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Altun D, Karahan S, Özgür FF, Tekçiçek MU, Turgut MD. Are parental sociodemographic factors, oral health knowledge and practices linked to the oral health habits of their children with cleft lip and palate? Acta Odontol Scand 2024; 83:404-411. [PMID: 38895899 PMCID: PMC11302492 DOI: 10.2340/aos.v83.40938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 05/31/2024] [Indexed: 06/21/2024]
Abstract
OBJECTIVE Children with cleft lip and palate (CLP) have a greater risk of dental caries. The parents' knowledge and attitudes may have an impact on their children's oral health and dietary habits. Therefore, the aim of this study was to assess the socio-demographic characteristics, oral health knowledge, oral health behaviours, and habits of the parents in addition to the relationship with the oral health and dietary practices of their children with CLP. MATERIAL AND METHODS The parents of 343 patients with CLP participated in the study. An online questionnaire with 52 questions regarding sociodemographic characteristics, oral health and oral hygiene practices was presented to them. RESULTS Parents with higher level of education had better oral health knowledge (p < 0.05). Logistic regression analysis showed that the factors affecting the child's tooth brushing habits were the mother's age (odds ratio [OR] = 1.071, 95% confidence interval [CI]: 1.062-1.153), the father's employment status (OR = 2.089, 95%CI: 1.065-4.097), and the mother's last dental visit (OR = 1.995, 95%CI: 1.119-3.557). The factors affecting the child's toothpaste usage were the mother's age (OR = 1.106, 95%CI: 1.030-1.114), the father's employment status (OR = 2.124, 95%CI: 1.036-4.354), and the mother's last dental visit (OR = 2.076, 95%CI: 1.137-3.79). CONCLUSIONS Parental factors have a significant influence on the oral health-related behaviours of children with CLP.
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Affiliation(s)
- Dilan Altun
- Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
| | - Sevilay Karahan
- Department of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Fatma Figen Özgür
- Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Meryem Uzamış Tekçiçek
- Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Melek Dilek Turgut
- Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
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2
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Marzouk T, Youssef M, Tsigarida A, McKinney C, Wong C, DeLucia L, Shah R, Wang H, Malmstrom H, Shope E. Association between oral clefts and periodontal clinical measures: A meta-analysis. Int J Paediatr Dent 2022; 32:558-575. [PMID: 34626516 DOI: 10.1111/ipd.12934] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 09/21/2021] [Accepted: 10/06/2021] [Indexed: 11/28/2022]
Abstract
AIM To conduct a systematic review and to evaluate the clinical parameters for periodontal diseases in individuals with cleft lip and/or palate (CL/P). DESIGN The authors searched six indexed databases without any linguistic limitation through July 2021. The eligibility criteria were observational studies that compared the periodontal clinical measures of individuals with CL/P to those without CL/P. A meta-analysis was conducted using random-effects models with inverse variance weighting. RESULTS The literature search generated 1277 records, and 40 full-text articles were reviewed. Twenty-three studies comprising 3235 individuals from four continents fulfilled our selection criteria. The meta-analysis revealed a significant difference in mean plaque index scores (MD = 0.31, 95% CI = 0.22, 0.41), gingival index scores (MD = 0.50, 95% CI = 0.24, 0.77), and periodontal pocket depth (MD = 0.64, 95% CI = 0.12, 1.16) between individuals with and without CL/P. A slight increase in clinical attachment loss was detected among individuals with CL/P; however, such an increase may have little clinical significance. CONCLUSIONS As age is positively related to periodontal disease progression, and individuals with CL/P are more likely to present with more plaque accumulation and gingival inflammation, clinicians should reinforce preventive dental care from an early age.
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Affiliation(s)
- Tamer Marzouk
- Department of Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA.,Division of Pediatric Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Mostafa Youssef
- Department of Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Alexandra Tsigarida
- Division of Periodontology, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Christy McKinney
- Division of Craniofacial Medicine and Seattle Children's Research Institute, Department of Pediatrics, University of Washington, Seattle, Washington, USA
| | - Cynthia Wong
- Division of Pediatric Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Lisa DeLucia
- Division of Pediatric Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Ritu Shah
- Division of Pediatric Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Hongyue Wang
- Department of Biostatistics and Computational Biology, University of Rochester, Rochester, New York, USA
| | - Hans Malmstrom
- Department of Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
| | - Erin Shope
- Division of Pediatric Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA.,Golisano Cleft and Craniofacial Center, University of Rochester, Rochester, New York, USA
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Wu Q, Li Z, Zhang Y, Peng X, Zhou X. Dental caries and periodontitis risk factors in cleft lip and palate patients. Front Pediatr 2022; 10:1092809. [PMID: 36683789 PMCID: PMC9846248 DOI: 10.3389/fped.2022.1092809] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 12/09/2022] [Indexed: 01/06/2023] Open
Abstract
Cleft lip and palate (CLP) is the most common congenital facial malformation and has a significant developmental, physical, and psychological impact on those with the deformity and their families. Risk factors contributing to CLP may conclude as genetic factors and environmental factors. The anatomical and morphological abnormalities related to CLP are favorable for dental plaque accumulation on the tooth surface. Therefore, patients with CLP undergo poorer oral hygiene and higher susceptibility to dental caries and periodontitis. In this review, we aim to conclude and update probable causes underlying the association between CLP and poor oral health and provide novel ideas of targeted early prevention for such oral diseases.
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Affiliation(s)
- Qinrui Wu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Zhengyi Li
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yixin Zhang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xian Peng
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
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4
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Rodrigues R, Chung AP, Mortensen MS, Fernandes MH, Monteiro AB, Furfuro R, Silva CC, Manso MC, Sørensen SJ, Morais PV. Temporal oral microbiome changes with brushing in children with cleft lip and palate. Heliyon 2021; 7:e06513. [PMID: 33817376 PMCID: PMC8005767 DOI: 10.1016/j.heliyon.2021.e06513] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 08/21/2020] [Accepted: 03/10/2021] [Indexed: 11/25/2022] Open
Abstract
This cohort study aimed to characterize the oral microbiome of children with CLP, from two different age groups, and evaluate the effect of supervised or unsupervised toothbrushing on the microbiome of the cleft over time. Swab samples were collected from the cleft area at three different time points (A; no brushing, B; after 15 days and C; after 30 days) and were analyzed using next-generation sequencing to determine the microbial composition and diversity in these time points. Overall, brushing significantly decreased the abundance of the genera Alloprevotella and Leptotrichia in the two age groups examined, and for Alloprevotella this decrease was more evident for children (2-6 years old). In the preteen group (7-12 years old), a significant relative increase of the genus Rothia was observed after brushing. In this study, the systematic brushing over a period of thirty days also resulted in differences at the intra-individual bacterial richness.
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Affiliation(s)
- Rita Rodrigues
- Faculty of Dentistry, University of Porto, R. Dr. Manuel Pereira da Silva, 93, 4200-393, Porto, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, Praça 9 de Abril, 349, 4249-004, Porto, Portugal
| | - Ana P. Chung
- University of Coimbra, Centre for Mechanical Engineering, Materials and Processes, Department of Life Sciences, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal
| | - Martin S. Mortensen
- Department of Biology, University of Copenhagen, Ole Maaløes Vej 5, DK-2200, Copenhagen N, Denmark
| | - Maria H. Fernandes
- Associated Laboratory for Green Chemistry (LAQV/REQUIMTE), University of Porto, 4051-401, Porto, Portugal
| | | | - Rowney Furfuro
- Compor Clinic, R. Aval de Cima 34, 4200-105, Porto, Portugal
| | - Cátia C. Silva
- Faculty of Health Sciences, University Fernando Pessoa, Praça 9 de Abril, 349, 4249-004, Porto, Portugal
| | - Maria C. Manso
- Associated Laboratory for Green Chemistry (LAQV/REQUIMTE), University of Porto, 4051-401, Porto, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, Fernando Pessoa Energy, Environment and Health Research Unit (FP-ENAS), Praça de 9 de Abril, 349, 4249-004, Porto, Portugal
| | - Søren J. Sørensen
- Department of Biology, University of Copenhagen, Ole Maaløes Vej 5, DK-2200, Copenhagen N, Denmark
| | - Paula V. Morais
- University of Coimbra, Centre for Mechanical Engineering, Materials and Processes, Department of Life Sciences, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal
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Dental Infection Cause of Flap Loss in Cleft Palate Repair. J Craniofac Surg 2019; 30:e446-e447. [PMID: 31299809 DOI: 10.1097/scs.0000000000005523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Flap necrosis is a very common complication encountered after cleft palate repair, especially in uni-pedicled flaps. Many causes have been attributed to this complication but very limited data is available in the literature on dental infection as the cause of flap necrosis. This report of a case describes loss of flap caused due to a periapical granuloma of dental origin impinging on the pedicle causing suspected thrombosis of the pedicle resulting in flap necrosis. Since this is an important cause that can be easily prevented, it is reported.
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6
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Rodrigues R, Fernandes MH, Bessa Monteiro A, Furfuro R, Carvalho Silva C, Vardasca R, Mendes J, Manso MC. Are there any solutions for improving the cleft area hygiene in patients with cleft lip and palate? A systematic review. Int J Dent Hyg 2019; 17:130-141. [DOI: 10.1111/idh.12385] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Revised: 01/06/2019] [Accepted: 01/25/2019] [Indexed: 01/25/2023]
Affiliation(s)
- Rita Rodrigues
- Faculty of Dentistry U. Porto Porto Portugal
- Faculty of Health Sciences University Fernando Pessoa Porto Portugal
| | - Maria Helena Fernandes
- Faculty of Dentistry U. Porto Porto Portugal
- Associated Laboratory for Green Chemistry (LAQV/REQUIMTE) Porto Portugal
| | | | | | | | | | | | - Maria Conceição Manso
- Associated Laboratory for Green Chemistry (LAQV/REQUIMTE) Porto Portugal
- Faculty of Health Sciences University Fernando Pessoa, Fernando Pessoa Energy, Environment and Health Research Unit (FP‐ENAS) Porto Portugal
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7
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Are people with an orofacial cleft at a higher risk of dental caries? A systematic review and meta-analysis. Br Dent J 2018; 223:37-47. [PMID: 28684841 DOI: 10.1038/sj.bdj.2017.581] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2017] [Indexed: 10/19/2022]
Abstract
Objective To establish whether children born with an orofacial cleft have a higher risk of dental caries than individuals without cleft.Design A systematic review and meta-analysisMethods The search strategy was based on the key words 'cleft lip palate' and 'oral hygiene caries decay'. Ten databases were searched from their inception to April 2016 to identify all relevant studies. All data were extracted by two independent reviewers. The primary outcome measure was caries measured by the decayed, missing, filled surfaces/teeth index (dmfs/dmft or DMFS/DMFT).Results Twenty-four studies met the selection criteria. All of the studies were observational. Twenty-two studies were suitable for inclusion in the meta-analysis. The overall pooled mean difference in dmft was 0.63 (95% CI: 0.47 to 0.79) and in DMFT was 0.28 (95% CI: 0.22 to 0.34).Conclusion Individuals with cleft lip and/or palate have higher caries prevalence, both in the deciduous and the permanent dentitions.
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Howe BJ, Cooper ME, Wehby GL, Resick JM, Nidey NL, Valencia-Ramirez LC, Lopez-Palacio AM, Rivera D, Vieira AR, Weinberg SM, Marazita ML, Moreno Uribe LM. Dental Decay Phenotype in Nonsyndromic Orofacial Clefting. J Dent Res 2017; 96:1106-1114. [PMID: 28535364 DOI: 10.1177/0022034517709961] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Although children with oral clefts have a higher risk for dental anomalies when compared with the general population, prior studies have shown conflicting results regarding their dental decay risk. Also, few studies have assessed dental decay risk in unaffected relatives of children with clefts. Thus, the question of increased risk of dental decay in individuals with oral clefts or their unaffected relatives is still open for empirical investigation. This study characterizes dental decay in the largest international cohort to date of children with nonsyndromic clefts and their relatives, as compared with controls, and it addresses whether families with oral clefts have a significantly increased risk for dental decay versus the general population. A total of 3,326 subjects were included: 639 case probands, 1,549 unaffected relatives, and 1,138 controls. Decay was identified from in-person dental examinations or intraoral photographs. Case-control differences were tested with regression analysis. No significant differences were shown in percentage decayed and filled teeth and decayed teeth in the primary dentition (dft, dt) and permanent dentition (DFT, DT) in cases versus controls. In the cleft region, no significant differences were seen in primary or permanent decay (dt, DT) when compared with controls. No difference was found with regard to cleft type and percentage dft, dt, DFT, and DT in case probands. Nonsignificant differences were found in unaffected siblings and parents versus controls (primary and permanent dentitions). Collectively, these findings indicate that individuals with nonsyndromic oral clefts and their families do not have a higher dental decay risk as compared with the general population. These results suggest that either genetic or environmental factors underlying a higher susceptibility for dental anomalies do not increase caries risk or that the seemingly higher risk for dental decay associated with increased dental anomalies in case probands may be superseded by possible greater access to dental care.
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Affiliation(s)
- B J Howe
- 1 Department of Family Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA.,2 The Iowa Institute for Oral Health Research, College of Dentistry, University of Iowa, Iowa City, IA, USA
| | - M E Cooper
- 3 Center for Craniofacial and Dental Genetics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - G L Wehby
- 4 Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA, USA
| | - J M Resick
- 3 Center for Craniofacial and Dental Genetics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - N L Nidey
- 5 Department of Pediatrics, College of Medicine, University of Iowa, Iowa City, IA, USA
| | | | - A M Lopez-Palacio
- 7 Department of Basic Integrated Studies, College of Dentistry, University of Antioquia, Medellin, Colombia
| | - D Rivera
- 8 Population Genetics and Mutacarcinogenesis Group, University of Antioquia, Medellin, Colombia
| | - A R Vieira
- 3 Center for Craniofacial and Dental Genetics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA.,9 Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - S M Weinberg
- 3 Center for Craniofacial and Dental Genetics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - M L Marazita
- 3 Center for Craniofacial and Dental Genetics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA.,9 Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - L M Moreno Uribe
- 2 The Iowa Institute for Oral Health Research, College of Dentistry, University of Iowa, Iowa City, IA, USA.,10 Department of Orthodontics, College of Dentistry, University of Iowa, Iowa City, IA, USA
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9
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Antonarakis G, Palaska PK, Herzog G. Caries Prevalence in Non-Syndromic Patients with Cleft Lip and/or Palate: A Meta-Analysis. Caries Res 2013; 47:406-13. [DOI: 10.1159/000349911] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2012] [Accepted: 02/10/2013] [Indexed: 11/19/2022] Open
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