The Dental Health and Caries-Related Microflora in Children with Craniosynostosis

Abstract

Objective:

To compare levels of dental caries, bacterial dental plaque, gingivitis, enamel defects, and caries-related microflora in children with and without craniosynostosis.

Study group:

Fifty-seven children with craniosynostosis and their matched controls.

Outcome measures:

The decayed, missing, and filled teeth and surfaces in both the deciduous (dmfs and dmft) and the permanent dentition (DMFS and DMFT). The plaque and gingivitis scores and developmental enamel defects were also recorded. The caries-related microflora was sampled using an alginate swab and the prevalence of Streptococcus mutans and Lactobacillus and Candida species were recorded.

Results:

The dmfs (p < .02) and dmft (p < .01) were significantly greater in the control children. The plaque score for the deciduous dentition only (p < .02) and also the gingivitis score for the permanent teeth only (p < .008) in the craniosynostosis group were significantly greater. The total aerobic bacterial count (p < .004), anaerobic count (p < .002), and Candida count (p < .05) were significantly greater in the control group. The proportion of S. mutans both as a percentage of the total anaerobic count (p < .04) and the total streptococcal count (p < .05) was significantly greater in the control group.

Keywords

caries craniosynostosis dental health microflora

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References

Ainamo

An epidemiological index of development defects of dental enamel (DDE).

Int Dent J. 1982; 32: 159–166.

Altman

D.G.

Practical Statistics for Medical Research. 2nd ed. London: Chapman and Hall; 1991.

Bokhout

Hofman

F.X.

van Limbeek

Kramer

G.J.

Prahl-Anderson

Incidence of dental caries in children with cleft lip and/or palate.

Caries Res. 1997; 31: 8–12.

Casals

J.B.

Pringler

Diagnosis Tablets for Bacterial Identification. Taastrup, Denmark: Rosco Diagnostica; 1987.

Casals

J.B.

Pringler

The Zym-Kits and Identification Tablets for Bacteria and Yeast. 1st ed. Taastrup, Denmark: Rosco Diagnostica; 1993.

Cleaton-Jones

Hargreaves

J.A.

Fatti

L.P.

Chandler

H.D.

Grossman

E.S.

Dental caries diagnosis calibration for clinical field surveys.

Caries Res. 1989; 23: 195–199.

Cohen

M.M.

Kreiborg

A clinical study of the craniofacial features in Apert syndrome.

Int J Oral Maxillofac Surg. 1996; 25: 45–53.

Costaras-Volarich

Pruzansky

Is the mandible intrinsically different in Apert and Crouzon syndromes?

Am J Orthod. 1984; 84: 475–487.

Coulter

W.A.

Murray

S.D.

Kinirons

M.J.

The use of a concentrated oral rinse culture technique to sample oral Candida and Lactobacilli in children and the relationship between Candida and Lactobacilli levels and dental caries experience: a pilot study.

Int J Paediatr Dent. 1993; 3: 17–21.

10.

Dahllof

Ussisoo-Joandi

Ideborg

Modeer

Caries, gingivitis and dental abnormalities in pre-school children with cleft lip and/or palate.

Cleft Palate J. 1989; 26: 233–237; discussion 237–238.

11.

Franco

Saunders

C.P.

Roberts

G.J.

Suwanprasit

Dental disease, caries related microflora and salivary IgA of children with severe congenital cardiac disease: an epidemiological and microbial survey.

Pediatr Dent. 1996; 18: 228–235.

12.

Goho

Dental findings in Saethre-Chotzen syndrome (acrocephalosyndactyly type III): case report.

ASDC J Dent Child. 1998; 65: 136–137.

13.

Gold

O.G.

Jordan

H.V.

Van Houte

A selective medium for Streptococcus mutans.

Arch Oral Biol. 1973; 18: 1357–1364.

14.

Gorlin

R.J.

Cohen

J.R.

Leven

Syndromes of the Head and Neck. 3rd ed. Oxford, England: Oxford Press 1990: 1-2, 520–527, 641–647.

15.

Jaffe

C.E.

Chantler

Carter

J.E.

Dental findings in chronic renal failure.

Br Dent J. 1986; 160: 18–20.

16.

Johnsen

D.C.

Dixon

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

Cleft Palate J. 1984; 21: 104–109.

17.

Kaloust

Ishii

Vargervik

Dental development in Apert syndrome.

Cleft Palate Craniofac J. 1997; 34: 117–121.

18.

Kreiborg

Aduss

Cohen

M.M.

Jr.

Cephalometric study of the Apert syndrome in adolescence and adulthood.

J Craniofac Gent Dev Biol. 1999; 19: 1–11.

19.

Kreiborg

Cohen

M.M.

Jr.

Is craniofacial morphology in Apert and Crouzon syndromes the same?

Acta Odontol Scand. 1998; 56: 339–341.

20.

Kreiborg

Cohen

M.M.

Jr.

The oral manifestations of Apert syndrome.

J Craniofac Genet Dev Biol. 1992; 12: 41–48.

21.

Lucas

Gupta

Ololade

Gelbier

Roberts

G.J.

Dental health indices and caries associated microflora in children with unilateral cleft lip and palate.

Cleft Palate J. 2000; 37: 447–452.

22.

Paul

Brandt

R.S.

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

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

23.

Richtsmeier

J.T.

Comparative study of normal, Crouzon and Apert craniofacial morphology using finite element scaling analysis.

Am J Phys Anthropol. 1987; 74: 473–493.

24.

Thompson

Jones

Hayward

Harkness

Assessment and treatment of craniosynostosis.

Hosp Med. 1994; 52: 17–24.

25.

World Health Organization. Oral Health Surveys. Basic Methods. 4th ed. Geneva, Switzerland: World Health Organization; 1997; 31–33.