Anna Lena Sundell1, Anna-Karin Nilsson1, Christer Ullbro2, Svante Twetman3, Agneta Marcusson4. 1. a 1 Department of Pediatric Dentistry, The Institute for Postgraduate Dental Education , Jönköping, Sweden. 2. b 2 Institute for Clinical Dentistry, UiT The Arctic University of Norway , Tromsø, Norway. 3. c 3 Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen, Denmark. 4. d 4 Department of Dentofacial Orthopedics, Maxillofacial Unit, Linköping University Hospital , Linköping, Sweden.
Abstract
OBJECTIVE: To determine the prevalence of dental caries and enamel defects in 5- and 10-year-old Swedish children with cleft lip and/or palate (CL(P)) in comparison to non-cleft controls. MATERIALS AND METHODS: The study group consisted of 139 children with CL(P) (80 subjects aged 5 years and 59 aged 10 years) and 313 age-matched non-cleft controls. All children were examined by one of two calibrated examiners. Caries was scored according to the International Caries Detection and Assessment System (ICDAS-II) and enamel defects as presence and frequency of hypoplasia and hypomineralization. RESULTS: The caries prevalence among the 5-year-old CL(P) children and the non-cleft controls was 36% and 18%, respectively (p < 0.05). The CL(P) children had higher caries frequency (initial and cavitated lesions) in the primary dentition than their controls (1.2 vs 0.9; p < 0.05). A significantly higher prevalence of enamel defects was found in CL(P) children of both age groups and anterior permanent teeth were most commonly affected. CONCLUSIONS: Preschool children with cleft lip and/or palate seem to have more caries in the primary dentition than age-matched non-cleft controls. Enamel defects were more common in CL(P) children in both age groups.
OBJECTIVE: To determine the prevalence of dental caries and enamel defects in 5- and 10-year-old Swedish children with cleft lip and/or palate (CL(P)) in comparison to non-cleft controls. MATERIALS AND METHODS: The study group consisted of 139 children with CL(P) (80 subjects aged 5 years and 59 aged 10 years) and 313 age-matched non-cleft controls. All children were examined by one of two calibrated examiners. Caries was scored according to the International Caries Detection and Assessment System (ICDAS-II) and enamel defects as presence and frequency of hypoplasia and hypomineralization. RESULTS: The caries prevalence among the 5-year-old CL(P) children and the non-cleft controls was 36% and 18%, respectively (p < 0.05). The CL(P) children had higher caries frequency (initial and cavitated lesions) in the primary dentition than their controls (1.2 vs 0.9; p < 0.05). A significantly higher prevalence of enamel defects was found in CL(P) children of both age groups and anterior permanent teeth were most commonly affected. CONCLUSIONS: Preschool children with cleft lip and/or palate seem to have more caries in the primary dentition than age-matched non-cleft controls. Enamel defects were more common in CL(P) children in both age groups.
Authors: B J Howe; M E Cooper; G L Wehby; J M Resick; N L Nidey; L C Valencia-Ramirez; A M Lopez-Palacio; D Rivera; A R Vieira; S M Weinberg; M L Marazita; L M Moreno Uribe Journal: J Dent Res Date: 2017-05-23 Impact factor: 6.116