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The Special Needs of Preterm Children - An Oral Health Perspective
1Gold Coast Oral Health Service, Gold Coast University Hospital, 1 Hospital Boulevard, Southport, Queensland 4215, Australia; Griffith Health, Griffith University, Gold Coast Campus, Queensland 4222, Australia.
Insights
Preterm births, occurring before 37 weeks of gestation, significantly increase risks for dental issues in children. This review highlights orodental complications and proposes strategies to improve oral health for these special needs individuals.
Area of Science:
- Pediatric Dentistry
- Neonatal Medicine
- Public Health
Background:
- Preterm births have increased due to advances in fertility and neonatal care.
- While developmental and neonatal complications are recognized, dental issues in preterm children are often overlooked.
- Preterm children represent a growing population with unique health considerations.
Purpose of the Study:
- To explore the orodental risks and needs specific to children born preterm.
- To identify and discuss various dental manifestations observed in this population.
- To propose preventive and management strategies for optimizing oral health in preterm children.
Main Methods:
- Literature review of studies focusing on preterm birth and oral health outcomes.
- Analysis of common orodental manifestations in preterm populations.
- Synthesis of current evidence on preventive and therapeutic dental interventions.
Main Results:
- Preterm children exhibit a higher prevalence of palatal deformations, enamel defects, and variations in tooth size and shape.
- Malocclusions and increased risks of early childhood caries and tooth wear are significant concerns.
- Specific orodental needs require tailored management strategies.
Conclusions:
- Preterm birth is associated with a spectrum of orodental complications requiring focused attention.
- Early identification and intervention are crucial for managing dental issues in preterm children.
- Optimizing oral health necessitates a multidisciplinary approach involving healthcare providers and caregivers.
Abstract:
Preterm births are defined as those before 37 weeks of gestation. With advances in fertility medicine and neonatal medicine, the numbers of preterm children in the community have significantly increased. Developmental delays and complications among preterm children are well recognized. Much less consideration is given to the dental complications of preterm children. Manifestations include palatal deformations, enamel defects, tooth size variations and tooth shape deformities, malocclusions, and increased risks of early childhood caries and tooth wear. This article explores orodental risks and orodental needs of preterm children and suggests preventive and management strategies for optimizing the oral health of special needs children.
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