唇腭裂病人口腔卫生及牙周健康状况研究

Periodontal condition and oral hygiene in children with cleft lip and/or palate

目的：评估不同唇腭裂类型病人在不同年龄段口腔卫生和牙周健康状况。方法：将268名非综合症性唇腭裂病人按年龄分为6~12岁组,13~18岁组;按唇腭裂类型分为唇裂组（CL）、腭裂组（CP）和唇腭裂组（CLP）。分别检则各组病人菌斑指数（PLI）、牙龈指数（GI）、社区牙周指数（CPI）。结果：两个年龄组中,不同唇腭裂病人的平均菌斑指数、平均牙龈指数、CPI指数无统计学意义（P〉0.05）。两个年龄组之间,唇腭裂病人的平均菌斑指数无统计学意义（P〉0.05）,而平均牙龈指数、CPI指数有统计学意义（P〈0.05）。结论：唇腭裂病人的口腔卫生状况在不同年龄、类型之间无显著差异,唇腭裂类型不是影响唇腭裂病人牙周病的主要因素,而年龄是其主要影响因素。因此,应加强唇腭裂病人口腔疾病的早期预防和治疗。

AIM： To evaluate the overall periodontal condition and oral hygiene in children with cleft lip and/or palate according to different age group and cleft type.METHODS： Twenty hundred and sixty eight children with cleft lip and/or palate were divided into two age groups（6-to 12-year-old and 13-to 18-year-old） and three cleft type groups（CL,CP and CLP）.All the children were examined for dental plaque,gingivitis and periodontitis by using the Silness and Le plaque index（PI）,Le gingival index（GI） and community periodontal index（CPI）,respectively.RESULTS： No statistically significant differences were found in the mean PI,the mean GI and CPI between different cleft types and different age groups,respectively（P〉0.05）.Between two groups,the mean GI and CPI were significantly higher in 6-to 12-year-old group than those 13 to 18-year-old group（P〈0.05）.However,the mean PI was not statistically significant（P〉0.05）.CONCLUTION： There are no significant differences in oral hygiene about age and cleft.The type of cleft is not an important factor influencing the prevalence of periodontal disease.Age seems to be an important factor influencing the prevalence and severity of periodontal disease.Therefore,the prevention and treatment should be strengthened to ensure the oral health of the children with clefts.