Guy's and St Thomas' NHS Foundation Trust, South Thames Cleft Services, Paediatric Dental Department, Westminster Bridge Road, London, UK.
Br Dent J. 2019 Aug;227(3):199-202. doi: 10.1038/s41415-019-0608-9.
Background Cleft lip and/or palate (CLP) patients are at high risk of developing dental caries and show a greater prevalence of dental defects.Aims To establish if CLP patients who attended the 18-month clinic had local dentists, were complying with oral hygiene instruction and had stopped bottle-feeding as per guidelines.Design Data were collected retrospectively over a 24-month period in which a total of 62 records were assessed.Results Data analyses revealed that 42% of patients who attended the clinic were registered with a dentist. Fifty percent of patients had stopped bottle-feeding and 67% were brushing two or more times a day. Although all patients reviewed on the clinic were caries free, 57% presented with a dental anomaly (hypodontia, hypomineralisation or hypoplasia).Conclusion Despite CLP patients being at high risk for developing dental caries, results showed that significant proportions of parents/carers were not following national guidelines for prevention. This evaluation highlights that shared preventive support between primary care dentists and specialist cleft dentists is not being achieved in the majority of cases. It also recognises that parents of CLP patients are either not receiving, or are failing to implement, preventive care advice.
背景 唇腭裂（CLP）患者发生龋齿的风险很高，且牙齿缺陷的患病率更高。
目的 确定在 18 个月龄诊所就诊的 CLP 患者是否有当地牙医，是否遵守口腔卫生指导，以及是否按照指南停止奶瓶喂养。
设计 在 24 个月的时间内，回顾性地收集数据，共评估了 62 份记录。
结果 数据分析显示，在诊所就诊的患者中有 42%在牙医处注册。50%的患者已经停止了奶瓶喂养，67%的患者每天刷牙两次或以上。尽管在诊所检查的所有患者均无龋齿，但 57%的患者存在牙齿异常（缺牙、矿化不良或发育不良）。
结论 尽管 CLP 患者发生龋齿的风险很高，但研究结果表明，相当比例的家长/照顾者并未遵循国家预防指南。这种评估表明，在大多数情况下，初级保健牙医和专业腭裂牙医之间并未达成共同的预防支持。这也表明，CLP 患者的家长要么没有接受预防保健建议，要么未能实施。
