THE EFFECT OF FETAL MACROSOMIA ON THE NEONATE AND INFANT DENTAL HEALTH.

Autor: Garmash, O. V., Ryabokon, E. N.
Předmět:
Zdroj: International Journal of Clinical Dentistry; 2017, Vol. 10 Issue 3, p199-210, 12p, 4 Color Photographs, 2 Charts
Abstrakt: The analysis of the dental status in Kharkiv population newborns and neonates (Kharkiv City, Ukraine) born with macrosomia has been performed. One hundred and twenty six infants (51 girls and 75 boys) born in 2015 were examined at the age from several hours to several months. They were divided into four groups. The first group was represented by 35 infants born with macrosomia. Twenty nine infants, who had standard weight and length for their gestational age (normosomic), made up the second group. Infants who were born with perinatal hypoxic-ischemic brain damage and macrosomia composed the third group, which included 24 babies. Normosomic infants having perinatal hypoxic-ischemic brain damage belonged to the fourth group of 38 babies. Clinical and statistical methods were applied. Causes of macrosomia in the first and third groups in the sample have been analyzed. Macrosomia can imply hereditary predisposition. The birth of macrosomic newborns is determined by the mother’s weight-length index to a greater degree than by the father’s one. As it turns out, the factors associated with fetal macrosomia include multiparity, but significant influence of parents’ age, maternal obesity, the presence of gestational diabetes, or type 1 diabetes mellitus has not been detected. Dental abnormalities have been proven to occur in all four groups: twenty one infants (60%) in the first group, four infants (13.8%) in the second group, seventeen infants (70.1%) in the third group, and sixteen infants (42.1%) in the fourth group have been proven to have dental abnormalities. The study has shown the higher prevalence of anomalies in the maxillofacial area in the children who were born with macrosomia. Soft tissues anomalies (ankyloglossia, tight and low attached maxillary frenulum) are mostly associated with fetal macrosomia. Relevant evidence for the effect of oxygen deficiency (perinatal hypoxic-ischemic brain damage) in the perinatal period on the dental anomaly formation in the children born with macrosomia has not been revealed. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index