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Assessment of Intraoral Findings of Neonates, Born in and around Meerut City
Madan M Niranjan1, Nikhil Srivastava1, Vivek Rana1
1Department of Pediatrics and Preventive Dentistry, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
Insights
This study examined 1,000 neonates, finding oral mucosal cysts in 61.2% and Epstein's pearls in 38.3%. Gum pad relationships were mostly distal and lingual, with anterior open bite in 9.1% of newborns.
Area of Science:
- Neonatal oral health
- Pediatric dentistry
- Oral anatomy
Background:
- Neonatal intraoral findings and gum pad relationships are crucial for early dental development.
- Limited data exists on the prevalence of common oral findings in neonates.
- Understanding these initial oral conditions aids in identifying potential developmental issues.
Purpose of the Study:
- To evaluate the occlusal relationships between neonatal gum pads.
- To record and analyze various intraoral findings in newborns.
- To compare these findings with existing literature.
Main Methods:
- Examination of 1,000 healthy neonates (birth to 1 month).
- Recording of gum pad relationships and specific intraoral findings (cysts, Epstein's pearls, Fordyce's spots, etc.).
- Statistical analysis using SPSS and Epi-info software.
Main Results:
- Mandible was distal and lingual to the maxilla in ~97% of cases.
- Anterior open bite observed in 9.1% of neonates.
- Most common findings: oral mucosal cysts (61.2%), Epstein's pearls (38.3%).
- Less common: Fordyce's spots (1.2%), natal/neonatal teeth (0.6%), ankyloglossia (0.5%).
- Maxillary frenum present in 79.1%, attached to the alveolar crest.
Conclusions:
- Findings align with existing data, with a notably lower prevalence of anterior open bite.
- Oral mucosal cysts and Epstein's pearls are highly prevalent in the neonatal population.
- This study provides current data on neonatal oral conditions.
Aim:
The aim of this study is to evaluate the occlusal relationships between the gum pads of neonates and to record intraoral findings in neonates and compare with the existing findings.
Materials And Methods:
The oral cavities of 1,000 healthy neonates from birth to 1 month of age were examined to evaluate the occlusal relationships between the gum pads and to record other intraoral findings in neonates and compare with the existing findings. Oral findings recorded were oral mucosal cysts, Fordyce's spot, Epstein's pearls, Bohn's nodules, ankyloglossia, natal or neonatal teeth and attachment of the upper midline frenum. Relationship between the alveolar ridges was also recorded. Obtained data were evaluated and statistically analyzed using the Statistical Package for Social Sciences (SPSS) version 21.0 and Epi-info version 3.0.
Results:
The maxillo-mandibular relationship of gum pads in approximately 97% cases, the mandible was found distal and lingual to maxilla. The presence of anterior open bite was observed in 9.1% cases. The most common intraoral finding in examined neonates was an oral mucosal cyst, 61.2%. The presence of Epstein's pearls was the next most common finding 38.3%. Fordyce's spots were found only in 1.2% of cases, while the presence of natal/neonatal teeth was only in 0.6% of cases. Ankyloglossia was present in only 0.5% neonates. Maxillary frenum was present in 79.1% of cases and it was attached on the alveolar crest.
Conclusion:
The results of the present study were in accordance with the pre-existing data. However, anterior open-bite was seen in significantly less percentage of the population.
How To Cite This Article:
Niranjan MM, Srivastava N, Rana V, et al. Assessment of Intraoral Findings of Neonates, Born in and around Meerut City. Int J Clin Pediatr Dent 2020;13(1):48-52.
