Oral Health Status of Individuals with Cleft Lip, Cleft Palate or Both in a Nigerian Population
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2011, Vol 4, Issue 3
Abstract
Background: Cleft lip and/ or palate (CL/P) deformities are congenital anomalies with fissures of either the lip, palate or both combined. The altered oral anatomy causes physiological changes and diminished self cleansing ability. The oral hygiene may thus not be properly maintained. Aim: A prospective study of the oral health status of individuals with these deformities in Lagos-Nigeria was carried out to determine the need, types, and extent of pre-operative dental management that these patients may require. Material and Methods: Individuals with orofacial deformities in Lagos were screened by a CL/P management team at a sponsored treatment programme between April and June 2007. All those with CL/P deformities that were seen during the exercises participated in the study. Dental examinations included inspections for caries, plaque, calculus, gingivitis, malocclusions and enamel hypoplasia. The following parameters were assessed: Oral Hygiene, Debris, and Calculus Indices; Periodontal diseases, Caries experience, and CPITN. Results: Fifty-two cases with CL/P were seen. The ages ranged from 3weeks to 32years (mean 11.5 ± 10.9). CLP was the commonest presentation (48 %). The mean Oral Hygiene Index Score was 2.1 and 38.6 % had good oral hygiene. Highest prevalence of caries was in the age group 26-30years. Enamel hypoplasia in primary dentition was present in one subject and 50 % of permanent dentition. Nearly 50 % of the cases had malocclusion and different degrees of periodontal diseases. All the cases in age group 31-35 years had calculus. Conclusion: The oral health status of patients with CL/P deformities is poor in the environment in which the study was conducted.
Authors and Affiliations
Idowu Olusegun Fadeyibi| Surgery Department, Lagos State University Teaching Hospital (LASUTH), Ikeja-Lagos, Nigeria, Modupeore Ekua Sorunke| Dental Department, Lagos State University Teaching Hospital (LASUTH), Ikeja-Lagos, Nigeria, Modupeore Ekua Sorunke| Dental Department, Lagos State University Teaching Hospital (LASUTH), Ikeja-Lagos, Nigeria, Victor Olabode Ogunbanjo| Dental Department, Lagos State University Teaching Hospital (LASUTH), Ikeja-Lagos, Nigeria, Babatunde Ogunbiyi Ogunbanjo| Dental Department, Lagos State University Teaching Hospital (LASUTH), Ikeja-Lagos, Nigeria, Samuel Ademiluyi| Surgery Department, Lagos State University Teaching Hospital (LASUTH), Ikeja-Lagos, Nigeria
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