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.
Abstract

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