• About
  • Editorial Board
  • Current Issue
  • Early access
  • Archive
Search
EJPD
  • About
  • Editorial Board
  • Current Issue
  • Early access
  • Archive
  • Sioi
  • Guidelines for Authors
  • Article submission
  • Terms of use
  • Privacy
Home Parenteral nutrition in childhood and consequences for dentition and gingivae

Parenteral nutrition in childhood and consequences for dentition and gingivae

Authors:

  • D. Olczak-Kowalczyk
    Medical University of Warsaw, Department of Paediatric Dentistry, Warsaw, Poland
  • M. Danko
    Department of Paediatrics and Nutrition, Children’s Memorial Health Institute, Warsaw, Poland
  • E. Banaś
    Department of Paediatrics and Nutrition, Children’s Memorial Health Institute, Warsaw, Poland
  • D. Gozdowski
    Department of Experimental Statistics and Bioinformatics, Warsaw University of Life Science, Warsaw, Poland
  • K. Popińska
    Department of Paediatrics and Nutrition, Children’s Memorial Health Institute, Warsaw, Poland
  • E. Krasuska-Sławińska
    Dental Outpatient Clinic, Children’s Memorial Health Institute, Warsaw, Poland
  • J. Książyk
    Department of Paediatrics and Nutrition, Children’s Memorial Health Institute, Warsaw, Poland

DOI:

https://doi.org/10.23804/ejpd.2017.18.01.15

ABSTRACT


Aim

Assessment of dentition in children under parenteral nutrition, risk factors for caries, and dental developmental abnormalities.

Material and methods

The study involved 63 patients (aged 2.25–16.6 years), i.e. 32 subjects receiving parenteral nutrition for a mean period of 5.6±2.94 years, and 31 healthy control subjects. Oral hygiene (OHI-S, PL-I), gingival (GI), and dentition status (caries, DMFT/dmft, enamel defects, shape alterations), frequency of oral meals and frequency of cariogenic snacks consumption were evaluated. Medical records provided information on parenteral meals per week, age parenteral nutrition started, birth body mass, Apgar score, weight deficiency, and antibiotic therapy until aged 1 year. The Mann-Whitney test, chi-squared test, and Spearman rank correlation coefficient were used (p≤0.05).

Results

Dental developmental abnormalities occurred more often in PN subjects (71.87% vs. 25.80%). The prevalence of caries in PN (56.25% vs. 90.32%) and dmft (2.00±3.30 vs. 4.21±3.33) and DMFT (2.47±4.08 vs. 3.33±3.50) were lower. Positive caries Spearman’s rank correlation coefficients: frequency of oral meals and frequency of cariogenic snacks consumption, and GI. Negative correlation coefficients: low birth body mass, antibiotic therapy, and low body mass in the first year of life. Positive dental developmental abnormality Spearman’s coefficients: low birth body mass, Apgar score < 7, parenteral nutrition duration, low body mass and antibiotic therapy in the first year of life. Beta-lactam, aminoglycoside, glycopeptide and nitroimidazole treatments were related to enamel hypoplasia.

Conclusion

Parenteral nutrition in childhood is related to the risk of dental developmental abnormalities, promoted by malnutrition and antibiotic therapy in infancy. Limiting the number of meals and cariogenic snacks, and most probably administration of antibiotics, decreases the risk of caries.

PLUMX METRICS

Download PDF

Publication date:

March /2017

Issue:

Vol.18 – n.1/2017

Page:

69 – 76

Publisher:

Ariesdue

Cite:


Harvard: D. Olczak-Kowalczyk, M. Danko, E. Banaś, D. Gozdowski, K. Popińska, E. Krasuska-Sławińska, J. Książyk (2017) "Parenteral nutrition in childhood and consequences for dentition and gingivae", European Journal of Paediatric Dentistry, 18(1), pp69-76. doi: 10.23804/ejpd.2017.18.01.15
Vancouver: D. Olczak-Kowalczyk, M. Danko, E. Banaś, D. Gozdowski, K. Popińska, E. Krasuska-Sławińska, J. Książyk. Parenteral nutrition in childhood and consequences for dentition and gingivae. European Journal of Paediatric Dentistry [Internet]. 2017Mar.1 [cited 2023Mar.23];18(1):69-76. Available from: https://www.ejpd.eu/abstract-pubmed/parenteral-nutrition-in-childhood-and-consequences-for-dentition-and-gingivae/
MLA: D. Olczak-Kowalczyk, M. Danko, E. Banaś, D. Gozdowski, K. Popińska, E. Krasuska-Sławińska, J. Książyk Parenteral nutrition in childhood and consequences for dentition and gingivae. European Journal of Paediatric Dentistry. 2017;18(1):69-76

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Facebook
Twitter
Pinterest
Linkedin
WhatsApp
Email
Print
    webfactory.bm24
    Editor in chief: dott. Luigi Paglia
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    powered by Ariesdue

    CONTACT US
    • About
    • Editorial Board
    • Current Issue
    • Early access
    • Archive
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
    /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - inizio */ /* ----------------------------------------- */ /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - fine */ /* ----------------------------------------- */