Costa Beatriz, Lima José Eduardo De Oliveira, Gomide Marcia Ribeiro, Rosa Odila Pereira Da Silva
Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Bauru, Sao Paulo, Brazil.
Cleft Palate Craniofac J. 2003 Nov;40(6):585-9. doi: 10.1597/01-083.
To compare periodontal conditions in children with and without cleft.
Clinical examinations and microbiological analysis of 57 selected children, including 30 with unilateral complete cleft lip and palate (experimental group) and 27 without clefts (control group).
Hospital of Rehabilitation of Craniofacial Anomalies (HRCA) in Bauru, Sao Paulo, Brazil.
PATIENTS, PARTICIPANTS: All children examined were healthy and between the ages of 5 and 6 years.
The mean plaque index (PI) in the experimental group was higher (1.82 +/- 0.3) than in the control group (1.63 +/- 0.38), although this difference was not statistically significant. The mean gingival index (GI) in the experimental group (1.82 +/- 0.38) was found to be significantly higher (p <.05) than that of the control group (0.79 +/- 0.33). The cleft area in the experimental group, with a mean PI of 2.04 +/- 0.58 and mean GI of 1.11 +/- 0.26, compared with the posterior area, with a mean PI of 1.74 +/- 0.37 and mean GI of 1.04 +/- 0.26, showed a statistically significant difference only in the PI. Most of the children in both experimental and control groups presented a moderate PI degree (73.33% and 81.48%, respectively) and a high prevalence of mild gingivitis (53.33% and 70.37%, respectively). Analysis of the organisms showed that Prevotella nigrescens was detected in 16.67% of the experimental group and 11.11% of the control, whereas Porphyromonas gingivalis and Treponema denticola were not detected.
Children with clefts showed greater gingival inflammation, despite the same amount of plaque and prevalence of microorganisms.
比较有唇腭裂和无唇腭裂儿童的牙周状况。
对57名选定儿童进行临床检查和微生物分析，其中包括30名单侧完全性唇腭裂儿童（实验组）和27名无唇腭裂儿童（对照组）。
巴西圣保罗鲍鲁颅面畸形康复医院（HRCA）。
患者、参与者：所有接受检查的儿童均健康，年龄在5至6岁之间。
实验组的平均菌斑指数（PI）（1.82±0.3）高于对照组（1.63±0.38），尽管这种差异无统计学意义。实验组的平均牙龈指数（GI）（1.82±0.38）显著高于对照组（0.79±0.33）（p<0.05）。实验组的腭裂区域平均PI为2.04±0.58，平均GI为1.11±0.26，而后部区域平均PI为1.74±0.37，平均GI为1.04±0.26，仅在PI方面存在统计学显著差异。实验组和对照组的大多数儿童菌斑指数为中度（分别为73.33%和81.48%），轻度牙龈炎患病率较高（分别为53.33%和70.37%）。微生物分析表明，16.67%的实验组儿童和11.11%的对照组儿童检测到变黑普雷沃菌，而牙龈卟啉单胞菌和具核梭杆菌未被检测到。
尽管菌斑数量和微生物患病率相同，但唇腭裂儿童的牙龈炎症更严重。
