Oral Health of Individuals with Cleft Lip,Cleft Palate,or Both

Abstract

Objective

To evaluate the oral health of children with cleft lip and palate.

Design

DMFT (dmft) and DMFS (dmfs) were calculated on the basis of visual examination. Periodontal disease was assessed by classical clinical parameters: volume gain, bleeding, probing depth, loss of insertion, gingival recession. and calculus.

Patients

Seventy-eight individuals aged 1 to 32 years took part in the study.

Results

The dmft was 2.91 (± 3.99) in the 1- to 5-year-old age group and 2.77 (± 3.15) in the 6- to 12-year-old group. The DMFT averages for the age groups of 6 to 12 years, 13 to 18 years, and 19 to 32 years were 1.87 (± 1.78), 6.46 (± 3.11), and 13.62 (± 6.51), respectively. A total of 5.3% of individuals presented a healthy periodontium, and 86.6% presented with gingivitis and 8% presented with periodontitis.

Conclusions

The dental and periodontal condition of individuals with cleft lip and palate was similar to the general population in the region in which this study was conducted. Good preventive measures should result in improved oral health similar to the general population and should be emphasized.

Keywords

cleft lip cleft palate oral health periodontics

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References

Armitage

G.C.

Bases Biológicas da Terapia Periodontal. São Paulo: Santos; 1984.

Bokhout

Hofman

F.X.

van Limbeek

Kramer

G.J.

Prahl-Andersen

Incidence of dental caries in the primary dentition in children with a cleft lip and/or palate.

Caries Res. 1997; 31: 8–12.

Bokhout

Hofman

F.X.

van Limbeek

Kramer

G.J.

Prahl-Andersen

Increased caries prevalence in 2.5-year-old children with cleft lip and/or palate.

Eur J Oral Sci. 1996; 104: 518–522.

Brägger

Schurch

Jr Gusberti

F.A.

Lang

N.P.

Periodontal conditions in adolescents with cleft lip, alveolus and palate following treatment in a coordinated team approach.

J Clin Periodontol. 1985; 12: 494–502.

Brägger

Schurch

Jr Salvi

von Wyttenbach

Lang

N.P.

Periodontal conditions in adult patients with cleft lip, alveolus and palate.

Cleft Palate Craniofac J. 1992; 29: 179–185.

Cândido

I.T.

Epidemiologia das Fendas de lÁbio e/ou Palato: Estudo de RecÉM-Nascidos em Dois Hospitais de Porto Alegre no PerÍOdo de 1950 a 1974. Porto Alegre: Faculdade de Odontologia da Universidade Federal do Rio Grande do Sul; 1978. Dissertation.

Carranza

F.A.

Jr . Periodontia Clínica. 7th ed. Rio de Janeiro: Guanabara Koogan; 1992.

Dahllof

Ussisoo-Joandi

Ideberg

Modeer

Caries, gingivitis, and dental abnormalities in preschool children with cleft lip and/or palate.

Cleft Palate Craniofac J. 1989; 26: 233–237.

Dean

A.G.

Coulombier

Bourton

A.H.

Brendel

K.A.

Smirt

D.C.

Dicker

R.C.

Soullivan

K.M.

Fagan

R.F.

Epi Info, version 6: A Word Processing, Database and Statistics Program for Epidemiology on Microcomputer. Atlanta: Centers for Disease Control; 1990.

10.

Douglas

C.W.

Fox

C.H.

Determining the value of a periodontal diagnostic test.

J Periodontol. 1991; 62: 721–730.

11.

Eklund

S.A.

Moller

I.J.

Leclercq

M.H.

Calibration of Examiners for Oral Health Epidemiological Surveys. Geneva: World Health Organization, ORH/EIS/EPID; 1993.

12.

Fogh-Andersen

Inheritance of Harelip and Cleft Palate. NYT Nordisk Forlag. Copenhagen: Arnold Busck; 1942.

13.

Fonseca

E.P.

Rezende

J.R.V.

Incidência das malformações do lábio e do palato.

Revista Fac Odontol Sao Paulo. 1971; 9: 45–58.

14.

Johnsen

D.C.

Dixon

Dental caries of primary incisors in children with cleft lip and palate.

Cleft Palate J. 1984; 21: 104–109.

15.

Kidd

E.A.M.

Joyston-Bechal

Essentials of Dental Caries: The Disease and Its Management. Bristol: Wright; 1987.

16.

Lauterstein

A.M.

Mendelsohn

An analysis of the caries experience of 285 cleft palate children.

Cleft Palate J. 1964; 1: 314–319.

17.

Lindhe

Tratado de Periodontologia Clínica. 2nd ed. Rio de Janeiro: Guanabara Koogan; 1992.

18.

Löe

Anerud

Boysen

Morrison

Natural history of periodontal disease in man.

J Clin Periodontol. 1986; 13: 431–445.

19.

Lussi

Validity of diagnostic and treatment decision of fissure caries.

Caries Res. 1991; 25: 296–303.

20.

Manson

J.D.

Eley

B.M.

Manual de Periodontia. 2nd ed. São Paulo: Santos; 1989.

21.

Marcos

Periodontia: Um Conceito Clínico Preventivo. 2nd ed. Rio de Janeiro: Guanabara Koogan; 1980.

22.

Munghamba

E.G.

Markkanen

H.A.

Honkala

Risk factors for periodontal disease in Ilala, Tanzânia.

J Clin Periodontol. 1995; 22: 347–54.

23.

Nagem Filho

Contribuição para o estudo da prevalência das más formações congênitas lábio-palatais na população escolar de Bauru.

Rev Fac Odontol Sao Paulo. 1968; 6: 111–128.

24.

Organização Mundial de Saúde (OMS). Levantamento epidemiológico básico de saúde buccal: manual de instruções. São Paulo: Santos; 1991.

25.

Papapanou

P.N.

Periodontal diseases: epidemiology.

World Workshop in Periodontics Ann Periodontol. 1996; 1: 1–36.

26.

Paul

Brandt

R.S.

Oral and dental health status of children with cleft lip and/or palate.

Cleft Palate Craniofac J. 1998; 35: 329–332.

27.

Penning

Validity of probing for fissure caries diagnosis.

Caries Res. 1992; 26: 445–449.

28.

Pinto

V.G.

Epidemiologia das doenças bucias no Brasil. In: Kriger

, Coord. Promoção de Saúde Bucal. São Paulo: Artes Médicas; 1997: 27–41.

29.

Ramfjord

S.P.

Periodontologia e Periodontia: Teoria e Prática Moderna. São Paulo: Santos; 1991.

30.

Santos

R.M.

Distribuição das doenças da cavidade bucal nos usuáraios do Sistema Único de Saúde de Belo Horizonte: um estudo de prevalência. Belo Horizonte, Brazil: Faculdade de Odontologia da Universidade Federal de Minas Gerais, 1996. Dissertation.

31.

Siegel

Castellan

N.J.

Jr . Non-Parametric Statistics for the Behavioral Science. 2nd ed. New York: McGraw-Hill Book Co.; 1988: 284–290.

32.

Slade

G.D.

Variations in the social impact of oral conditions among old adults during a one year period.

Community Dent Oral Epidemiol. 1996; 75: 1439–1450.

33.

Teja

Persson

Omnell

M.L.

Periodontal status of teeth adjacent to non-grafted unilateral alveolar clefts.

Cleft Palate Craniofac J. 1992; 29: 357–362.

34.

Toevs

S.E.

Lukken

K.M.

Bleeding as an indicator of health or disease: clinical application of this parameter.

J Dent Hyg. 1990; 64: 256–259.

35.

Turner

Zagirova

A.F.

Frolova

L.E.

Courts

F.J.

Williams

W.N.

Oral health status of Russian children with unilateral cleft lip and palate.

Cleft Palate Craniofac J. 1998; 35: 489–494.

36.

Vieira

Introdução à Bioestatística. 2nd ed. Rio de Janeiro: Campus; 1991: 31–49.