Neves Lucimara Teixeira das, Costa Beatriz, Lauris José Roberto Pereira, Ciamponi Ana Lídia, Gomide Marcia Ribeiro
Department of Biological Sciences, Bauru School of Dentistry and Post-Graduation Program in Rehabilitation Sciences, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Bauru 17012-900, Brazil.
Department of Pediatric Dentistry, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Bauru 17012-900, Brazil.
Int J Environ Res Public Health. 2025 Feb 6;22(2):227. doi: 10.3390/ijerph22020227.
Oral health is a prerequisite for the rehabilitation of children with oral cleft (OC). Thus, caries negatively affects individuals with OC. This study aimed to investigate dental caries in children with OC, determining the first period of the most significant susceptibility to caries. This cross-sectional study evaluated caries' prevalence and mean dmft in the primary dentition of 300 children with OC, distributed among ten groups at six-month intervals. The exams were carried out using the WHO diagnostic criteria. Fisher's exact test and Student's -test were used for statistical comparisons with a significant level of 5%. The caries prevalence in the total group was 59.4%, and the dmft was 3.4. The first period of susceptibility occurred between 13 and 18 months and 19 and 24 months, with a prevalence ranging from 6.6% to 40% ( < 0.05) and a dmft ranging from 0.1 to 1.0 ( < 0.05). The prevalence and dmft increase with age. Our findings suggest that in children with OC, the first period of susceptibility to caries occurs from 13 to 18 months. These findings demonstrate the need for pediatric dentistry to establish an early preventive protocol for children with clefts during the first year.
口腔健康是腭裂患儿康复的前提条件。因此，龋齿会对腭裂患儿产生负面影响。本研究旨在调查腭裂患儿的龋齿情况，确定最易患龋齿的首个时期。这项横断面研究评估了300名腭裂患儿乳牙列的龋齿患病率及平均龋失补牙数（dmft），这些患儿按六个月的间隔分为十组。检查采用世界卫生组织的诊断标准。采用Fisher精确检验和t检验进行统计学比较，显著性水平为5%。总样本组的龋齿患病率为59.4%，dmft为3.4。首个易感期出现在13至18个月以及19至24个月之间，患病率在6.6%至40%之间（P<0.05），dmft在0.1至1.0之间（P<0.05）。患病率和dmft均随年龄增长。我们的研究结果表明，腭裂患儿最易患龋齿的首个时期为13至18个月。这些结果表明，儿童牙科有必要在第一年为腭裂患儿制定早期预防方案。
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