Anomalies of Enamel Formation

Soxman, Jane A.; Wunsch, Patrice Barsamian; Haberland, Christel M.

doi:10.1007/978-3-030-03164-0_7

Cited by 1 publication

(1 citation statement)

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“…Terband et al described differences in speech development in boys with FASD compared to healthy controls and concluded that speech impairment resulted from a combination of deficits in multiple subsystems [17]. Anomalies of enamel formation can result from genetic, systemic, local or unknown causes [18]. Animal studies could show that alcohol exposure during pregnancy influences the secretory function in the ameloblasts, which in turn influences enamel formation [19].…”

Section: Introductionmentioning

confidence: 99%

Tooth Malformations, DMFT Index, Speech Impairment and Oral Habits in Patients with Fetal Alcohol Syndrome

Blanck-Lubarsch

Dirksen

Feldmann

et al. 2019

IJERPH

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Background: Fetal alcohol spectrum disorder (FASD) is a developmental disorder with severe negative lifetime consequences. Although knowledge about the harmfulness of alcohol consumption during pregnancy has spread, the prevalence of fetal alcohol spectrum disorder is very high. Our study aims at identifying fetal alcohol syndrome (FAS)-associated dental anomalies or habits, which need early attention. Methods: Sixty children (30 FAS; 30 controls) were examined prospectively. Swallowing pattern, oral habits, breastfeeding, speech therapy, ergotherapy, physiotherapy, exfoliation of teeth, DMFT (decayed, missing, filled teeth) index, modified DDE (developmental defects of enamel) index and otitis media were recorded. Results: Swallowing pattern, exfoliation of teeth, and otitis media were not significantly different. Significant differences could be found concerning mouthbreathing (p = 0.007), oral habits (p = 0.047), age at termination of habits (p = 0.009), speech treatment (p = 0.002), ergotherapy, physiotherapy, and breastfeeding (p ≤ 0.001). DMFT (p ≤ 0.001) and modified DDE (p = 0.001) index showed significantly higher values for children with fetal alcohol syndrome. Conclusions: Children with fetal alcohol syndrome have a higher need for early developmental promotion such as speech treatment, ergotherapy, and physiotherapy. Mouthbreathing, habits, and lack of breastfeeding may result in orthodontic treatment needs. High DMFT and modified DDE indexes hint at a higher treatment and prevention need in dentistry.

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Section: Introductionmentioning

confidence: 99%