Related Experiment Video
Updated: May 13, 2026

Blind Endotracheal Intubation in Neonatal Rabbits
Published on: February 26, 2021
The neonatal intubation causes defects in primary teeth of premature infants
Norma Suely Falcao de Oliveira Melo1, Regina Paula Guimaraes Vieira Cavalcante da Silva, Antonio Adilson Soares de Lima
1Department of Stomatology, School of Dentistry, Universidade Federal do Parana - UFPR, Curitiba-PR, Brazil.
Insights
Neonatal tracheal intubation significantly increases the risk of enamel defects in primary teeth of preterm infants. Longer intubation duration correlates with a higher probability of developing these dental enamel defects.
Area of Science:
- Neonatal care
- Pediatric dentistry
- Developmental biology
Background:
- Preterm infants are vulnerable to various health complications.
- Neonatal intubation is a common procedure for respiratory support in preterm infants.
- Enamel defects can have long-term implications for oral health.
Purpose of the Study:
- To investigate the association between neonatal intubation and enamel defects in primary teeth.
- To determine if intubation duration and gestational age influence enamel defect occurrence.
- To identify specific tooth regions affected by enamel hypoplasia in intubated preterm infants.
Main Methods:
- Observational, prospective, analytical study with convenience sampling.
- Clinical examination of oral cavities in 157 preterm infants.
- Analysis of intubation duration, gestational age, and enamel defect prevalence.
Main Results:
- 86.3% of intubated children exhibited enamel defects, compared to 13.7% of non-intubated children.
- Enamel defects showed an inverse relationship with gestational age.
- Intubation duration was directly proportional to the probability of developing enamel defects (DDE).
Conclusions:
- Neonatal tracheal intubation is a primary cause of enamel defects in preterm infants' primary teeth.
- Extended intubation periods increase the likelihood of dental enamel defects.
- Hypoplasia predominantly affects the upper incisors (central and lateral) on the left side, correlating with laryngoscope manipulation.
Aim:
This study aimed to evaluate the relationship between intubation during the neonatal period and enamel defects in primary teeth of preterm infants. It was an observational, prospective, analytical and sampling of convenience. We selected 157 children who had average birth weight of 1656.3±627.8 g, gestational age of 31.7±2.7 weeks and the examination of chronological age 2.2±0.6 years old.
Methods:
Clinical examination of the oral cavity showed that the frequency of enamel defects was higher (86.3%) among children intubated when compared to non-intubated children (13.7%). The enamel defects was found to be inversely proportional to gestational age. The intubation time was related to the probability of occurrence of DDE (P<0.001), in other words, the greater the number of days intubated, the greater the chance of DDE. In children intubated, hypoplasia mainly affected the upper teeth on the left side of the mouth.
Conclusion:
Tracheal intubation in the neonatal period is the main cause of enamel defects in primary teeth of children born preterm. The longer the duration of intubation, the greater the chance of developing dental enamel defect. The area of action during movement of the laryngoscope toggle corresponds to the region most affected by tooth enamel hypoplasia in children intubated, upper right central incisor, lateral incisor and upper left.
Related Concept Videos
Development of the Oral Microbiota
Teeth
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Neurulation
Teratogenicity
Tooth Anatomy
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Endotracheal Intubation I: Procedure
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...

