Comparison of dental caries prevalence in patients with cleft lip and/or palate and their sibling controls.
Article Type: Brief article
Subject: Dental caries (Comparative analysis)
Dental caries (Diagnosis)
Dental caries (Care and treatment)
Dental caries (Economic aspects)
Cleft lip (Diagnosis)
Cleft lip (Comparative analysis)
Prevalence studies (Epidemiology) (Usage)
Author: Wright, Graeme
Pub Date: 10/01/2010
Publication: Name: European Archives of Paediatric Dentistry Publisher: European Academy of Paediatric Dentistry Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 European Academy of Paediatric Dentistry ISSN: 1818-6300
Issue: Date: Oct, 2010 Source Volume: 11 Source Issue: 5
Geographic: Geographic Scope: United States Geographic Code: 1USA United States
Accession Number: 276898060
Full Text: Comparison of dental caries prevalence in patients with cleft lip and/or palate and their sibling controls. M Al-Dajani. Cleft Palate- Craniofacial l 2009; 46(5): 529-31

Summary. This comparative prevalence study was to evaluate the prevalence of dental caries in patients with cleft lip and/or palate CLP and their cleft-free sibling controls. Two subject groups (patient and control) comprised 106 participants. The former group consisted of 53 patients with CLP, aged 12 to 29 years. The control group comprised siblings who had no CLP sex matched to the patient group. Dental caries was examined clinically and reported via DMFT scores. The DMFT scores were compared between the two groups finding a positive correlation between the presence of dental caries and CLP (odds ratio = 2.52; 95% confidence interval =1.389-4.574; p < 0..05). DMFT index scores were proportionally higher in patients with CLP compared with the control group (p <.001).Conclusion: Subjects with CLP are susceptible to dental caries independently of socioeconomic status.

Comment. Despite some flaws and limitations, acknowledged by the author, this paper highlights an important prevention and treatment need for a patient cohort well known to paediatric dentistry. Caries diagnosis was limited by a lack of radiographs whilst the author's conclusion of a negative association between CLP and socioeconomic status, was unfounded as socioeconomic status not having been assessed. Nonetheless, the battery of papers which the author cites as demonstrating a positive correlation between caries and CLP reminds us of a need for intense preventive and treatment input from all dentists treating these children.

Comparison of dental caries prevalence in patients with cleft lip and/or palate and their sibling controls.
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