World Journal of Dentistry

Register      Login

VOLUME 8 , ISSUE 4 ( July-August, 2017 ) > List of Articles

RESEARCH ARTICLE

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

Rahul Gaikwad, Sachin C Sarode, Seema Kamble, Shivalinga S Hiremath, Ashwini Biradar

Citation Information : Gaikwad R, Sarode SC, Kamble S, Hiremath SS, Biradar A. 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.

DOI: 10.5005/jp-journals-10015-1455

Published Online: 00-08-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


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.


PDF Share
  1. Permanent tooth development in children with cleft lip and palate. Pediatr Dent 2008 Sep-Oct;30(5):408-413.
  2. The prevalence of caries in children with cleft lip and or palate in South Vietnam. Cleft Palate Craniofac J 2004 Nov;41(6):629-632.
  3. The oral health of children with clefts of the lip, palate, or both. Cleft Palate Craniofac J 2001 Sep;38(5):525-528.
  4. Caries prevalence in children with cleft lip and palate—a systematic review of case-control studies. Int J Paediatr Dent 2007 Sep;17(5):313-319.
  5. Caries, gingivitis, and dental abnormalities in preschool children with cleft lip and/or palate. Cleft Palate J 1989 Jul;26(3):233-237.
  6. Oral health status of Russian children with unilateral cleft lip and palate. Cleft Palate Craniofac J 1998 Nov;35(6):489-494.
  7. Dental experience of cleft affected children in the west of Ireland. Int Dent J 2001 Apr;51(2):73-76.
  8. Oral and dental health status of children with cleft lip and/or palate. Cleft Palate Craniofac J 1998 Jul;35(4):329-332.
  9. Increased caries prevalence in 2.5-year-old children with cleft lip and/or palate. Eur J Oral Sci 1996 Oct-Dec;104(5-6):518-522.
  10. Caries experience and oral health behaviour in Chinese children with cleft lip and/or palate. Pediatr Dent 2001 Sep-Oct;23(5):431-434.
  11. Investigation of caries prevalence in children with cleft lip, alveolus, and palate. J Craniomaxillofac Surg 2004 Aug;32(4):216-219.
  12. A review of tooth formation in children with cleft lip/ palate. Am J Orthod Dentofacial Orthop 1986 Jul;90(1):11-18.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.