Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014, 158(4):605-612 | DOI: 10.5507/bp.2013.004

The neonatal intubation causes defects in primary teeth of premature infants

Norma Suely Falcao de Oliveira Meloa, Regina Paula Guimaraes Vieira Cavalcante da Silvab, Antonio Adilson Soares de Limaa
a Department of Stomatology, School of Dentistry, Universidade Federal do Parana - UFPR, Curitiba-PR, Brazil
b Department of Pediatrics, School of Medicine, Universidade Federal do Parana - UFPR, Curitiba-PR, Brazil

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.

Keywords: prematurity, tracheal intubation, enamel defects

Received: August 21, 2012; Accepted: January 17, 2013; Prepublished online: February 26, 2013; Published: December 9, 2014  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
de Oliveira Melo, N.S.F., da Silva, R.P.G.V.C., & de Lima, A.A.S. (2014). The neonatal intubation causes defects in primary teeth of premature infants. Biomedical papers, 158(4), 605-612. doi: 10.5507/bp.2013.004
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Brito ASJ, Matsuo T, Gonzales MR, Carvalho ABR, Ferrari LSL. Score CRIB, peso ao nascer e idade gestacional na avaliação do risco de mortalidade neonatal. Rev Saúde Pública 2003;37(5):597-602. Go to original source... Go to PubMed...
    2. Guimarães LC. Apoio social e prematuridade em puérperas de baixo peso. Dissertation (Enfermagem) - Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, 2010.
    3. Silva RCAF. Mortalidade perinatal em hospital terciário da região norte do Brasil. 90 f. Dissertation (Ciências da Saúde) - Universidade de Brasília, 2011.
    4. Wood NS. Neurologic and developmental disability after extremely Preterm birth. N Engl J Med 2000;343(6):378-84. Go to original source... Go to PubMed...
    5. Koldewijn K, Wolj MJ, van Wassenaer A, Meijssen D, van Sonderen L, van Baar A, Beelen A, Nollet F, Kok J. The infant behavioral assessment and intervention program for very low birth weight infants at 6 months corrected age. J Pediat 2009;154(1):33-8. Go to original source... Go to PubMed...
    6. Almeida MFB, Guinsburg R. Programa de reanimação neonatal da sociedade brasileira de pediatria: condutas 2011. Coordenação Geral do Programa de Reanimação Neonatal da Sociedade Brasileira de Pediatria e Membros do International Liaison Committee on Resuscitation (ILCOR), 2011. 27 p. (http://www.sbp.com.br/pdfs/PRN-SBP-ReanimacaNeonatal-2011-24jan11.pdf).
    7. Barbosa AL, Campos ACS, Chaves EMC. Complicações não clinicas da ventilação mecânica: ênfase no cuidado de enfermagem neonatal. Acta Paul Enferm 2006;9(4):439-43. Go to original source...
    8. Jaber S, Amraoui J, Lefrant J, Arich C, Cohendy R, Landreau L, Calvet X, Capdevila X, Mahata A, Eledjam J. Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med 2006;34(9):2355-61. Go to original source... Go to PubMed...
    9. Fadavi S, Punwani IC, Adeni S, Vidyasagar D. Eruption patern in he primary dentition of premature low-birth-weight children. J Dent Child 1992;59(2):420-4.
    10. Kropa DE, Davis EL. Prevalence of oral defects among neonatally intubated 3 to 5 and 7 to 10 years old children. Pediatr Dent 1991;13(6):349-55.
    11. Aine L, Backstrom MC, Maki R, Kuusela AL, Koivisto AM, Ikonen RS, Maki M. Enamel defects in primary and permanent teeth of children born prematurely. J Oral Pathol Med 2000; 29(8):403-9. Go to original source... Go to PubMed...
    12. Seow WK. Effects of preterm birth on oral growth and development. Aust Dental J 1997;42(2):85-91. Go to original source...
    13. Hohff A, Heike R, Ulrike E, Erik H. Palatal development of preterm and low birthweight infants compared to term infants - What do we know? Part 2: The palate of the preterm/low birthweight infant. Head Face Med 2005;1(9):1-2. Go to original source... Go to PubMed...
    14. Takaoka LAMV, Goulart AL, Kopelman BI. Enamel defects in the complete primary dentition of children born at term and preterm. Pediatr Dent 2011;33(2):171-6. Go to PubMed...
    15. Quinn W, Sandifer RRT, Goldsmith JP. Pulmonary care. In: Goldsmith JP, Karotkin EH. Assisted ventilation of the neonate. 3. ed. Philadelphia: Saunders Company, 1996. p. 101-124.
    16. American Heart Association (AHA); American Academy of Pediatrics (AAP). American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) of Pediatric and Neonatal Patients: Pediatric Advanced Life Support. Pediatrics 2006;117(5):258. Go to original source... Go to PubMed...
    17. Matsumoto T, Carvalho WB. Tracheal intubation. J Pediatr 2007;83(2);83-90. Go to original source...
    18. Walker RWM. Management of the difficult airway in children. J Royal Soc Med 2001;94(1):341-4. Go to original source...
    19. Moylan, FMB, Seldin EB, Shannon DC, Todres IDV. Defective primary dentition in survivors of neonatal mechanical ventilation. J Pediatr 1980;96(1):106-8. Go to original source... Go to PubMed...
    20. Seow WK. Enamel hypoplasia in the primary dentition: a review. J Dent Child 1991;58(6):441-52.
    21. Machado FC, Ribeiro RA. Defeito do esmalte e cárie dentária em crianças prematuras e/ou de baixo peso ao nascimento. Pesq Bras Odontoped Clin Integr 2004;4(3):243-7.
    22. Seow WK, Brown JP, Tudehope DI, O'Callaghan M. Developmental defects in the primary dentition of low birth-weight infants: adverse effects of laryngoscopy and prolonged endotracheal intubation. Pediatr Dent 1984;6(1):28-31. Go to PubMed...
    23. Corvo MAA, Inacio A, Mello MBC, Eckley CA, Duprat AC. Complicações extralaríngeas das cirurgias por laringoscopia direta de suspensão. Rev Bras Otorrinolaringol 2007;73(6):727-32. Go to original source... Go to PubMed...
    24. Johnsen D, Krejci C, Hack M, Fanaroff A. Distribution of enamel defects and the association with respiratory distress in very low birth weight infants. J Dent Res 1984;63(1):59-64. Go to original source... Go to PubMed...
    25. Hanser-Ducatti C, Puppin-Rontani RM, Bastos HD, Carvalho LR. Relação entre nutrição e alteração do esmalte dental em escolares Botucatu-SP. Cien Odontol Bras 2004;7(1):84-92. Go to original source...
    26. Barbosa DML, Lemos LVFM, Banzi ECF, Myaki SI. Prevalência de hipoplasia do esmalte em dentes decíduos de crianças nascidas prematuras. Rev Odontol UNESP 2008;37(3):261-5.
    27. McDonald RE, Avery DR, Dean JA. Dentistry for the child and adolescent. 9th ed. St. Louis: Mosby; 2010. Go to original source...
    28. Norén JG. Enamel structure in decisuous teeth from low birth weight infants. ACTA Odontol Scand 1983;41(6):355-62. Go to original source... Go to PubMed...
    29. Neville BW. Oral & Maxillofacial Pathology. 3rd ed. Philadelphia; Toronto: W.B. Saunders; 2008.
    30. Nanci A, Ten Cate A.R. Ten Cate's oral histology: development, structure, and function. 7th ed. St. Louis: Mosby; 2007.
    31. Allan JH. Investigations into the mineralization pattern of human dental enamel. J Dent Res 1958;38(1):1096-107. Go to original source... Go to PubMed...
    32. Almonaitiene R., Balciuniene I, Tutkuviene, J. Factors influencing permanent teeth eruption. Part one - general factors. Stomatologija, Baltic Dental and Maxillofacial Journal 2010;12(3):67-72.
    33. Peedikayil, F.C. Delayed tooth eruption. J Dent 2011;1(4):81-6.
    34.  Schieve, LA, Meikle SF, Ferre C, Peterson HB, Jeng G, Wilcox LS. Low and very low birth weight in infants conceived with use of assisted reproductive technology. N Engl J Med 2002;346(10):731-7. Go to original source... Go to PubMed...
    35. McIntire DD, Bloom S, Casey BM, Leveno KJ. Birth weight in relation to morbidity and mortality among newborn infants. New Engl J Med 1999;340(16):1234-8. Go to original source... Go to PubMed...
    36. Gomella TL, Cunningham MD, Eyal FG, Zenk KE, Neonatology:Management, Procedures, On-Call Problems Diseases, and Drugs, 5th edition, Ed. McGraw-Hill, 2004.
    37. Salge AKM, Vieira AVC, Aguiar AKA, Lobo SF, Xavier RM, Zatta LT, Correa RRM, Siqueira KM. Fatores maternos e neonatais associados à prematuridade. Rev Eletr Enf 2009;11(3):642-6. Go to original source...
    38.  Eastman DL. Dental outcomes of preterm infants. Newborn Infant Nurs Rev 2003;3(3):93-8. Go to original source...
    39. Velló MA, Martínez-Costa C, Catalá M, Fons J, Brines J, Guijarro-Martínez R. Prenatal and neonatal risk factors for the development of enamel defects in low birth weight children. Oral Dis 2010;16(3):257-62. Go to original source... Go to PubMed...
    40. Cooper RM. Laryngoscopy - Its past and future. Can J Anaesth 2004;51(6):1-5. Go to original source... Go to PubMed...

    Return to the content