A study of prevalence of caries and oral health behavior in Japanese children with cleft lip and palate |
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| Institution: | 1. Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences and Okayama University Hospital, Okayama, Japan;2. Department of Human Ecology, Okayama University Graduate School of Environmental and Life Science, Okayama, Japan;3. Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan;4. Department of Child and Adolescent Psychiatry, Okayama Psychiatric Medical Center, Okayama, Japan;1. Center for Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases, 3-3, Nakamichi 1-chome, Higashinari-ku, Osaka 537-8511, Japan;2. Department of Social Medicine, National Research Institute for Child Health and Development, 2-10-1, Okura, Setagaya-ku, Tokyo 157-8535, Japan;3. Graduate School of Business Sciences, University of Tsukuba, 3-29-1, Otsuka, Bunkyo-ku, Tokyo 112-0012, Japan;4. School of Public Health, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan;1. Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan;2. Health Management Center, National Taiwan University Hospital, Taipei, Taiwan;3. Department of Internal Medicine, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan;4. Department of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Taipei, Taiwan;5. Division of Gastroenterology and Hepatology, Chia-Yi Christian Hospital, Chia-Yi, Taiwan;1. Department of Human Ecology, Okayama University Graduate School of Environmental and Life Science, Okayama, Japan;2. Department of Pediatrics, Okayama Medical Center, National Hospital Organization, Okayama, Japan;3. Department of Public Health and Public Policy, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan;4. Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan;5. Department of Child and Adolescent Psychiatry, Okayama Psychiatric Medical Center, Okayama, Japan;1. Division of Clinical Epidemiology and Ageing Research, German Cancer Research Center, Heidelberg, Germany;2. Network Aging Research, Heidelberg University, Germany;3. Division of Preventive Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), Heidelberg, Germany;4. German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany;5. Saarland Cancer Registry, Saarland, Germany;6. Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA;7. Institute of Health Care and Social Sciences, FOM University, Essen, Germany |
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| Abstract: | The aims of this study were to investigate the condition of dental caries in 1–4 years old Japanese children with cleft lip and/or palate, and also to examine the relationships between age, location of the cleft, oral health behavior of cleft children and the incidence of dental caries. The study was carried out through a dental examination of a sample of children and a questionnaire to their parents which included questions about infant feeding practices, frequency of consumption of specific drinks and children's frequency of tooth brushing. A sample of 116, 1–4 years old Japanese children (58 boys and 58 girls) with oral clefts referred to the Department of Pediatric Dentistry Clinic, Showa University, after receiving surgical treatment, participated in this study. Results indicated that the prevalence of caries in cleft children was related to patient age, location of clefts and oral health behavior. A higher level of dental caries was recognized in children with cleft lip and alveolus/palate than in those with cleft lip alone. Incidence of caries increased with patient age. Children who had been fed in a determined time were less affected than those who had been fed at will. Incidence of caries was also high in the children who ingested drinks with sugar than in those who did not. The results of this study suggest that it is important to improve the oral health behavior of cleft children to minimize the risk of caries. Moreover, children with clefts and their parents should as early as possible undergo a preventive program to ensure preservation of primary dentition. |
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| Keywords: | Cleft lip and/or palate Dental caries Oral health behavior |
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