Orofacial features in children with microcephaly associated with Zika virus: A scoping review

Sobrinho, Adriano Referino da Silva; Ramos, Letícia Francine Silva; Maciel, Ytalo; Maurício, Hérika de Arruda; Cartaxo, Renata de Oliveira; Ferreira, Stefânia Jeronimo; Sette‐de‐Souza, Pedro Henrique

doi:10.1111/odi.13804

Cited by 10 publications

(12 citation statements)

References 25 publications

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“…Characteristic craniofacial deformities may occur concomitantly with microcephaly, which are the result of an imbalance between cranial and facial growth (Pires et al, 2019). Orofacial features as swallowing disorders, dysphagia, malocclusions, dental alterations in the eruption of the primary teeth, dental agenesis, and developmental defects of enamel have also been reported in children with this congenital malformation (Cavalcanti, 2017, Aguiar, 2018, Siqueira et al, 2018, Carvalho et al, 2019, D’Agostino et al, 2020, Silva et al, 2020, Gusmão et al, 2020, Amaral et al, 2021, Aragón et al, 2021, Barbosa et al, 2021, Silva et al, 2021, Medina et al, 2021).…”

Section: Introductionmentioning

confidence: 95%

Microcephaly as a risk factor for dental alterations: A case‐control study

et al. 2022

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Objective This study aimed to assess whether microcephaly is a risk factor for alterations in the chronology and sequence of tooth eruption and for developmental defects of enamel. Matherials and Methods In this case‐control study, 81 children aged 30–36 months, including 40 normoreactive children and 41 with microcephaly, were submitted to oral clinical examination to determine the frequency of alterations in the chronology and sequence of tooth eruption and developmental enamel defects. The sample was matched for sex and age (1:1) and allocated to the case (presence of dental alterations) and control (absence of dental alterations) groups. Gestational age, birthweight and socioeconomic characteristics were also analyzed. Chi‐square test and Fisher's exact test were applied (α = 0.05). Results Microcephaly was significantly associated with delayed tooth eruption, alterations in the sequence of tooth eruption, and defects in dental enamel (p < 0.001). Low birthweight also showed a significant association with this alterations (p < 0.005) and prematurity was associated with defects in enamel development (p < 0.005). Conclusion Microcephaly is a risk factor for alterations in the tooth eruption process and enamel formation in primary teeth.

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Section: Introductionmentioning

confidence: 95%

Microcephaly as a risk factor for dental alterations: A case‐control study

et al. 2022

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“…After birth, physical and behavioral limitations of individuals with SCVZ that present microcephaly and muscular hypotonia may cause changes in the palate 9,14,15 . Hypotonia of the facial muscles is associated with incompetent lip seal, malocclusion, and mouth breathing 14,16,18 , impacting the formation of the palate. The presence of atrophic palate was also observed in other studies, with similar population 13,17 .…”

Section: Discussionmentioning

confidence: 99%

“…Although the SCVZ has a varied phenotype 1,7,8,[10][11][12] , research on facial and dental aspects is concentrated in children with microcephaly [13][14][15][16][17][18][19] . Among these structures, the presence of cleft palate or abnormal formation of the palate, inadequate lingual posture at rest (poorly positioned lingual bridle), micrognathia, changes in the shape and/or number of teeth, changes in the sequence of tooth eruption, and muscle spasms have already been observed [13][14][15][16][17][18] .…”

Section: Introductionmentioning

confidence: 99%

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Orofacial alterations of Congenital Syndrome by Zika Virus in different periods of infection in pregnancy

Pinheiro¹,

Tonello²,

Nunes³

et al. 2023

Collection of International Topics in Health Science- V1

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Objective: To estimate and compare the prevalence of orofacial changes in children with Congenital Zika Virus Syndrome (SCVZ) with different periods of infection in pregnancy, according to social, demographic, and clinical characteristics. Method: Cross-sectional study nested to a cohort of 108 children with SCVZ seen in a reference center for this disorder in Maranhão in the period from October 2016 and July 2019. The orofacial changes (face, lips, palate, tongue, oral mucosa and teeth) were assessed through clinical examination under artificial light in knee-knee position, while the social and clinical characteristics, through medical records and interviews. The children were divided into two groups according to the trimester of pregnancy in which the mother was infected: 1st trimester (n=56) and 2nd/3rd trimester (n=52). To compare if there was a difference in orofacial changes between the two groups chi-square and Fisher's exact test was performed at 5% significance level (p<0.05). Results: The prevalence of orofacial changes in children with SCVZ was 90.7% (n=97), with no statistically significant difference (p=0.38) between those infected in the 1st trimester 76.8% (n=43) and in the 2nd/3rd trimesters 69.2% (n=36). Atresia of the palate was the most prevalent type of alteration 67.6% (n=73). Two children had cleft lip and palate (1.8%), both infected in the 1st trimester. Lingual frenum alteration was observed in 17.9% (n=10) in the 1st trimester infected group and 11.6% (n=6) in the other group (p=0.35). Conclusion: Regardless of the time of infection, orofacial changes in children with SCVZ were similar in both groups of pregnant women infected in the 1st trimester and in those in the 2nd/3rd trimesters.

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“…Children born with this condition need differentiated health care assistance that aims to improve their quality of life. Due to the negative repercussions that microcephaly brings to the oral health of the individual, preventive and promoting oral health practices such as oral hygiene habits need to be properly conducted 3 . However, the scenario shows that not always the caregivers of these children have the knowledge to adopt such practices properly.…”

Section: Introductionmentioning

confidence: 99%

Access to information on oral hygiene and mothers' practices of children with microcephaly caused by Zika virus

Vaz¹,

Sobrinho

Athayde

et al. 2022

Int J Dental Hygiene

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Objective: To verify whether access to information about oral hygiene influenced the practices of caregivers of children with microcephaly caused by Zika virus (ZIKV).Methods: A case series study was developed at the Mens Sana Rehabilitation Center, in the municipality of Arcoverde, Pernambuco, Brazil. The study universe included the mothers of 32 children with microcephaly caused by Zika virus. Data collection took place in June 2018 and was carried out through a structured questionnaire.The variables studied comprised socioeconomic issues, habits, diet, and knowledge about oral hygiene. Fisher's Exact and Pearson's Chi-square tests were used with a significance level of 5%.Results: Out of 32 individuals eligible to participate in the study, only 27 were selected.Most mothers reported receiving information about oral hygiene from their infants (63.0%). Fisher's Exact and Pearson's Chi-square tests showed that access to oral hygiene information was associated with mother's education, family income, regular visits to the dentist, frequency of tooth brushing, age at which the infant started brushing, and brushing time (p < 0.05). Conclusion:Access to information about oral hygiene positively influenced the oral health care of mothers with their children with microcephaly caused by ZIKV.

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Orofacial features in children with microcephaly associated with Zika virus: A scoping review

Cited by 10 publications

References 25 publications

Microcephaly as a risk factor for dental alterations: A case‐control study

Microcephaly as a risk factor for dental alterations: A case‐control study

Orofacial alterations of Congenital Syndrome by Zika Virus in different periods of infection in pregnancy

Access to information on oral hygiene and mothers' practices of children with microcephaly caused by Zika virus

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