A split‐mouth study on periodontal and microbial parameters in children with complete unilateral cleft lip and palate

Quirynen, Marc; Dewinter, Geertrui; Avontroodt, Pieter; Heidbüchel, Kristin; Verdonck, Anna; Carels, Carine

doi:10.1034/j.1600-051x.2003.300108.x

Cited by 34 publications

(61 citation statements)

References 32 publications

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“…9,11,12 These findings suggested the presence of a long connective tissue attachment in the cleft regions. 12 The results of these studies are consistent with the report of Quirynen et al 2 that teeth in the cleft had significantly more bone loss compared with contralateral noncleft control teeth. However, approximal probing depth and attachment loss values were also significantly higher than for contralateral teeth.…”

Section: Introductionsupporting

confidence: 83%

“…2,9,11,12,16 Bragger et al 12 reported that radiographic alveolar bone loss was greater at a cleft site compared with controls, despite a similar clinical attachment level. This suggested the presence of a periodontal attachment apparatus characterized by the presence of a long supracrestal connective tissue attachment.…”

Section: Discussionmentioning

confidence: 99%

“…However, no difference in the bone level for canines was noted between cleft and noncleft regions. Quirynen et al 2 evaluated 75 patients with UCLP with regard to periodontal health status. Radiographic bone loss was diagnosed when the distance between the CEJ and AC exceeded 1.5 mm.…”

Section: Discussionmentioning

confidence: 99%

“…3,10,[18][19][20] Several studies of periodontal disease progression reported increased pocket depths, attachment loss, and gingival inflammation at the cleft region versus controls. 2,4,8,16,21 Gaggl et al 7 analyzed several types of cleft, including UCLP, CP, and bilateral CLAP. Patients with UCLP and bilateral CLAP showed a greater number of periodontal lesions in the maxillary front tooth region compared with the general population.…”

Section: Discussionmentioning

confidence: 99%

“…Problems are commonly seen in feeding, speaking, and hearing; many esthetic, dental, and psychological problems may also be encountered. 2 Additionally, children and youths with CLAP are at increased risk for the development of periodontitis and mucogingival problems 3 for several reasons. First, the persisting soft tissue folds before closure, so it is difficult to reach for cleaning and may serve as a habitat for putative pathogens.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the alveolar bone support of patients with unilateral cleft lip and palate: A cone-beam computed tomography study

Ercan

Çelikoğlu

Büyük

et al. 2015

The Angle Orthodontist

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Objective: To assess the bone support of the teeth adjacent to a cleft using cone-beam computed tomography (CBCT). Materials and Methods: The CBCT scans of 31 patients with unilateral cleft lip and palate (UCLP) were assessed. The data for teeth neighboring the cleft were compared with those of contralateral noncleft teeth. For each tooth analyzed, the distance between the cementoenamel junction (CEJ) and the bone crest (AC) at the buccal side was measured as was the thickness of the buccal bone level at 0, 1, 2, and 4 mm. Results: The bone thicknesses of the central teeth at the cleft region at the crest and 2 mm apically were statistically significantly thinner than that of the central incisor at a noncleft region. The CEJ-AC distance for central teeth at the cleft region was higher than that for central teeth in a noncleft region. Conclusions: Subjects with UCLP showed reduced bone support at teeth neighboring the cleft compared with controls. This may cause some problems during orthodontic treatment. (Angle Orthod. 2015;85:1003-1008

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Section: Introductionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Assessment of the alveolar bone support of patients with unilateral cleft lip and palate: A cone-beam computed tomography study

Ercan

Çelikoğlu

Büyük

et al. 2015

The Angle Orthodontist

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Chlorhexidine in Cleft Lip and Palate Patients with Multibracket Appliances

Weiss¹,

Weiss²,

Müller-Hartwich³

et al. 2005

J Orofac Orthop

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Incidence of complications in secondary alveolar bone grafting of bilateral clefts with premaxillary osteotomy: a retrospective cohort study

et al. 2019

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Objective To evaluate factors affecting incidence of complications after secondary alveolar bone grafting with premaxillary osteotomy (SABG + PO) in children with complete bilateral cleft of lip and palate (BCLP). Materials and methods Data were collected from children with BCLP treated with SABG + PO from 2004 to 2014 at our institute. Preoperative parameters included age, donor site, race, gingival health, bone quality around cleft-related teeth, premaxilla position, graft timing, presence of canines in the cleft, and presence of deciduous teeth around the cleft area. Logistic regression and the chi-squared test were used to assess correlations and the incidence of complications. Results In the 64 patients, a significant correlation was found between complication rate and timing of bone grafting with respect to early versus late SABG + PO (p = 0.041), age > 12 years (p = 0.011; odds ratio (OR) 5.9; 95% confidence interval (CI) 1.49-23.93), malposition of the premaxilla (p = 0.042; OR 3.3; 95% CI 1.04-10.13), and preoperative bone quality around cleft-related teeth (p = 0.005; OR 5.3; 95% CI 1.6-17.2). Conclusions The timing of SABG + PO is essential, as early SABG + PO is associated with fewer complications. A malpositioned premaxilla and poor bone quality around cleft-related teeth are associated with more complications. Therefore, preoperative orthodontic repositioning of the malpositioned premaxilla before SABG + PO should be considered. Clinical relevance Analysis of treatment protocols and complications for BCLP patients underscores that proper timing of SABG + PO and correct premaxilla repositioning help reduce complications.

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A split‐mouth study on periodontal and microbial parameters in children with complete unilateral cleft lip and palate

Abstract: These data indicate that the periodontium in UCLP patients can cope well with a long-term orthodontic treatment, even in unfavourable conditions (like absence of attached gingiva and poor oral hygiene).

Cited by 34 publications

References 32 publications

Assessment of the alveolar bone support of patients with unilateral cleft lip and palate: A cone-beam computed tomography study

Assessment of the alveolar bone support of patients with unilateral cleft lip and palate: A cone-beam computed tomography study

Chlorhexidine in Cleft Lip and Palate Patients with Multibracket Appliances

Incidence of complications in secondary alveolar bone grafting of bilateral clefts with premaxillary osteotomy: a retrospective cohort study

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