Parenteral nutrition in childhood and consequences for dentition and gingivae

Authors

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

DOI:

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

Keywords:

Caries prevalence, Dental developmental abnormalities, Parenteral nutrition

Abstract

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