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04/28/2009 13:28

More orthodontic treatment needed among children born prematurely

Hanna Holm, Malmö University Informationsavdelningen / Communications Department
Schwedischer Forschungsrat - The Swedish Research Council

    Children born before week 33 may need more orthodontic care than
    full-term children do. Premature children also have more complicated
    deviations in their bite. This is shown in a new dissertation from
    Liselott Paulsson at the Faculty of Odontology, Malmö University, in
    Sweden.

    "This is a new group of children who need to be given more attention in
    dental care," says the specialist dentist Liselotte Paulsson at the
    Division for Odontology at Malmö University. On April 24 she defended
    her dissertation Premature Birth - Studies on Orthodontic Treatment
    Need, Craniofacial Morphology, and Function.

    Most children who are born prematurely need help with their respiration
    during the first few weeks of life. This means that they breathe with
    the aid of a plastic tube connected to a respirator. The tube is placed
    in either the mouth or the nose, so called intubation. Results of
    earlier studies have indicated that children that receive this breathing
    support run a greater risk of developing bite deviations. The risk is
    especially great for those children who have had the tube in their
    mouth.

    Today nasal intubation is used for the most part at Swedish hospitals,
    but Liselotte Paulsson's studies show that these children also have more
    bite deviations than full-term children.

    "In my studies the premature children had had intubation through the
    nose only," she says, pointing out that it is important that the needs
    of these children be attended to in dental care.

    A total of 114 children participated in the studies. They were divided
    into three groups: children born before week 29, children born between
    week 20 and 32, and full-term children born in week 40.

    The children were examined when they were between eight and ten years
    old, and the results show that 52 percent of the premature children
    needed to be treated for bite deviations compared with 37 percent for
    the full-term children. The studies also show that the premature
    children weighed less, had smaller head circumferences, and had smaller
    upper jaws.

    "It shows that they have not caught up in their growth. It may be these
    differences that underlie the fact that they have more bite deviations,
    but more research is needed before we can know this for certain," says
    Liselotte Paulsson, who hopes it will therefore be possible to follow up
    these children between the ages of 16 and 17.

    Even though they have more bite deviations and a greater need for
    orthodontic treatment, premature children do not have more symptoms in
    the form of pain in the jaws or jaw joints or headaches compared with
    other children.

    "I'm happy to be able to give parents reassuring news on this point, and
    bite deviations can also be steered in the right direction using various
    forms of braces," says Liselotte Paulsson.

    Liselotte Paulsson
    E-mail: liselotte.paulsson@mah.se
    Phone: +46 (0)40 - 6658473
    Cell phone: +46 (0)708-705669


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    Criteria of this press release:
    Nutrition / healthcare / nursing
    transregional, national
    Research results
    English


     

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