The influence of orotracheal intubation on the oral tissue development in preterm infants

• Published in: Oral health & preventive dentistry Vol. 10; no. 2; p. 141
• Main Authors: Alves, Patricia Valeria Milanezi, Luiz, Ronir Raggio
• Format: Journal Article
• Language: English
• Published: Germany 2012
• Subjects: Alveolar Process - abnormalities; Child, Preschool; Cohort Studies; Follow-Up Studies; Humans; Infant, Extremely Low Birth Weight - growth & development; Infant, Low Birth Weight - growth & development; Infant, Newborn; Infant, Premature - growth & development; Infant, Very Low Birth Weight - growth & development; Intensive Care, Neonatal; Intubation, Intratracheal - instrumentation; Malocclusion - etiology; Maxilla - abnormalities; Maxilla - growth & development; Mouth - growth & development; Odontogenesis - physiology; Palate - abnormalities; Respiration, Artificial - instrumentation; Retrospective Studies; Tooth Crown - abnormalities; Tooth Discoloration - etiology; Tooth Eruption - physiology; Tooth, Deciduous - abnormalities
• ISSN: 1602-1622
• DOI: 10.3290/j.ohpd.a28001

Preterm children may not be prepared for extra-uterine life and thus need neonatal intensive care, such as artificial ventilation through orotracheal intubation. Oral tissue development changes as a result of the use of an orotracheal tube and its mechanical influence in preterm neonates has not been intensively studied. The purpose of the present study was to determine the association of orotracheal intubation with incidence of oral alterations in preterm infants. A retrospective cohort of 117 subjects who were born during the period 2002-2003 in Brazil were evaluated and the data were analysed using the Fisher and Mann-Whitney exact tests. A 95% confidence interval was calculated for observed oral conditions. The cohort revealed that the most frequent oral conditions included anterior crossbite, superior alveolar contour and palatal deformation. The association between the intubated-infant group and the non-intubated-infant group suggested that mechanical trauma had an influence on the oral structure development.