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Pediatr Dent. 2017 Sep 15;39(5):397-402.

Dental Caries Experience in Texan Children with Cleft Lip and Palate.

Author information

1
Private practice in Toronto, Ontario, Canada and a graduate from The University of Texas School of Dentistry Advanced Education Program in Pediatric Dentistry, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
2
Associate professor and program director of the Advanced Education Program in Pediatric Dentistry, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
3
Professor and chair, Division of Pediatric Dentistry, College of Dentistry, The Ohio State University, Columbus, Ohio, USA.
4
Assistant professor, Department of Dentistry, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, Texas, USA;, Email: Brett.T.Chiquet@uth.tmc.edu.

Abstract

PURPOSE:

The purpose of this study was to assess the caries experience in the primary dentition of children born with cleft lip and palate (CLP).

METHODS:

A retrospective chart review was conducted on subjects between two and six years old recruited from a university-based pediatric dentistry residency clinic. The number of dental visits and professional fluoride applications, the plaque index and treatment modality, and the presence/location of caries, white spot lesions, and enamel hypoplastic lesions were compared between CLP patients and healthy age- and gender-matched controls. Descriptive statistics, Student's t test, Mann-Whitney U test, and regression analysis were completed.

RESULTS:

A total of 183 charts were reviewed. Compared to healthy children, CLP children had increases in number of dental visits (P<0.001), decayed-missing-filled surfaces (dmfs; P<0.001), decayed-missing-filled teeth (dmft; P<0.001), enamel hypoplastic lesions (P=0.003), treatment completed under general anesthesia (P<0.001), plaque score (P<0.001), and caries increment between baseline and most recent oral examination (P=0.003). Regression analysis revealed a positive association between age and dmft scores within the CLP group (P=0.018). The caries experience of unilateral and bilateral CLP cases was the same (P>0.05).

CONCLUSIONS:

Children with cleft lip and palate are at a greater risk of enamel hypoplasia and dental caries. No significant caries experience difference was found between unilateral or bilateral CLP cases.

PMID:
29070163
[Indexed for MEDLINE]

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