Chopra Amandeep, Lakhanpal Manav, Rao Nanak Chand, Gupta Nidhi, Vashisth Shelja
Department of Public Health Dentistry, Swami Devi Dyal Hospital and Dental College (SDDHDC), Panchkula, Haryana, India.
N Am J Med Sci. 2014 Jun;6(6):266-9. doi: 10.4103/1947-2714.134371.
Oro-facial clefts are a major public health problem. Children with clefts rarely escape dental complications.
This study was to determine differences in the dental caries experience, gingival health, and prevalence malocclusion, enamel defects and oral mucosal lesions among 4-6 year old children with and without cleft in Panchkula.
The sampling frame consisted of 4-6 year old children with clefts visiting Swami Devi Dyal Hospital and Dental College, Panchkula, India. As a control group an age (±3 months) and gender-matched sample from the same geographical areas were recruited. Dental caries status, gingival health status, developmental defect of enamel, malocclusion and oral mucosal health were assessed and compared between the two groups.
Significant differences in dental caries and gingival health status were found between children with and without cleft. Anterior open-bite, increased overjet and oral mucosal lesions (P < 0.05) were more prevalent among children with clefts. Children with and without clefts had similar developmental defects of enamel (P > 0.05).
Differences of oral health status exist among 4-6 year old children with and without clefts. Children fare worse in terms of dental caries, gingival health, oral mucosal health and malocclusion.
口腔颌面部裂隙是一个重大的公共卫生问题。患有裂隙的儿童很少能避免牙齿并发症。
本研究旨在确定印度潘切库拉地区4至6岁有和无裂隙儿童在龋齿经历、牙龈健康、错牙合患病率、牙釉质缺陷和口腔黏膜病变方面的差异。
抽样框架包括在印度潘切库拉的斯瓦米·德维·戴尔医院和牙科学院就诊的4至6岁裂隙儿童。作为对照组，从同一地理区域招募年龄（±3个月）和性别匹配的样本。对两组儿童的龋齿状况、牙龈健康状况、牙釉质发育缺陷、错牙合和口腔黏膜健康进行评估并比较。
有和无裂隙儿童在龋齿和牙龈健康状况方面存在显著差异。前牙开牙合、覆盖增加和口腔黏膜病变（P < 0.05）在有裂隙儿童中更为普遍。有和无裂隙儿童的牙釉质发育缺陷相似（P > 0.05）。
4至6岁有和无裂隙儿童的口腔健康状况存在差异。有裂隙儿童在龋齿、牙龈健康、口腔黏膜健康和错牙合方面情况更差。
