Dental health of young children prenatally exposed to buprenorphine. A concern of child neglect?

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  • Author(s): Kivistö K;Kivistö K; Alapulli H; Tupola S; Alaluusua S; Kivitie-Kallio S
  • Source:
    European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry [Eur Arch Paediatr Dent] 2014 Jun; Vol. 15 (3), pp. 197-202. Date of Electronic Publication: 2013 Oct 17.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: England NLM ID: 101277157 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1996-9805 (Electronic) Linking ISSN: 18186300 NLM ISO Abbreviation: Eur Arch Paediatr Dent Subsets: MEDLINE
    • Publication Information:
      Publication: 2013- : London : Springer
      Original Publication: Leeds, England : European Academy of Paediatric Dentistry, [2006]-
    • Subject Terms:
      Opioid-Related Disorders* ; Oral Health* ; Prenatal Exposure Delayed Effects*; Buprenorphine/*adverse effects ; Child Abuse/*diagnosis ; Narcotics/*adverse effects; Adult ; Child Care ; Child, Preschool ; DMF Index ; Dental Care for Children ; Dental Caries/diagnosis ; Dental Enamel/abnormalities ; Dental Plaque/diagnosis ; Educational Status ; Female ; Humans ; Male ; Oral Hygiene ; Parent-Child Relations ; Parents/education ; Pregnancy ; Smoking ; Social Class ; Toothbrushing
    • Abstract:
      Purpose: To study the oral health and dental neglect of prenatally buprenorphine-exposed 3-year-old children.
      Methods: The study consisted of 51 children who as newborns tested positive for buprenorphine in a urine screen. The control group comprised 68 children previously unexposed to narcotics. The dentist examined the children and interviewed their guardians.
      Results: Buprenorphine-exposed children exhibited significantly more early childhood caries than did the control group. Caries indices, the number of decayed, missing and filled teeth or tooth surfaces and decayed teeth were greater in the buprenorphine-exposed children than the control children (p = 0.004, p = 0.004, p = 0.001, respectively). In the buprenorphine group, more children showed visible plaque (p = 0.003) and fewer children were caries-free (p = 0.009) than in the control group. The control children's teeth were also brushed more often than the buprenorphine-exposed children's teeth (p = 0.001) and the parents were more involved in their children's tooth brushing than were those in the buprenorphine-exposed group (p = 0.035).
      Conclusions: More caries and dental neglect were found in buprenorphine-exposed children than in controls. These findings highlight the importance of routine dental appointments, caries screening and preventive care for children in substance-abusing families.
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    • Accession Number:
      0 (Narcotics)
      40D3SCR4GZ (Buprenorphine)
    • Publication Date:
      Date Created: 20131018 Date Completed: 20161108 Latest Revision: 20211021
    • Publication Date:
      20240829
    • Accession Number:
      10.1007/s40368-013-0095-7
    • Accession Number:
      24132830