Document Detail

Periodontal disease in patients with cleft palate and patients with unilateral and bilateral clefts of lip, palate, and alveolus.
MedLine Citation:
PMID:  10102554     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Long-term health of the stomatognathic system, as well as esthetics, is the therapeutic goal in patients with facial clefts. The aim of this study was to analyze the periodontal situation of patients with cleft palate (CP) and cleft lip, palate, and alveolus (CLPA) to elicit the differing degrees and localization of periodontal disease. METHODS: In 30 patients with unilateral cleft lip, palate, and alveolus (UCLPA), 30 patients with cleft palate (CP), and 20 patients with bilateral cleft lip, palate, and alveolus (BCLPA), the gingival situation was identified and classified according to the sulcus bleeding index (SBI). Periodontal attachment loss and pathological loosening of teeth were noted for identification of periodontal lesions. The state of oral hygiene was recorded by the approximal plaque index (API). RESULTS: In general, poor oral hygiene was found in all patients. The SBI showed a high incidence of gingivitis in patients with cleft lip, palate, and alveolus. Patients with cleft palate had a minor extent of sulcus bleeding. Periodontal disease was found to a similar extent to that in the general population in patients with cleft palate, whereas patients with cleft lip, palate, and alveolus had a predisposition to deep periodontal destruction of teeth adjacent to the cleft. The registration of pathological loosening of teeth, a result of attachment loss, corresponded to the degree of periodontal disease shown by the attachment loss. CONCLUSIONS: A critical periodontal situation was found in patients with unilateral and bilateral cleft lip, palate, and alveolus, ultimately leading to tooth loss in the front tooth region. In contrast, patients with cleft palate exhibited periodontal situations similar to that found in the general population with additional damage, which may be attributed to orthodontic treatment.
A Gaggl; G Schultes; H Kärcher; R Mossböck
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of periodontology     Volume:  70     ISSN:  0022-3492     ISO Abbreviation:  J. Periodontol.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-17     Completed Date:  1999-05-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  171-8     Citation Subset:  D; IM    
Clinical Department of Oral and Maxillofacial Surgery, University Hospital, Graz, Austria.
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MeSH Terms
Alveolar Process / abnormalities*
Chi-Square Distribution
Cleft Lip / complications*
Cleft Palate / complications*
Dental Plaque Index
Gingival Hemorrhage / complications,  pathology
Gingivitis / complications,  pathology
Oral Hygiene
Periodontal Attachment Loss / complications,  pathology
Periodontal Diseases / complications*,  pathology
Periodontal Index
Tooth Mobility / complications

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