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  • 1.
    Vicente, António
    et al.
    Malmö University, Faculty of Odontology (OD).
    Alward, Lubna
    Malmö University, Faculty of Odontology (OD).
    Wiedel, Anna-Paulina
    Department of Oral and Maxillofacial Surgery, Skåne University Hospital, Malmö, Sweden.
    Becker, Magnus
    Department of Plastic and Reconstructive Surgery, Department of Clinical Sciences in Malmö, Skåne University Hospital, Lund University, Malmö, Sweden.
    Shi, Xie-Qi
    Malmö University, Faculty of Odontology (OD). Section of Oral and Maxillofacial Radiology, Department of Clinical Dentistry, University of Bergen, Bergen, Norway.
    Hellén-Halme, Kristina
    Malmö University, Faculty of Odontology (OD).
    Brogårdh-Roth, Susanne
    Malmö University, Faculty of Odontology (OD).
    Do preterm-born children and adolescents have greater need for dental care as compared to full term-born controls?2022In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 22, no 1, article id 479Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Preterm birth has been shown to cause various long-term health issues. Children who were born preterm have also been observed to have more dental behaviour management problems (DBMP) during dental examinations and treatment than children born full term. It is known that dental radiographic examinations can be uncomfortable and cause anxiety in paediatric patients. Thus, our aims were to retrospectively compare dental care related examinations and treatments carried out in three different age intervals (3-6 years, 7-12 years, and 13-19 years) among preterm- and full-term born children and adolescents.

    METHODS: The present study included 311 patient files: 122 very preterm-born and 33 extremely preterm-born children and adolescents (< 32 gestational weeks). A matched control group of 156 full term-born children and adolescents (≥ 37 gestational weeks) was analysed for comparison. Various factors, including DBMP, missed appointments, dental caries, and radiographic examinations, were retrieved from the dental records for three age intervals: 3-6 years, 7-12 years, and 13-19 years.

    RESULTS: Extremely preterm-born children missed significantly more dental appointments and presented with more DBMP during dental examinations and treatment than full term-born children in the 3-6-year age group; the same was observed for the very preterm-born in the 7-12-year age group. No significant differences in DBMP during bitewing and periapical examinations or in number of bitewing, periapical and panoramic radiographs occurred between the groups in any age interval.

    CONCLUSION: Preterm-born children and adolescents may need more flexibility in booking and receive reminders for scheduled visits with the general dental team. Due to the non-significant differences in dental care related oral examinations and treatments, the same dental care service may be applied to the preterm- and full-term born children and adolescents.

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  • 2.
    Vicente, António
    et al.
    Malmö University, Faculty of Odontology (OD).
    Wiedel, Anna-Paulina
    Skane Univ Hosp, Dept Oral & Maxillofacial Surg, Malmö, Sweden.;Lund Univ, Dept Clin Sci Malmö, Malmö, Sweden..
    Becker, Magnus
    Lund Univ, Dept Clin Sci Malmö, Malmö, Sweden.;Skane Univ Hosp, Dept Plast & Reconstruct Surg, Malmö, Sweden..
    Brogårdh-Roth, Susanne
    Malmö University, Faculty of Odontology (OD).
    Shi, Xie-Qi
    Malmö University, Faculty of Odontology (OD). Univ Bergen, Dept Clin Dent, Sect Oral & Maxillofacial Radiol, Bergen, Norway..
    Hellén-Halme, Kristina
    Malmö University, Faculty of Odontology (OD). Univ Bergen, Dept Clin Dent, Sect Oral & Maxillofacial Radiol, Bergen, Norway..
    Quantitative assessment of cleft volume and evaluation of cleft's impact on adjacent anatomical structures using CBCT imaging2024In: Oral Radiology/Springer, ISSN 0911-6028, E-ISSN 1613-9674, Vol. 40, no 2, p. 295-303Article in journal (Refereed)
    Abstract [en]

    Objectives: To determine pre-operative cleft volume and evaluate cleft´s impact on surrounding anatomical structures in children and adolescents with orofacial clefts using cone bean computed tomography (CBCT) imaging.

    Methods: The present retrospective study retrieved CBCT examinations of 68 patients from a previous study. The examinations had been exposed either before (n = 53) or after (n = 15) alveolar bone grafting. Pre-operative volume of cleft was determined, and type and location were evaluated. Morphological changes on the adjacent anatomical structures, including the incisive foramen, the nasal septum and floor, and the inferior turbinate, were assessed.

    Results: Mean bilateral cleft volume was 0.76 cm3, while mean unilateral cleft volume was 1.08 cm3; the difference was significant (p < 0.001). Variation in cleft volume, however, was large. The incisive foramen was not visible in the majority of cases with bilateral clefts (71%); the difference was significant (p = 0.001). In cases with unilateral clefts, the nasal septum in 87% was curved towards the cleft or graft side. Also, the mean size of the widest part of the inferior turbinate was 8.8 mm on the cleft or graft side and 10.4 mm on the non-cleft side. The difference was significant (p < 0.001).

    Conclusions: When required, CBCT is a feasible method for quantitatively illustrating alveolar clefts and their impact on the morphological development of surrounding structures. Variation in cleft volume was large.

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