Bian Z, Du M, Bedi R, Holt R, Jin H, Fan M
Department of Oral Biology, Wuhan University, China.
Pediatr Dent. 2001 Sep-Oct;23(5):431-4.
The aims of this study were to investigate whether there were different caries levels in 3- to 6-year-old Chinese children who had a cleft lip compared to those with a cleft lip/palate. The goal also was to evaluate parental attitudes toward the feeding habits and oral health care for their children.
A cross-sectional study was carried out through a dental examination of a sample of children and a questionnaire to their parents. A sample of 104 3- to 6-year-old children (66 boys and 38 girls) with cleft lip, cleft palate or both were selected from those receiving pre-surgical treatment. Each child was examined and a short questionnaire was given to parents of the children. The form included questions about infant feeding practices, frequency consumption of specific drinks and, children's toothbrushing frequency.
One hundred and four children were examined. Seventy-five percent had some caries experience and rampant caries was present in 26%. Children with cleft palate had a higher prevalence of rampant caries (30%) compared to those with cleft lip (12%). A multivariate analysis yielded feeding practices and mother's education as the variables significantly associated with caries and rampant caries.
The results of this study show that: 1. Children with a cleft lip/palate have higher levels of dental caries compared to those with a cleft lip alone; 2. The two most important factors for dental caries were: a. whether the child had been bottle-fed and; b. the educational attainment level of the mother.
本研究旨在调查3至6岁唇裂中国儿童与唇腭裂儿童的龋齿水平是否存在差异。研究目标还包括评估家长对其子女喂养习惯和口腔卫生保健的态度。
通过对儿童样本进行牙科检查并向其父母发放问卷开展横断面研究。从接受术前治疗的儿童中选取了104名3至6岁患有唇裂、腭裂或两者皆有的儿童（66名男孩和38名女孩）。对每个儿童进行检查，并向儿童家长发放一份简短问卷。问卷内容包括有关婴儿喂养方式、特定饮品的饮用频率以及儿童刷牙频率的问题。
共检查了104名儿童。75%的儿童有龋齿经历，26%的儿童患有猖獗性龋齿。与唇裂儿童（12%）相比，腭裂儿童的猖獗性龋齿患病率更高（30%）。多变量分析得出喂养方式和母亲的教育程度是与龋齿和猖獗性龋齿显著相关的变量。
本研究结果表明：1. 唇腭裂儿童的龋齿水平高于单纯唇裂儿童；2. 龋齿的两个最重要因素是：a. 儿童是否采用奶瓶喂养；b. 母亲的教育程度。
