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Perinatal vulnerability: its impact on oral and craniofacial hard tissue development
1Laboratory of Drug Discovery and Pharmacology, Faculty of Veterinary Medicine, Okayama University of Science, Ehime, Japan.
Insights
Infants born with perinatal vulnerabilities like preterm birth face long-term risks. Oral and craniofacial anomalies may predict these hidden health issues, aiding early diagnosis and improved outcomes.
Area of Science:
- Neonatal medicine and developmental biology.
Background:
- Improved survival for preterm birth (PTB), low birth weight (LBW), and small for gestational age (SGA) infants highlights long-term health risks.
- Perinatal vulnerability is linked to psychiatric, neurological, respiratory, cardiovascular, and metabolic diseases.
Purpose of the Study:
- To explore the association between perinatal vulnerability and oral/craniofacial developmental complications.
- To investigate oral and craniofacial anomalies as potential early indicators for latent extracranial sequelae.
Main Methods:
- Review of existing literature on perinatal medicine and developmental outcomes.
- Analysis of the relationship between perinatal factors and craniofacial development.
Main Results:
- Perinatal vulnerability increases the risk of oral and craniofacial developmental issues like bone deformities, malocclusion, and tooth malformations.
- These oral/craniofacial anomalies are often detectable early and may predict later, less apparent health problems.
Conclusions:
- Oral and craniofacial sequelae, influenced by nutritional status, oxygenation, epigenetics, and mechanical forces, can serve as accessible predictors of long-term complications.
- Further research into underlying mechanisms is crucial for enhancing diagnostic, therapeutic, and prognostic strategies for vulnerable infants.
Abstract:
Advances in perinatal and neonatal medicine have dramatically improved the survival rates of infants with perinatal vulnerabilities of preterm birth (PTB), low birth weight (LBW) or small for gestational age (SGA), by rescuing these infants from immediate postnatal complications. Despite improved survival from such problems, it has in turn highlighted long-term complications, including psychiatric, neurological, respiratory, cardiovascular and metabolic diseases. In the oral and craniofacial regions, perinatal vulnerability is associated with an increased risk of developmental complications, including bone deformities, malocclusion and tooth malformations. These anomalies are often tangible and can be recognized earlier than extracranial sequelae; thus, they may serve as accessible indicators for predicting extracranial sequelae that remain latent. Oral and craniofacial sequelae are considered consequences of changes in nutritional status and oxygen saturation before and after birth, which are related to epigenetic changes. Additionally, the development of oral and craniofacial tissues is controlled by mechanical forces. The underlying mechanisms have not been fully elucidated, and future studies elucidating these mechanisms will enhance diagnostic and therapeutic strategies, as well as prognostic accuracy, ultimately improving long-term outcomes for infants born with perinatal vulnerabilities.
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