de Almeida Ana Lúcia Pompéia Fraga, Gonzalez Marly Kimie Sonohara, Greghi Sebastião Luiz Aguiar, Conti Paulo César Rodrigues, Pegoraro Luiz Fernando
University of Sao Paulo, Brazil.
Cleft Palate Craniofac J. 2009 Mar;46(2):161-5. doi: 10.1597/07-226.1. Epub 2008 Jun 12.
To evaluate whether teeth close to the cleft area present higher prevalence and severity of periodontal disease than teeth in other regions.
Cross-sectional.
Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo.
There were 400 individuals with complete unilateral or bilateral cleft lip and palate, aged 15 to 49 years, without any previous periodontal treatment.
All clinical parameters were evaluated in six sites for each tooth. The arithmetic means were calculated for each sextant.
Of the sextants, 86.75% presented means of probing depth smaller than or equal to 3 mm. No sextant exhibited means of probing depth greater than or equal to 6 mm. There was a statistically significant difference (p < .001) in probing depth according to age, types of cleft, and sextant; 95.87% of sextants presented mean attachment levels smaller than or equal to 3 mm. The sextant with cleft did not present higher means of probing depth, clinical attachment level, plaque index, and gingival index. There was gingival bleeding in 99.08% of the sample and plaque in 97.40%. The type of cleft was not an important factor influencing the prevalence of periodontal disease. Age seems to be an important factor influencing the prevalence and severity of periodontal disease for all aspects investigated.
Periodontal disease in individuals with clefts occurred in a similar manner as observed in other populations. The presence of the cleft does not seem to increase the prevalence of the disease.
评估靠近腭裂区域的牙齿是否比其他区域的牙齿患牙周病的患病率和严重程度更高。
横断面研究。
圣保罗大学颅面畸形康复医院。
400例单侧或双侧完全性唇腭裂患者，年龄在15至49岁之间，此前未接受过任何牙周治疗。
对每颗牙齿的六个部位进行所有临床参数评估。计算每个牙弓的算术平均值。
在各个牙弓中，86.75%的探诊深度平均值小于或等于3毫米。没有牙弓的探诊深度平均值大于或等于6毫米。根据年龄、腭裂类型和牙弓不同，探诊深度存在统计学显著差异（p <.001）；95.87%的牙弓附着水平平均值小于或等于3毫米。有腭裂的牙弓在探诊深度、临床附着水平、菌斑指数和牙龈指数方面的平均值并不更高。样本中99.08%有牙龈出血，97.40%有菌斑。腭裂类型不是影响牙周病患病率的重要因素。年龄似乎是影响所调查的各个方面牙周病患病率和严重程度的重要因素。
腭裂患者的牙周病发病情况与其他人群相似。腭裂的存在似乎不会增加该病的患病率。
