Dental treatment needs among individuals with orofacial clefts

Resumo

 Epidemiological studies can help in implementing programs to achieve optimal oral health for clefts individuals. The purpose of this study was to identify the dental treatment needs in patients with orofacial clefts in a population from Rio de Janeiro, Brazil. This study analyzed 176 dental records from individuals who born with cleft lip and palate, aged varied 0-61years, which receiving assessment at a public hospital reference of cleft rehabilitation, between 2006 to 2008. Chi-square test at a level of significance of 0.05 was used. Analysis enrolled 169 dental records after exclusion of seven dental records due to incomplete data. The sample consisted of 84 female and 85 male. The mean age was 19.7(±5.8). Forty patients had cleft lip(CL), 87 had cleft lip and palate(CLP) and 42 had cleft palate(CP). The majority of patients (85.2%) required invasive dental treatment needs, such as, restorative treatment, endodontic treatment, dental extraction and periodontal treatment. Patients with CLP presented a positive association with untreated dental caries than CL and CP (p=0.03). CLP patients were strongly associated with orthodontic treatment need when compared with CL and CP (p<0.05). We identified an extensive dental treatment needed in patients with CLP. A developing of an oral health programs is recommended for CLP individuals in this region.

Epidemiological studies can help in implementing programs to achieve optimal oral health for clefts individuals. The purpose of this study was to identify the dental treatment needs in patients with orofacial clefts in a population from Rio de Janeiro, Brazil. This study analyzed 176 dental records from individuals who born with cleft lip and palate, aged varied 0-61years, which receiving assessment at a public hospital reference of cleft rehabilitation, between 2006 to 2008. Chi-square test at a level of significance of 0.05 was used. Analysis enrolled 169 dental records after exclusion of seven dental records due to incomplete data. The sample consisted of 84 female and 85 male. The mean age was 19.7(±5.8). Forty patients had cleft lip(CL), 87 had cleft lip and palate(CLP) and 42 had cleft palate(CP). The majority of patients (85.2%) required invasive dental treatment needs, such as, restorative treatment, endodontic treatment, dental extraction and periodontal treatment. Patients with CLP presented a positive association with untreated dental caries than CL and CP (p=0.03). CLP patients were strongly associated with orthodontic treatment need when compared with CL and CP (p<0.05). We identified an extensive dental treatment needed in patients with CLP. A developing of an oral health programs is recommended for CLP individuals in this region.