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Published in: Clinical Oral Investigations 3/2019

01-03-2019 | Original Article

A comparison of orofacial profiles in 5- and 10-year-old Swedish children with and without cleft lip and/or palate

Authors: Anna Lena Sundell, Agneta Marcusson

Published in: Clinical Oral Investigations | Issue 3/2019

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Abstract

Objectives

The objectives of this study were to assess orofacial profiles in 5- and 10-year-old children with cleft lip and/or palate (CL/P) compared to controls and to estimate a possible association between orofacial dysfunction and caries frequency.

Materials and methods

A total of 133 children with CL/P (77 5-year-olds and 56 10-year-olds) and 308 controls (142 5-year-olds and 166 10-year-olds) were included in the study. Orofacial function was evaluated with Nordic Orofacial Test-Screening (NOT-S), and caries were scored according to the International Caries Detection and Assessment System (ICDAS).

Results

The total NOT-S score was higher in children with CL/P compared to controls (mean 3.2 vs 0.9, p < 0.001). The domains frequently scored in CL/P children were speech (82%), face at rest (72%), and facial expression (58%). There was a significantly positive correlation between NOT-S scores and caries frequency.

Conclusions

Children with CL/P have impaired orofacial function compared to controls. There seems to be a correlation between orofacial function and caries.

Clinical relevance

Impaired orofacial function seen in children with CL/P can be one of many risk factors for caries development, and it is suggested to be a part of caries risk assessment.
Literature
11.
go back to reference Dahllöf G, Ussisoo-Joandi R, Ideberg M, Modéer T (1989) Caries, gingivitis, and dental abnormalities in preschool children with cleft lip and/or palate. Cleft Palate J 26:233–237PubMed Dahllöf G, Ussisoo-Joandi R, Ideberg M, Modéer T (1989) Caries, gingivitis, and dental abnormalities in preschool children with cleft lip and/or palate. Cleft Palate J 26:233–237PubMed
15.
go back to reference Hairfield WM, Warren DW, Seaton DL (1988) Prevalence of mouthbreathing in cleft lip and palate. Cleft Palate J 25:135–138PubMed Hairfield WM, Warren DW, Seaton DL (1988) Prevalence of mouthbreathing in cleft lip and palate. Cleft Palate J 25:135–138PubMed
17.
go back to reference Bakke M, Bergendal B, McAllister A, Sjögreen L, Asten P (2007) Development and evaluation of a comprehensive screening for orofacial dysfunction. Swed Dent J 31:75–84PubMed Bakke M, Bergendal B, McAllister A, Sjögreen L, Asten P (2007) Development and evaluation of a comprehensive screening for orofacial dysfunction. Swed Dent J 31:75–84PubMed
18.
go back to reference Millard DR Jr (1964) Rotation-advancement principle in cleft lip closure. Cleft Palate J 12:246–252PubMed Millard DR Jr (1964) Rotation-advancement principle in cleft lip closure. Cleft Palate J 12:246–252PubMed
19.
go back to reference Mulliken JB (2001) Primary repair of bilateral cleft lip and nasal deformity. Plast Reconstr Surg 1(181–194):195–186CrossRef Mulliken JB (2001) Primary repair of bilateral cleft lip and nasal deformity. Plast Reconstr Surg 1(181–194):195–186CrossRef
21.
go back to reference Lilja J, Friede H, Johanson J (1996) Changing philosophy of surgery of the cleft lip and palate in Göteborg, Sweden. In: Berkowitz S (ed) Cleft lip and palate perspectives on management, vol 2. Singular Publishing, San Diego, pp 155–170 Lilja J, Friede H, Johanson J (1996) Changing philosophy of surgery of the cleft lip and palate in Göteborg, Sweden. In: Berkowitz S (ed) Cleft lip and palate perspectives on management, vol 2. Singular Publishing, San Diego, pp 155–170
22.
go back to reference Pitts NB, Ekstrand KR, ICDAS Foundation (2013) International caries detection and assessment system (ICDAS) and its international caries classification and management system (ICCMS)—methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 41:41–52. https://doi.org/10.1111/cdoe.12025 CrossRef Pitts NB, Ekstrand KR, ICDAS Foundation (2013) International caries detection and assessment system (ICDAS) and its international caries classification and management system (ICCMS)—methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 41:41–52. https://​doi.​org/​10.​1111/​cdoe.​12025 CrossRef
24.
go back to reference McAllister A, Hammarström Lundeborg I (2014) Oral sensorimotor functions in typically developing children 3 to 8 years old, assessed by the Nordic Orofacial test, NOT_S. J Med Speech Lang Pathol 21(1):51–59 McAllister A, Hammarström Lundeborg I (2014) Oral sensorimotor functions in typically developing children 3 to 8 years old, assessed by the Nordic Orofacial test, NOT_S. J Med Speech Lang Pathol 21(1):51–59
30.
go back to reference Klintö K, Falk E, Wilhelmsson S, Schonmeyr B, Becker M (2018) Speech in 5-year-olds with cleft palate with or without cleft lip treated with primary palatal surgery with muscle reconstruction according to Sommerlad. Cleft Palate Craniofac. https://doi.org/10.1177/1055665618768541 Klintö K, Falk E, Wilhelmsson S, Schonmeyr B, Becker M (2018) Speech in 5-year-olds with cleft palate with or without cleft lip treated with primary palatal surgery with muscle reconstruction according to Sommerlad. Cleft Palate Craniofac. https://​doi.​org/​10.​1177/​1055665618768541​
31.
go back to reference Bosnjak A, Vucicevic-Boras V, Miletic I, Bozic D, Vukelja M (2002) Incidence of oral habits in children with mixed dentition. J Oral Rehabil 29:902–905CrossRefPubMed Bosnjak A, Vucicevic-Boras V, Miletic I, Bozic D, Vukelja M (2002) Incidence of oral habits in children with mixed dentition. J Oral Rehabil 29:902–905CrossRefPubMed
34.
go back to reference Dawes C (2008) Salivary flow patterns and the health of hard and soft oral tissues. J Am Dent Assoc 139:18–24CrossRef Dawes C (2008) Salivary flow patterns and the health of hard and soft oral tissues. J Am Dent Assoc 139:18–24CrossRef
Metadata
Title
A comparison of orofacial profiles in 5- and 10-year-old Swedish children with and without cleft lip and/or palate
Authors
Anna Lena Sundell
Agneta Marcusson
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 3/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2562-3

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