Dental and oral hygiene status in Jordanian children with cleft lip and palate: a comparison between unilateral and bilateral clefts

Hazza'a, Abdalla M; Rawashdeh, MA; Al-Nimri, Kazem S.; Habashneh, Rola Al

doi:10.1111/j.1601-5037.2009.00426.x

Cited by 38 publications

(104 citation statements)

References 27 publications

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“…This triangular shape is similar to the shape of the niches (Figure 1). Bone and dental changes in children with CLP are associated with a high incidence of oral health problems [3][4][5]. The anatomical and morphological alterations increase the accumulation of bacterial plaque and, further, increase the difficulty of its removal.…”

Section: Introductionmentioning

confidence: 99%

“…The relevance of cleaning the cleft area in order to maintain good oral health is highlighted in a variety of studies [4,8,11,12]. However, a several reasons account for the difficulties of children and parents in performing an appropriate toothbrushing cleaning, mainly fear of soft tissue trauma during brushing, worries about bleeding from inflamed gingiva, and difficult access to the teeth and the deepest area of the cleft [8,13].…”

Section: Introductionmentioning

confidence: 99%

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New Instrument for Oral Hygiene of Children with Cleft Lip and Palate

et al. 2018

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Abstract:Patients with cleft lip and palate (CLP) have several oral alterations that make the removal of bacterial plaque in the cleft area difficult, which is the main cause of the high incidence of oral health problems. The aim of this study is to develop a toothbrush especially designed to perform the hygiene of the cleft area. This device, called Cleft Toothbrush, is an add-on to a conventional toothbrush to clean hard-to-reach areas that are not accessible by using conventional brush shapes. The design was made in SOLIDWORKS®(Waltham, MA, USA) 3D and a sample of this device was produced by CURAPROX (Kriens, Switzerland). The efficacy of the Cleft Toothbrush was tested in a preliminary study performed in a four years old child with CLP, compared to that of a conventional toothbrush. A significantly higher reduction of the bacterial plaque was achieved with the Cleft Toothbrush. The child's parents also felt more confident with this device, as it deals better with sensitive areas, as it did not hurt the child. This innovative toothbrush adapter appears to greatly improve the cleaning areas of high bacterial plaque retention in patients with CLP, together with excellent acceptance.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

New Instrument for Oral Hygiene of Children with Cleft Lip and Palate

et al. 2018

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“…[1][2][3] The roots of the maxillary incisors (U1) in patients with CLP are significantly shorter than those in patients without CLP, 1 which suggests that genetic factors might play a role in development of short-rooted teeth. On the other hand, it has been reported that root development in cleft-adjacent lateral incisors is delayed relative to that on the noncleft side 4,5 and that root resorption on the cleft side is higher than that on the noncleft side.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of maxillary central incisors on the noncleft and cleft sides in patients with unilateral cleft lip and palate—Part 1: Relationship between root length and orthodontic tooth movement

Maeda‐Iino

Marutani

Furukawa

et al. 2017

The Angle Orthodontist

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Objectives: To measure the root lengths of maxillary central incisors (U1) and evaluate the relationship among U1 root length, tooth movement, and type of treatment appliance in patients with unilateral cleft lip and palate over a long-term follow-up period. Materials and Methods: Occlusal radiographs of 30 patients with unilateral cleft lip and palate, acquired less than 6 months before secondary alveolar bone grafting (SBG, T1) and after edgewise treatment (T2), were measured for U1 root length (R1 and R2, root lengths at T1 and T2, respectively). Frontal and lateral cephalometric radiographs acquired at eruption of U1 (T0), T1, and T2 were evaluated to determine the inclination and position of U1. Results:The average values of R1 and R2 on the cleft side were significantly lower than those on the noncleft side. Frontal cephalometric analysis revealed that the horizontal distance of the root apex from the median vertical line at T0 on the cleft side was significantly smaller than that on the noncleft side and was correlated with short U1 root length on the cleft side. On the other hand, R1 in patients treated with maxillary protraction appliances between T0 and T1 was significantly shorter than that in patients without maxillary protraction appliances. However, none of the changes in cephalometric measurements were correlated with root length. Conclusions: In patients with unilateral cleft lip and palate, the short root length of cleft-adjacent central incisors might be associated with the horizontal position of the root apex. In addition, orthodontic treatment with a maxillary protraction appliance before secondary alveolar bone grafting might be associated with short U1 root length. (Angle Orthod. 2017;87:855-862.)

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“…Neste contexto, crianças com fissura labiopalatina parecem ter maior risco de desenvolvimento de lesões de cárie dentária, com os dentes adjacentes à fissura apresentando maior prevalência da doença por causa da maior indulgência dos pais em relação aos hábitos dietéticos e negligência da higiene oral por medo de manipular a área da cirurgia; mau posicionamento dos dentes próximos à área da fissura dificultando a higiene e um maior tempo de clearance salivar pela dificuldade do uso do músculo orbicular devido ao dano da cicatriz do lábio; tônus muscular e mobilidade da língua diminuídos; e impacção alimentar pela presença de fístulas oronasais (AL-DAJANI, 2009;PARAPANISIOU et al, 2009;ZHU et al, 2010;HAZZA'A et al, 2011;ANTONARAKIS;PALASKA;HERZOG, 2013;KING;WONG;WONG, 2013;WELLS, 2013). Considerando todos esses fatos, é importante salientar o maior risco à cárie dos dentes permanentes anteriores próximos à área da fissura labiopalatina, justificando a escolha para o presente estudo.…”

Section: Discussionunclassified

Microscópio operatório no diagnóstico de cárie dentária em crianças com fissura labiopalatina

Vitor¹

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Dental and oral hygiene status in Jordanian children with cleft lip and palate: a comparison between unilateral and bilateral clefts

Cited by 38 publications

References 27 publications

New Instrument for Oral Hygiene of Children with Cleft Lip and Palate

New Instrument for Oral Hygiene of Children with Cleft Lip and Palate

Evaluation of maxillary central incisors on the noncleft and cleft sides in patients with unilateral cleft lip and palate—Part 1: Relationship between root length and orthodontic tooth movement

Microscópio operatório no diagnóstico de cárie dentária em crianças com fissura labiopalatina

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