
We sought to evaluate the oral health status of children born small for gestational age (SGA). Children now aged 4-8 years who were born SGA (birth weight < -2 SDS) were examined using standardised criteria. The parents completed a structured oral health questionnaire. Twenty females and 25 males, mean age 72.1 months, and mean birth weight 2.1 kg, participated in the study. Poor appetite was a concern; 32 (71%) children snacked between meals and 14 (30%) used carbonated beverages more than 3 times daily. Erosion was present in 9 (20%) children. Dental decay occurred in 22 (47%) children with 92% being untreated. Eight children had more than 5 decayed teeth. It is essential that clinicians working with children born SGA include oral health within the general health surveillance and refer these children for a dental assessment within the first 2 years to support parents in establishing safe feeding patterns for their children.
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