scholarly journals Dental caries and Dental Anomalies in children with cleft Lip and cleft Palate in Bengaluru city, India

2017 ◽  
Vol 8 (4) ◽  
pp. 304-308 ◽  
Author(s):  
Rahul Gaikwad ◽  
Sachin C Sarode ◽  
Seema Kamble ◽  
Shivalinga S Hiremath ◽  
Ashwini Biradar
Keyword(s):  
Dental Caries ◽  
Cleft Palate ◽  
Oral Hygiene ◽  
Cleft Lip ◽  
Open Bite ◽  
World Health ◽  
Caries Experience ◽  
Dental Anomalies ◽  
Anterior Teeth ◽  
Increased Risk

ABSTRACT Aim The aim of this study was to assess the association of dental caries and dental anomalies among 5- to 15-year-old children with cleft lip and cleft palate. Materials and methods A cross-sectional study was conducted among 500 children with cleft lip and/or cleft palate and 500 children without cleft of the age group 5 to 15 years. The clinical examination was carried out using decayed, missing, and filled teeth (DMFT) by Klein Plamer and Knutson, and dmft by Grubbel and 1997 World Health Organization (WHO) pro forma. Results The results showed a statistically significant increase in the prevalence of dental caries in children with cleft lip and/or cleft palate. The mean DMFT was found to be significantly higher in operated children than in the children who were not operated. Other dental abnormalities included an increased frequency of enamel hypoplasia (p < 0.001), hyperdontia (p < 0.014), anterior, unilateral and bilateral cross-bite (p < 0.001), and open bite (p < 0.001). Conclusion The results of this study show that children with cleft have higher prevalence of dental anomalies than the normal children. With increased occurrence of hypoplasia in children with cleft, reduced access for cleaning upper anterior teeth after surgical repair leads to poor oral hygiene status, leading to increased risk to dental caries. Clinical significance Given the high caries experience among the children with cleft lip and cleft palate, it is necessary to advocate a more rigorous approach to the prevention of dental disease in these high-risk children. They should therefore, be subjected to regular checkups, oral hygiene advice, diet advice, appropriate fluoride supplementation, and, when required, appropriate referral for secondary care. How to cite this article Kamble S, Hiremath SS, Puranik MP, Gaikwad R, Biradar A, Gadbail AR, Sarode SC, Sarode GS, Patil S. Dental Caries and Dental Anomalies in Children with Cleft Lip and Cleft Palate in Bengaluru City, India. World J Dent 2017;8(4):304-308.

Cleft lip and palate in general dental practice: filling in the gaps

Dental Update ◽  
2021 ◽  
Vol 48 (7) ◽  
pp. 547-554
Author(s):  
Sharan Reddy ◽  
Catherine Liu ◽  
Mina Vaidyanathan ◽  
Nabina Bhujel
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Practice ◽  
Craniofacial Anomalies ◽  
Dental Anomalies ◽  
Increased Risk

Cleft lip and palate (CLP) is the most common of craniofacial anomalies in humans. CLP results from disruption of embryonic processes during orofacial development; while syndromic clefts may have clearer aetiology, non-syndromic clefts are heterogeneous in aetiology. It is important for GDPs to understand the classification of CLP and the structure of centralized cleft centres in order to communicate with cleft teams. This article aims to clarify the role of GDPs within cleft management and discusses challenges in maintaining oral health in this group of patients, including increased risk of dental caries and periodontal disease, dental anomalies and psychosocial considerations. CPD/Clinical Relevance: The GDP should be responsible for maintaining good oral health for the patient with cleft lip and palate, focusing on prevention from a young age and restorative work if needed.

Prevalence of Caries in Anterior Teeth in Adults; An Epidemiology Study

2021 ◽  
Vol 15 (11) ◽  
pp. 3421-3423
Author(s):  
Osama Khattak ◽  
Azhar Iqbal ◽  
Muhammad Nadeem Baig ◽  
Shaliputra P. Magar ◽  
Shilpa S. Magar ◽  
...  
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
World Health ◽  
Female Patients ◽  
Treatment And Prevention ◽  
Anterior Teeth ◽  
Caries Treatment ◽  
Tooth Surfaces ◽  
And Gender ◽  
Health Organization

Background and Aim: Dental caries is a multifactorial, widespread chronic infection of the enamel, or dentin caused by plaque. Susceptible tooth surfaces, saliva, oral micro flora, and dietary carbohydrates are the main factors involved in the development of dental caries. Treatment and prevention management of caries among the population is measured in terms of prevalence and severity of anterior teeth caries. The present study's aim was to determine the prevalence of anterior teeth caries among adults. Methodology: This epidemiological study was conducted on 1276 patients reporting for treatment at the College of Dentistry, Jouf University, Saudi Arabia from January 2021 to July 2021. Detection of carries was carried out as per World Health Organization (WHO). Based on demographic details such as age, gender, occupation, and diet, the prevalence of carious anterior teeth was assessed. All the data was coded and analyzed using SPSS version 24. Results: Out of 1276 patients, male and female patients were 814 (63.8%) and 462 (36.2%) respectively. The incidence of carious anterior teeth was 263 (32.2%) in males whereas 149 (32.3%) in female patients. The overall incidence of carious anterior teeth was 32.25%being prevalent in male patients with an age range from 21 years to 30 years. A significant association was found among carious anterior teeth, age (p<0.05), diet (p<0.05), location (p<0.05), teeth malalignment (p<0.05), and oral hygiene (p<0.05). However, anterior decay had no significant association with gender (p=0.673) and occupation (p=.167). Maxillary central incisors were the commonly affected teeth in most cases. Conclusion: Our study found that the prevalence of carious anterior teeth was 32.25% and Maxillary central incisors were the commonly affected teeth in most cases. A significant association was found among carious anterior teeth, age, location, oral hygiene, diet, and teeth malalignment. But no significant association among carious anterior teeth, occupation, and gender. Keywords: Anterior caries, prevalence, dental caries

scholarly journals Dietary Determinants of Dental Caries Prevalence and Experience in Saudi Schoolchildren: Frequency versus Quantity

2022 ◽  
Vol 2022 ◽  
pp. 1-7
Author(s):  
Abdulkarim Al-Zahrani ◽  
Mohammed Al-Qahtani ◽  
Mohammed Al-Barti ◽  
Eman A. Bakhurji
Keyword(s):  
Dental Caries ◽  
Soft Drink ◽  
World Health ◽  
Caries Experience ◽  
Linear Regression Models ◽  
Caries Prevalence ◽  
School Students ◽  
Cross Sectional ◽  
Soft Drink Consumption ◽  
Increased Risk

Background. Sugar-added diet has been associated with increased risk of developing dental caries. Objective. To investigate the dietary determinants of caries prevalence and experience based on the frequency versus the quantity of consumption among Saudi schoolchildren. Methods. This is a cross-sectional study that invited 12- to 15-year-old intermediate school students (N = 3000) in four cities in the Eastern Province of Saudi Arabia. Data collection comprised a pretested questionnaire and clinical examination. Caries was diagnosed based on the World Health Organization (WHO) criteria and was recorded as a decayed, missing, filled tooth (DMFT). The questionnaire included questions regarding the consumption of different quantities and frequencies of multiple sugar-containing food items. Multiple logistic and linear regression models were used to assess the influence of sugar-containing food on the dental caries experience (DMFT) and prevalence of decayed teeth. SPSS version 20.0 was used to analyze the data at 5% significance level. Results. Of 3000 invited students, 2262 participated with a participation rate of 75.4%. Our study found that the frequency of soft drink consumption was significantly associated with increased caries prevalence (adjusted OR = 1.33, 95% CI 1.07–1.65) and experience (adjusted B = 0.46, 95% CI 0.16–0.76). The frequency of consumption of fruit juice was statistically significantly associated with increased caries experience (adjusted B = 0.48, 95% CI 0.16–0.79). The interaction terms between the frequency and the quantity of consumption of energy drinks, soft drinks, and sweetened milk were statistically significantly related to caries experience and prevalence. Conclusion. Although the frequency of consumption of sugar-containing drinks was more associated with caries experience and prevalence, the interaction between frequency and quantity was highly related to the prevalence and experience of dental caries.

Caries Experience Varies in Egyptian Children With Different Combinations of Cleft Lip and Palate and Is Related to Carbohydrate Intake Between Meals

2020 ◽  
pp. 105566562095229
Author(s):  
Gehan G. Allam ◽  
Islam A. Sobeh
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Cleft Lip ◽  
Dietary Habits ◽  
Cleft Lip And Palate ◽  
Personal Data ◽  
Mixed Dentition ◽  
Caries Experience ◽  
Dietary Advice ◽  
Egyptian Children

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.

Caries Experience in Individuals with Cleft Lip and/or Palate in China

2010 ◽  
Vol 47 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Wan Chun Zhu ◽  
Jin Xiao ◽  
Yuan Liu ◽  
Jun Wu ◽  
JiYao Li
Keyword(s):  
Socioeconomic Status ◽  
Dental Caries ◽  
Cleft Lip ◽  
Surgical Repair ◽  
Caries Experience ◽  
Control Group ◽  
Caries Prevalence ◽  
West China ◽  
Family Socioeconomic Status ◽  
Increased Risk

Objective To determine the levels of dental caries in subjects with cleft lip and/or palate in China in comparison with controls. Design A total of 380 subjects with cleft lip and/or palate and 339 noncleft control subjects were examined for dental caries using the decayed-missing-filled-teeth (DMFT/dmft) and decayed-missing-filled-surfaces (DMFS/dmfs) index. A questionnaire was used to acquire subjects' living habits and family socioeconomic status. Setting West China Stomatology Hospital, Sichuan University. Subjects Individuals between 3 and 25 years of age. Results Caries prevalence and scores for dmft/DMFT and dmfs/DMFS were significantly higher in subjects with cleft palates when compared with the noncleft control group ( p < .05), except 3- to 5-year-old children ( p > .05). However, in the 3- to 5-year-old group, children with cleft lip and/or palate had significantly more caries than children of the same age with only a cleft lip with or without alveolus ( p < .05). Children whose clefts had been surgically repaired had a lower dmft and dmfs than those whose clefts had not been surgically repaired ( p < .05). Conclusion Individuals with oral cleft are at an increased risk for dental caries. The types of cleft and the surgical repair are two important factors for dental caries.

scholarly journals Relationship between class 1 dental caries and sextant involving caries among patients visiting the outpatient department of Saveetha Dental College, Chennai, India

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 578-583
Author(s):  
Ankita Komal Labh ◽  
Anjaneyulu K ◽  
Geo Mani
Keyword(s):  
Young Adults ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Caries Experience ◽  
Cross Sectional ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Class 1

Depending upon the site of the tooth, accessibility of oral hygiene products like toothbrush, tooth floss etc. different teeth have varying susceptibility to getting infected by cariogenic bacteria. Plaque accumulation, occlusal morphology, oral hygiene practices etc. play an important role in determining the susceptibility of teeth towards caries. A retrospective cross-sectional study was conducted using patient records from the Dental College, Chennai after reviewing and analysing the data of 86000 patients between June 2019 and March 2020. The variables involved were age, gender and site of carious teeth. Data were then exported to the Statistical Package for Social Sciences (SPSS) for Windows (Version 19, 2010) for further analysis. The total sample size was 19014. The sample had a gender distribution of 55.56% males and 44.44% females. Class 1 dental caries was found to be most prevalent in sextant 6 that is the lower right posterior teeth region. Least incidence of class 1 DC was noted in sextant 5, which is the lower anterior teeth. Young adults (18-35 years) had the highest incidence of class 1 dental caries (p<0.05). Among males and females, respectively, class 1 caries was most prevalent in sextant 6 (p<0.05). Within the limits of the study, it can be concluded that caries experience is highest in mandibular posteriors. There was a slight male predilection in the prevalence of class 1 dental caries. Young adults in the age group, 18-35 years, have the highest incidence of class 1 DC.

scholarly journals Maternal Vitamin B12 Status and Risk of Cleft Lip and Cleft Palate Birth Defects in Tamil Nadu State, India

2021 ◽  
Vol 58 (5) ◽  
pp. 567-576
Author(s):  
Ronald G. Munger ◽  
Rajarajeswari Kuppuswamy ◽  
Jyotsna Murthy ◽  
Kalpana Balakrishnan ◽  
Gurusamy Thangavel ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Tamil Nadu ◽  
Cleft Lip ◽  
Maternal Nutrition ◽  
Case Control ◽  
Vitamin B ◽  
Plasma Vitamin ◽  
Maternal Vitamin ◽  
Increased Risk ◽  
Tamil Nadu State

Background and Objective: The causal role of maternal nutrition in orofacial clefts is uncertain. We tested hypotheses that low maternal vitamin B12 and low folate status are each associated with an increased risk of isolated cleft lip with or without cleft palate (CL±P) in a case–control study in Tamil Nadu state, India. Methods: Case-mothers of CL±P children (n = 47) and control-mothers of unaffected children (n = 50) were recruited an average of 1.4 years after birth of the index child and plasma vitamin B12, methylmalonic acid (MMA), total homocysteine (tHcy), and folate were measured at that time. Logistic regression analyses estimated associations between nutrient biomarkers and case–control status. Results: Odds ratios (ORs) contrasting biomarker levels showed associations between case-mothers and low versus high plasma vitamin B12 (OR = 2.48, 95% CI, 1.02-6.01) and high versus low plasma MMA, an indicator of poor B12 status (OR = 3.65 95% CI, 1.21-11.05). Case–control status was not consistently associated with folate or tHcy levels. Low vitamin B12 status, when defined by a combination of both plasma vitamin B12 and MMA levels, had an even stronger association with case-mothers (OR = 6.54, 95% CI, 1.33-32.09). Conclusions: Mothers of CL±P children in southern India were 6.5 times more likely to have poor vitamin B12 status, defined by multiple biomarkers, compared to control-mothers. Further studies in populations with diverse nutritional backgrounds are required to determine whether poor maternal vitamin B12 or folate levels or their interactions are causally related to CL±P.

Global Cleft Lip and Palate Outreach: A Google Trends Analysis

2021 ◽  
pp. 105566562110698
Author(s):  
Joshua P Weissman ◽  
Narainsai K Reddy ◽  
Nikhil D Shah ◽  
Arun K Gosain
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
The Philippines ◽  
Google Trends ◽  
World Health ◽  
Patient Awareness ◽  
Number Of Patients ◽  
Who Indicators ◽  
Cleft Surgery

Understanding patient awareness of cleft lip and/or palate (CL/P) and evaluating demand for necessary procedures may serve to better target future efforts in global outreach. We utilized internet search query data from Google Trends for the terms: “cleft lip,” “cleft palate,” “cleft lip and palate,” “cleft surgery,” and “cleft repair” from January 2004 to January 2021. Relative search volumes (RSV) recorded for the top 5 highest displaying countries and top 3 available regions within those countries were compared against global outreach by Operation Smile and Smile Train, as measured by the number of patients treated. World Health Organization (WHO) indicators were used to validate the RSV values for each country and better understand the current infrastructure and need for cleft care in those countries. Globally, there was an increase in RSV for the terms “cleft lip,” “cleft palate,” “cleft repair,” and “cleft surgery” between 2004 and 2021. For “cleft lip,” the countries with the highest displaying RSVs included: Ghana (100%), Zimbabwe (97%), Nepal (78%), the Philippines (64%), and Kenya (52%). Countries with high RSVs and moderate to high WHO indicators included Ghana, Kenya, India, Nigeria, and Zimbabwe. Countries with high RSVs and poor WHO indicators included Nepal and Pakistan. Some countries had specific regions with high search demand that are not currently targeted for global outreach. Using Google Trends’ data may help find more feasible locations and targeted care for efforts in global outreach with better patient awareness and turnout where demand for CL/P is increasing.

scholarly journals Determinants of dental caries in children in the Middle East and North Africa region:  A systematic review based on literature published from 2000 to 2019

2021 ◽  
Author(s):  
Amal Elamin ◽  
Malin Garemo ◽  
Anzelle Mulder
Keyword(s):  
Middle East ◽  
Dental Caries ◽  
Infant Feeding ◽  
North Africa ◽  
World Health ◽  
Caries Prevalence ◽  
Mena Region ◽  
Oral Habits ◽  
Socioeconomic Determinants ◽  
Increased Risk

Abstract Background Dental caries risk factors have been expanded to not only emphasize biology and dietary and oral habits but also broader social determinants such as socioeconomic factors and the utilization of health services. The aim was to review sociobehavioural/cultural and socioeconomic determinants of dental caries in children residing in the Middle East and North Africa (MENA) region. Methods A search was conducted in the PubMed/Medline database and Google Scholar to identify studies published from 2000–2019 covering children using key search terms. In the initial stages, titles, abstracts and, if needed, full articles were screened for eligibility. In the final stage, all included articles were reassessed and read, and relevant data were extracted. Results Out of 600 initial articles, a total of 77 were included in this review, of which 74 were cross-sectional, 2 were longitudinal and one was a case-control study. The studies included a total of 94,491 participants in 14 countries across the MENA region. A majority used the World Health Organization scoring system to assess dental caries. The caries prevalence ranged between 17.2–88.8%, early childhood caries between 3–57% and decayed missing filled teeth (dmft) varied between 0.6–8.5 across the various age groups. Increased age, low maternal education, low overall socioeconomic status, decreased frequency of tooth brushing, low parental involvement, poor oral habits, infant feeding practices and sugar were among the most prevalent determinants for increased risk of caries in the reviewed studies. Conclusions Dental caries was found to be high among children in many of the studies published from MENA. The key determinants of dental caries were found to include factors related to child characteristics, family background, oral hygiene and infant feeding and eating habits. The high dental caries prevalence emphasises the need to address the prevailing modifiable sociobehavioural and socioeconomic determinants by translating them into effective oral health prevention policies and programmes.

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