The oral effects of orotracheal intubation in prematurely born preschoolers.
This cross-sectional study of fifty-two prematurely-born children, ages two to five years, evaluated the long-term effects of oral intubation at birth on palatal architecture, crossbite malocclusion, and enamel structure. Seventy percent showed a high palatal vault, with palatal grooving in 25 percent; 36 percent had enamel defects in the maxillary primary incisors; and 17 percent had posterior crossbites. The mean palatal depth was 12.9 mm, as compared to 11.4 mm for a group of 45 nonintubated, normal healthy children (the difference was significant at alpha = 0.05). There are significant iatrogenic defects from prolonged neonatal intubation with this sample of preschoolers.
Fadavi
S
S
Department of Pediatric Dentistry, University of Illinois, Chicago 60612.
Adeni
S
S
Dziedzic
K
K
Punwani
I
I
Vidyasagar
D
D
D002675:Child, Preschool; D003743:Dental Enamel / Q000002:abnormalities* / Q000473:pathology; D003744:Dental Enamel Hypoplasia / Q000209:etiology / Q000473:pathology; D006801:Humans; D015994:Incidence; D007180:Incisor / Q000002:abnormalities / Q000473:pathology; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation; D008310:Malocclusion / Q000209:etiology* / Q000473:pathology; D008439:Maxillary Diseases / Q000209:etiology / Q000473:pathology; D010159:Palate / Q000473:pathology*; D015995:Prevalence; D013997:Time Factors