Periodontal Disease in Patients With cleft Palate and Patients With Unilateral and Bilateral Clefts of Lip, Palate, and Alveolus

Gaggl, Alexander; Schultes, Günter; Kärcher, Hans; Mossböck, Rudolf

doi:10.1902/jop.1999.70.2.171

Cited by 45 publications

(69 citation statements)

References 23 publications

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“…This may be the reason for the low SBI score in Group II patients. These results were in accordance to the study performed by Alexander et al .,[8] and Schultes et al . [6] The presence of cleft, which hampered brushing efficiency, especially in both quadrants of the maxillary arch, resulted in more accumulation of plaque.…”

Section: Discussionsupporting

confidence: 94%

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Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus

Mutthineni¹,

Nutalapati²,

Kasagani³

2010

J Indian Soc Periodontol

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Aim:This study was conducted to analyze and compare the oral hygiene and periodontal status in patients with clefts of palate (CP) and patients with unilateral cleft lip, palate and alveolus (UCLPA).Materials and Methods:The study group consisted of 120 cleft patients. Subjects were divided into two groups of 60 each. Group I - patients with UCLPA and Group II - patients with CP. For comparison, all the four quadrants were defined, Q1-right upper quadrant, Q2-left upper quadrant, Q3-left lower quadrant and Q4-right lower quadrant, in both groups and the following parameters were recorded: Plaque Index (PI, Silness and Loe), Sulcus Bleeding Index (SBI, Muhlemann and Son), Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), Mobility Index (Miller) and Radiographic Amount of Bone Loss.Results:The periodontal destruction was seen to be higher in UCLPA patients compared with CP patients. The poor oral hygiene status, as indicated by higher values of PI, and the periodontal status, evaluated by SBI, PPD, CAL, mobility and Radiographic Amount of Bone Loss, were higher in patients with UCLPA than in patients with CP.Conclusion:In this study, patients with cleft lip, palate and alveolus had poor oral hygiene and periodontal status compared with patients with cleft palate.

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Section: Discussionsupporting

confidence: 94%

“…A considerable improvement in periodontal health can be achieved by secondary osteoplastic surgery. [8]…”

Section: Introductionmentioning

confidence: 99%

Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus

Mutthineni¹,

Nutalapati²,

Kasagani³

2010

J Indian Soc Periodontol

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“…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%

“…[4][5][6] Another possible reason is poorly developed osseous structures. 7,8 The few studies that have analyzed the periodontal status of these persons showed a high incidence of plaque and bleeding on probing and a high level of periodontal attachment loss. 8,9 In osseous clefts, the osseous structures are absent or poorly developed in the region of periodontal supportive tissues.…”

Section: Introductionmentioning

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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“…2 Poorly developed or absent osseous structures in periodontal supportive tissues are widely seen in osseous clefts. 3 Children affected by CLP have several problems, caused by anodontia, tooth malformation, and a deficiency of soft and hard tissue in the cleft region. 4,5 Reductions in bone levels in the areas adjacent to the cleft region are associated with delayed tooth formation and eruption, anatomical defects, and problems with orthodontic movement.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of dehiscence and fenestration in adolescent patients affected by unilateral cleft lip and palate: A retrospective cone beam computed tomography study

Büyük

Ercan

Çelikoğlu

et al. 2016

The Angle Orthodontist

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Objective: To evaluate the presence of dehiscence and fenestration defects around anterior teeth in the cleft region and to compare these findings with the noncleft side in the same patients using cone beam computed tomography (CBCT). Materials and Methods: CBCT scans of 44 patients (26 males, 18 females; mean age, 14.04 6 3.81 years) with unilateral cleft lip and palate (UCLP) were assessed to define dehiscences and fenestrations of the anterior teeth in both cleft and noncleft sides of the UCLP patients and a control group of noncleft patients (51 patients; 21 males, 30 females; mean age, 14.52 6 1.16 years). Data were analyzed using Pearson's x 2 and Student's t-test. Results: The prevalence of dehiscences at the maxillary central incisors, lateral incisors, and canines teeth were 43.2%, 70.6%, and 34.1% on the cleft side and 22.7%, 53.1%, and 27.3% on the noncleft side of UCLP patients, and 13.7%, 7.8%, and 13.7% in controls, respectively (statistically no difference between the sides of cleft patients). The cleft patients had a statistically significantly higher prevalence of dehiscences than did the controls on both the cleft and noncleft sides (P , .05), except for the maxillary central incisors. Fenestrations for these teeth were significantly more common on the cleft side in UCLP patients compared with controls (P , .05), whereas the difference for maxillary lateral incisors was not statistically significant. Conclusions: Patients with UCLP showed a higher prevalence of dehiscence and fenestration defects around the maxillary anterior teeth. (Angle Orthod. 2016;86:431-436.)

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Periodontal Disease in Patients With cleft Palate and Patients With Unilateral and Bilateral Clefts of Lip, Palate, and Alveolus

Cited by 45 publications

References 23 publications

Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus

Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus

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

Evaluation of dehiscence and fenestration in adolescent patients affected by unilateral cleft lip and palate: A retrospective cone beam computed tomography study

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