Clinical and Microbiological Evaluation of the Periodontal Status of Children with Unilateral Complete Cleft Lip and Palate

Costa, Beatríz; Souza-Lima, José Edmilson de; Gomide, Márcia Ribeiro; Rosa, Odila Pereira da Silva

doi:10.1597/01-083

Cited by 53 publications

(89 citation statements)

References 25 publications

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“…The periodontal status of the teeth close to the cleft area has been investigated. 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.…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

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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“…Previous studies have confirmed that patients with orofacial cleft are at increased risk for the development of caries and periodontal diseases compared to noncleft children [13, 14]. Furthermore, changes in the amount and composition of oral microbiota have been reported in subjects with different types of cleft palate during deciduous or permanent dentition [17] and as the result of surgical or orthodontic treatment [18–20].…”

Section: Introductionmentioning

confidence: 92%

“…Congenital orofacial malformation affects the structure and functions of the oral cavity, thereby significantly modifying its characteristics [13]. As a result, such malformations may exert influence on the microbiota of the environment.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Oral Microbiota in Infants with Complete Cleft Lip and Palate or Cleft Soft Palate

Machorowska-Pieniążęk

Mertas

Skucha-Nowak

et al. 2017

BioMed Research International

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Few reports have been published on the early microbiota in infants with various types of cleft palate. We assessed the formation of the oral microbiota in infants with complete cleft lip and palate (CLP n = 30) or cleft soft palate (CSP n = 25) in the neonatal period (T1 time) and again in the gum pad stage (T2 time). Culture swabs from the tongue, palate, and/or cleft margin at T1 and T2 were taken. We analysed the prevalence of the given bacterial species (the percentage) and the proportions in which the palate and tongue were colonised by each microorganism. At T1, Streptococcus mitis (S. mitis) were the most frequently detected in subjects with CLP or CSP (63% and 60%, resp.). A significantly higher frequency of methicillin-sensitive Staphylococcus aureus (S. aureus MSSA) was observed in CLP compared to the CSP group. At T2, significantly higher percentages of S. mitis, S. aureus MSSA, Staphylococcus epidermidis, and members of the Enterobacteriaceae family were noted in CLP infants compared to the CSP. S. mitis and Streptococcus sanguinis appeared with the greatest frequency on the tongue, whereas Streptococcus salivarius was predominant on the palate. The development of the microbiota in CLP subjects was characterised by a significant increase in the prevalence of pathogenic bacteria.

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“…Patients with clefts present poorer oral hygiene, higher in- dices of dental caries and gingivitis (Costa et al, 2003;Ahluwalia et al, 2004;Kirschberg et al, 2004;Al-Wahadni et al, 2005), and longer oral clearance time (Ahluwalia et al, 2004) compared to individuals without clefts. Thus, orthodontic patients with clefts should be encouraged to adopt effective oral hygiene measures at home for the prevention of additional problems.…”

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confidence: 99%

Suggestion of an Oral Hygiene Program for Orthodontic Patients with Cleft Lip and Palate: Findings of a Pilot Study

Brasil

Pernambuco²,

Dalben³

2007

The Cleft Palate Craniofacial Journal

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The program demonstrated a significant plaque reduction. The highest reduction between the first and second sessions reveals the need to reinforce the initial instructions at all sessions. The greatest reduction observed at shorter intervals highlights the need for regular follow up. More controlled studies on larger samples should be encouraged to evaluate the validity of the index and the efficacy of similar programs worldwide.

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Clinical and Microbiological Evaluation of the Periodontal Status of Children with Unilateral Complete Cleft Lip and Palate

Abstract: Children with clefts showed greater gingival inflammation, despite the same amount of plaque and prevalence of microorganisms.

Cited by 53 publications

References 25 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

A Comparative Study of Oral Microbiota in Infants with Complete Cleft Lip and Palate or Cleft Soft Palate

Suggestion of an Oral Hygiene Program for Orthodontic Patients with Cleft Lip and Palate: Findings of a Pilot Study

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