scholarly journals The differences of the oral hygiene status in patients with cleft lip and palate pre operative and post operative in Takalar Regency

2020 ◽  
Vol 5 (3) ◽  
pp. 162
Author(s):  
Muhammad I. Rasul ◽  
Andi Tajrin ◽  
Muhammad Ruslin ◽  
Abul Fauzi ◽  
Kumiko Fujiwara ◽  
...  
Author(s):  
O. V. Dudnik ◽  
Ad. A. Mamedov ◽  
O. I. Admakin ◽  
A. A. Skakodub ◽  
Y. O. Volkov ◽  
...  

Relevance. Cleft lip and palate is one of the severe malformations of the face and jaw, requiring a comprehensive approach to the rehabilitation of the patients, including doctors of various specialties, one of which is orthodontists. A feature of orthodontic treatment is difficulty of fixing bracket systems, as well as lowering the level of oral hygiene, caused by deformation and displacement of fragments of the maxillofacial region.Purpose. Improving the effectiveness of orthodontic treatment and hygiene of the oral caviti in patients with cleft lip and palate in permanent bite period.Materials and methods. A comparison was made of the effetctiveness of fixing brackets systmes with direct and indirect bonding techniques and the effectiveness of oral hygiene during orthodontic treatment using irrigators.Results. The results of the study showed a difference in the effectiveness of using direct and indirect methods of fixing bracket systems in patients with cleft and palate. The use of irrigators as additional means of oral hygiene has demonstrated a positive dynamic of hygiene indices.Conclusions. Results of the study demonstrate the advantages of fixation the brackets by indirect bonding and use additional hygiene products irrigator for improving of oral hygiene.


1998 ◽  
Vol 35 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Fanny W. L. Wong ◽  
Nigel M. King

A review of the studies of the caries prevalence and periodontal health of patients with cleft lip and palate (CLP) revealed that only five investigations of caries prevalence in CLP patients included children. One reported that CLP children did not have a higher caries prevalence in the permanent dentition, whereas more recent studies have reported a higher caries prevalence in both the primary and permanent dentitions of CLP children than in those of noncleft children. However, there is wide variation in the teeth examined and the method of presenting data on caries prevalence. Six papers have reported on the periodontal health of adult CLP patients, and only one has done so on that of children. The adult CLP patients had poorer oral hygiene and more gingivitis, but there is no conclusive evidence that they have a higher risk of developing periodontal disease. No data on the oral hygiene of CLP children were available, but it has been emphasized that they have significantly more gingivitis than noncleft children, especially in the maxillary anterior teeth.


2015 ◽  
pp. 66-71
Author(s):  
Van Minh Nguyen ◽  
Hong Loi Nguyen

Objective: to assess the dental health and oral hygiene status of subjects with cleft lip and/or palate. Methods: dental and gingival examinations were carried out in 105 children with cleft, using standard dental indices dmft and DMFT. Plaque and gingival indices were scored using the indices of Loe and Silness. Results: the prevalence of dental caries was significantly higher in children with cleft (71.34%) than children without cleft in both deciduous and permanent teeth. The dmft and DMFT indices ware highest in children with CLP (4.21±3.68; 3.55±3.24). Similary, plaque accumulation and gingivitis were significant higher in CL, CLP patients (3.29±1.28; 3.23±1.54) compared with CP patients (2.38±1.74). Conclusion: Cleft patients had higher prevalence of caries and poorer oral hygiene than patients without cleft. The severity of cleft affected on the oral health status. These findings not only provide a baseline for oral health status but also emphasize the need for preventive measures. Key words: cleft lip, cleft palate, cleft lip and palate, dmft, DMFT, plaque and gingival index


2007 ◽  
Vol 44 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Magdalena Stec ◽  
Joanna Szczepańska ◽  
Jacek Pypeć ◽  
Ursula Hirschfelder

Objective: To evaluate and compare the oral hygiene and periodontal status in children with unilateral and bilateral cleft lip and palate treated in Łódź, Poland, and Erlangen, Germany. Design: Oral health was assessed by the presence of dental plaque, pocket depth, clinical attachment levels, and pathologic teeth mobility. Subjects and Methods: Thirty-seven Polish and 63 German patients participated in this study. Results: Poor oral hygiene was found in 57% of all subjects. In Erlangen, 60% of patients had optimal oral hygiene, compared to 19% in Łódź. The highest scores for dental plaque were noted in both groups in the cleft region. Healthy periodontium was significantly more frequent among German patients, whereas gingival bleeding was significantly more frequent among Polish patients. Pocket depths greater than 6 mm occurred only in German subjects. No statistically significant difference was observed between the amount of tooth areas with gingival recessions and the country of origin. Periodontal pockets deeper than 3.5 mm occurred more frequently during active orthodontic treatment. Conclusions: The oral hygiene regimens in Germany and Poland were not comparable, as more plaque was found in the Polish than in the German population. Plaque accumulation seems not to be a key factor in causing periodontal destruction in the cleft area. Factors other than oral hygiene should be considered of major importance in relation to the development of gingival recession on teeth in cleft areas.


2020 ◽  
pp. 105566562095229
Author(s):  
Gehan G. Allam ◽  
Islam A. Sobeh

Objectives: Our aim was to assess the prevalence of dental caries in Egyptian children with cleft lip or cleft lip and palate (CLP), according to dietary habits, and to assess the level of dental care given to these patients. Design: Children aged 4 to 12 years (N = 120) with CLP were recruited: 54 with primary dentition and 66 with mixed dentition. Personal data were gathered and parents completed a 5-day diet diary for the children. The prevalence of dental caries was determined with the dmft and DMFT indices, and debris and calculus were assessed with the simplified oral hygiene index. Results: Of this, 16.7% of children were caries-free. Caries experience was directly correlated with the intake of carbohydrate-containing items between meals, but not with intake at meal times. Oral-hygiene (debris) status did not differ significantly between the CLP groups. Calculus was found in 6.6% of the children. Only 8.3% of the study population had received oral-hygiene instructions from a health care professional. Conclusion: A direct correlation was found between caries experience and the intake of sugar-containing items in-between meals, indicating the importance of dietary advice into the comprehensive dental management of patients with CLP. Our sample had not received effective dental services.


Author(s):  
Rita Rodrigues ◽  
Maria Helena Fernandes ◽  
Antonio Bessa Monteiro ◽  
Rowney Furfuro ◽  
Cátia Carvalho Silva ◽  
...  

2016 ◽  
Vol 4 (7) ◽  
Author(s):  
Carlos E. Varela Ibáñez ◽  
Diana Rivero Viveros ◽  
Margarita Ibarra Navarrete

During the first three months of pregnancy, the parts of the palate and upper lip normally meet. When this union does not occur, the baby will present cleft lip and / or cleft palate. This type of malformation occurs in 1 in every 700 births. The presence of a cleft lip and cleft palate can cause various dental problems such as changes in shape, number, size, dental malposition, as well as developmental defects of enamel. Poor oral hygiene of children with cleft lip and cleft palate may contribute to the high prevalence of dental caries in these patients. We performed comprehensive dental rehabilitation of a female patient of 5 years 4 months old, diagnosed with cleft lip and cleft palate, which initially presented dental malposition, poor hygiene, and irregular shape of the arches and involvement of adjacent teeth to the slit. Strategies have been developed to prevent early childhood tooth decay, which should be considered for inclusion in the protocol of patients with cleft lip and cleft palate. We conclude that an early dental management of such patients, a periodic monitoring of bacterial plaque and instructing parents to good oral hygiene of the patients, reduce caries risk factors in this type of patients, thus favoring treatment operative success.


2007 ◽  
Vol 44 (6) ◽  
pp. 595-597 ◽  
Author(s):  
Juliana Marcelina Plácido Brasil ◽  
Renatade Almeida Pernambuco ◽  
Giseleda Silva Dalben

Objective: To evaluate the efficacy of an oral hygiene program for orthodontic patients with cleft lip and palate. Design: Retrospective pilot study. Setting: Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, Brazil. Patients: One hundred twenty-two patients with complete cleft lip and palate undergoing orthodontic treatment. Interventions: Orientation on toothbrushing and flossing, plaque disclosure, and scoring according to an especially designed index. Main Outcome Measures: Statistical comparison of variation in plaque index between sessions; correlation of intervals between sessions and variation in plaque index. Results: Mean scores were reduced significantly, from 2.17 to 1.75 between first and second, 2.18 to 1.62 between first and third, and 1.93 to 1.62 between second and third sessions. Plaque reduction was inversely proportional to the time interval. Conclusions: 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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