Periodontal disease progression in subjects with orofacial clefts over a 25-year follow-up period
Aims: To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25‐year period without regular maintenance care in a specialist setting and to compare those with those of subjects without alveolar clefts, i.e. cleft lip (CL) or cleft palate (CP)...
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| Veröffentlicht in: | Journal of clinical periodontology Jg. 36; H. 10; S. 836 - 842 |
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| Sprache: | Englisch |
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Oxford, UK
Blackwell Publishing Ltd
01.10.2009
Blackwell |
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| ISSN: | 0303-6979, 1600-051X, 1600-051X |
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| Abstract | Aims: To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25‐year period without regular maintenance care in a specialist setting and to compare those with those of subjects without alveolar clefts, i.e. cleft lip (CL) or cleft palate (CP).
Material and Methods: Ten subjects with CLAP and 10 subjects with CL/CP were examined in 1979, 1987, 1993 and 2004. Probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque control record (PCR) scores were recorded in all 20 subjects.
Results: High plaque and BoP scores were recorded at all examinations in both groups. Over 25 years, a statistically significant loss of mean full‐mouth CAL of 1.52 ± 0.12 mm (SD) and 1.66 ± 0.15 mm occurred in the CLAP and CL/CP group respectively (p<0.05). A statistically significant increase (p<0.05) in mean full‐mouth PPD of 0.35 ± 0.12 mm was observed in the CL/CP group, whereas only a trend for a mean full‐mouth increase in PPD of 0.09 ± 0.11 mm was observed in the CLAP group. In subjects with CLAP, a statistically significant increase (p<0.05) in PPD of 0.92 ± 1.13 mm at cleft sites was observed compared with that of 0.17 ± 0.76 mm at control sites. With respect to CAL, the loss at the corresponding sites amounted to 2.71 ± 1.46 and to 2.27 ± 1.62 mm, respectively (p=0.36).
Conclusions: When stringent and well‐defined supportive periodontal therapy was not provided, subjects with orofacial clefts were at high risk for periodontal disease progression. Over 25 years, alveolar cleft sites tended to have more periodontal tissue destruction compared with control sites. |
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| AbstractList | Aims: To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25‐year period without regular maintenance care in a specialist setting and to compare those with those of subjects without alveolar clefts, i.e. cleft lip (CL) or cleft palate (CP).
Material and Methods: Ten subjects with CLAP and 10 subjects with CL/CP were examined in 1979, 1987, 1993 and 2004. Probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque control record (PCR) scores were recorded in all 20 subjects.
Results: High plaque and BoP scores were recorded at all examinations in both groups. Over 25 years, a statistically significant loss of mean full‐mouth CAL of 1.52 ± 0.12 mm (SD) and 1.66 ± 0.15 mm occurred in the CLAP and CL/CP group respectively (p<0.05). A statistically significant increase (p<0.05) in mean full‐mouth PPD of 0.35 ± 0.12 mm was observed in the CL/CP group, whereas only a trend for a mean full‐mouth increase in PPD of 0.09 ± 0.11 mm was observed in the CLAP group. In subjects with CLAP, a statistically significant increase (p<0.05) in PPD of 0.92 ± 1.13 mm at cleft sites was observed compared with that of 0.17 ± 0.76 mm at control sites. With respect to CAL, the loss at the corresponding sites amounted to 2.71 ± 1.46 and to 2.27 ± 1.62 mm, respectively (p=0.36).
Conclusions: When stringent and well‐defined supportive periodontal therapy was not provided, subjects with orofacial clefts were at high risk for periodontal disease progression. Over 25 years, alveolar cleft sites tended to have more periodontal tissue destruction compared with control sites. To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25-year period without regular maintenance care in a specialist setting and to compare those with those of subjects without alveolar clefts, i.e. cleft lip (CL) or cleft palate (CP).AIMSTo assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25-year period without regular maintenance care in a specialist setting and to compare those with those of subjects without alveolar clefts, i.e. cleft lip (CL) or cleft palate (CP).Ten subjects with CLAP and 10 subjects with CL/CP were examined in 1979, 1987, 1993 and 2004. Probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque control record (PCR) scores were recorded in all 20 subjects.MATERIAL AND METHODSTen subjects with CLAP and 10 subjects with CL/CP were examined in 1979, 1987, 1993 and 2004. Probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque control record (PCR) scores were recorded in all 20 subjects.High plaque and BoP scores were recorded at all examinations in both groups. Over 25 years, a statistically significant loss of mean full-mouth CAL of 1.52 +/- 0.12 mm (SD) and 1.66 +/- 0.15 mm occurred in the CLAP and CL/CP group respectively (p<0.05). A statistically significant increase (p<0.05) in mean full-mouth PPD of 0.35 +/- 0.12 mm was observed in the CL/CP group, whereas only a trend for a mean full-mouth increase in PPD of 0.09 +/- 0.11 mm was observed in the CLAP group. In subjects with CLAP, a statistically significant increase (p<0.05) in PPD of 0.92 +/- 1.13 mm at cleft sites was observed compared with that of 0.17 +/- 0.76 mm at control sites. With respect to CAL, the loss at the corresponding sites amounted to 2.71 +/- 1.46 and to 2.27 +/- 1.62 mm, respectively (p=0.36).RESULTSHigh plaque and BoP scores were recorded at all examinations in both groups. Over 25 years, a statistically significant loss of mean full-mouth CAL of 1.52 +/- 0.12 mm (SD) and 1.66 +/- 0.15 mm occurred in the CLAP and CL/CP group respectively (p<0.05). A statistically significant increase (p<0.05) in mean full-mouth PPD of 0.35 +/- 0.12 mm was observed in the CL/CP group, whereas only a trend for a mean full-mouth increase in PPD of 0.09 +/- 0.11 mm was observed in the CLAP group. In subjects with CLAP, a statistically significant increase (p<0.05) in PPD of 0.92 +/- 1.13 mm at cleft sites was observed compared with that of 0.17 +/- 0.76 mm at control sites. With respect to CAL, the loss at the corresponding sites amounted to 2.71 +/- 1.46 and to 2.27 +/- 1.62 mm, respectively (p=0.36).When stringent and well-defined supportive periodontal therapy was not provided, subjects with orofacial clefts were at high risk for periodontal disease progression. Over 25 years, alveolar cleft sites tended to have more periodontal tissue destruction compared with control sites.CONCLUSIONSWhen stringent and well-defined supportive periodontal therapy was not provided, subjects with orofacial clefts were at high risk for periodontal disease progression. Over 25 years, alveolar cleft sites tended to have more periodontal tissue destruction compared with control sites. To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25-year period without regular maintenance care in a specialist setting and to compare those with those of subjects without alveolar clefts, i.e. cleft lip (CL) or cleft palate (CP). Ten subjects with CLAP and 10 subjects with CL/CP were examined in 1979, 1987, 1993 and 2004. Probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque control record (PCR) scores were recorded in all 20 subjects. High plaque and BoP scores were recorded at all examinations in both groups. Over 25 years, a statistically significant loss of mean full-mouth CAL of 1.52 +/- 0.12 mm (SD) and 1.66 +/- 0.15 mm occurred in the CLAP and CL/CP group respectively (p<0.05). A statistically significant increase (p<0.05) in mean full-mouth PPD of 0.35 +/- 0.12 mm was observed in the CL/CP group, whereas only a trend for a mean full-mouth increase in PPD of 0.09 +/- 0.11 mm was observed in the CLAP group. In subjects with CLAP, a statistically significant increase (p<0.05) in PPD of 0.92 +/- 1.13 mm at cleft sites was observed compared with that of 0.17 +/- 0.76 mm at control sites. With respect to CAL, the loss at the corresponding sites amounted to 2.71 +/- 1.46 and to 2.27 +/- 1.62 mm, respectively (p=0.36). When stringent and well-defined supportive periodontal therapy was not provided, subjects with orofacial clefts were at high risk for periodontal disease progression. Over 25 years, alveolar cleft sites tended to have more periodontal tissue destruction compared with control sites. Aims: To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25‐year period without regular maintenance care in a specialist setting and to compare those with those of subjects without alveolar clefts, i.e. cleft lip (CL) or cleft palate (CP). Material and Methods: Ten subjects with CLAP and 10 subjects with CL/CP were examined in 1979, 1987, 1993 and 2004. Probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque control record (PCR) scores were recorded in all 20 subjects. Results: High plaque and BoP scores were recorded at all examinations in both groups. Over 25 years, a statistically significant loss of mean full‐mouth CAL of 1.52 ± 0.12 mm (SD) and 1.66 ± 0.15 mm occurred in the CLAP and CL/CP group respectively ( p <0.05). A statistically significant increase ( p <0.05) in mean full‐mouth PPD of 0.35 ± 0.12 mm was observed in the CL/CP group, whereas only a trend for a mean full‐mouth increase in PPD of 0.09 ± 0.11 mm was observed in the CLAP group. In subjects with CLAP, a statistically significant increase ( p <0.05) in PPD of 0.92 ± 1.13 mm at cleft sites was observed compared with that of 0.17 ± 0.76 mm at control sites. With respect to CAL, the loss at the corresponding sites amounted to 2.71 ± 1.46 and to 2.27 ± 1.62 mm, respectively ( p =0.36). Conclusions: When stringent and well‐defined supportive periodontal therapy was not provided, subjects with orofacial clefts were at high risk for periodontal disease progression. Over 25 years, alveolar cleft sites tended to have more periodontal tissue destruction compared with control sites. |
| Author | Salvi, Giovanni E. Huynh-Ba, Guy Brägger, Urs Zwahlen, Marcel Lang, Niklaus P. |
| Author_xml | – sequence: 1 givenname: Guy surname: Huynh-Ba fullname: Huynh-Ba, Guy organization: Dental School, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA – sequence: 2 givenname: Urs surname: Brägger fullname: Brägger, Urs organization: School of Dental Medicine, University of Bern, Bern, Switzerland – sequence: 3 givenname: Marcel surname: Zwahlen fullname: Zwahlen, Marcel organization: Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland – sequence: 4 givenname: Niklaus P. surname: Lang fullname: Lang, Niklaus P. organization: Prince Philip Dental Hospital, University of Hong-Kong, Hong-Kong, SAR-PR, China – sequence: 5 givenname: Giovanni E. surname: Salvi fullname: Salvi, Giovanni E. organization: School of Dental Medicine, University of Bern, Bern, Switzerland |
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| Keywords | Human Cleft lip Stomatology alveolus and palate Congenital cleft Dentistry Congenital disease Care maintenance care orofacial cleft Oral cavity Periodontal disease Periodontitis supportive periodontal therapy Malformation Follow up study Oral cavity disease Palate Face |
| Language | English |
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| Notes | ark:/67375/WNG-M788ZQX6-Q istex:C14E7F103A814F04C0074CC0CFD528AD9757D714 ArticleID:JCPE1469 The authors declare that they have no conflict of interests. This study was supported by the Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland. Conflict of interest and source of funding statement ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
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(e_1_2_6_7_1) 1955; 5 e_1_2_6_4_1 Gorlin R. J. (e_1_2_6_11_1) 2001 e_1_2_6_6_1 e_1_2_6_25_1 e_1_2_6_24_1 e_1_2_6_3_1 e_1_2_6_23_1 e_1_2_6_2_1 e_1_2_6_22_1 e_1_2_6_29_1 e_1_2_6_28_1 Shaw G. M. (e_1_2_6_26_1) 1996; 58 e_1_2_6_27_1 |
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The American Journal of Human Genetics 80, 76-90. – volume: 5 start-page: 358 year: 1955 end-page: 369 article-title: Thoughts on the etiology of clefts of the palate and lip publication-title: Acta Genetica et Statistica Medica – volume: 8 start-page: 239 year: 1981 end-page: 248 article-title: Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. Results after 6 years publication-title: Journal of Clinical Periodontology – volume: 334 start-page: 464 year: 2007 article-title: Folic acid supplements and risk of facial clefts publication-title: British Medical Journal – volume: 13 start-page: 431 year: 1986 end-page: 445 article-title: Natural history of periodontal disease in man. Rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age publication-title: Journal of Clinical Periodontology – volume: 80 start-page: 76 year: 2007 end-page: 90 article-title: Orofacial cleft risk is increased with maternal smoking and specific detoxification‐gene variants publication-title: The American Journal of Human Genetics – volume: 32 start-page: 196 issue: (Suppl. 6) year: 2005 end-page: 209 article-title: Disease progression publication-title: Journal of Clinical Periodontology – volume: 56 start-page: 346 year: 1998 end-page: 351 article-title: Growth sites and growth mechanisms at risk in cleft lip and palate publication-title: Acta Odontologica Scandinavica – volume: 10 start-page: 433 year: 1983 end-page: 442 article-title: Progression of periodontal disease in adult subjects in the absence of periodontal therapy publication-title: Journal of Clinical Periodontology – year: 2001 – volume: 43 start-page: 38 year: 1972 article-title: The plaque control record publication-title: Journal of Periodontology – volume: 13 start-page: 590 year: 1986 end-page: 596 article-title: Bleeding on probing. A predictor for the progression of periodontal disease? publication-title: Journal of Clinical Periodontology – volume: 31 start-page: 125 year: 2004 end-page: 140 article-title: Current concepts in the embryology and genetics of cleft lip and cleft palate publication-title: Clinics in Plastic Surgery – volume: 10 start-page: 298 year: 1983 end-page: 310 article-title: Comparison of different data analyses for detecting changes in attachment level publication-title: Journal of Clinical Periodontology – volume: 71 start-page: 1369 year: 2002 end-page: 1385 article-title: Multiplex relative risk and estimation of the number of loci underlying an inherited disease publication-title: The American Journal of Human Genetics – volume: 34 start-page: 1 issue: (Suppl. 2) year: 2006 end-page: 2 article-title: Epidemiological studies on the frequency of clefts in Europe and world‐wide publication-title: Journal of Cranio-Maxillofacial Surger – volume: 20 start-page: 149 year: 2000 end-page: 151 article-title: Prenatal diagnosis and management of orofacial clefts publication-title: Prenatal Diagnosis – volume: 13 start-page: 563 year: 1978b end-page: 572 article-title: The natural history of periodontal disease in man. Tooth mortality rates before 40 years of age publication-title: Journal of Periodontal Research – volume: 58 start-page: 551 year: 1996 end-page: 561 article-title: Orofacial clefts, parental cigarette smoking, and transforming growth factor‐alpha gene variants publication-title: The American Journal of Human Genetics – volume: 12 start-page: 494 year: 1985 end-page: 502 article-title: Periodontal conditions in adolescents with cleft lip, alveolus and palate following treatment in a co‐ordinated team approach publication-title: Journal of Clinical Periodontology – volume: 49 start-page: 607 year: 1978a end-page: 620 article-title: The natural history of periodontal disease in man. The rate of periodontal destruction before 40 years of age publication-title: Journal of Periodontology – volume: 17 start-page: 379 year: 1990 end-page: 384 article-title: The significance of alveolar bone in periodontal disease. A long‐term observation in subjects with cleft lip, alveolus and palate publication-title: Journal of Clinical Periodontology – volume: 30 start-page: 840 year: 2003 end-page: 845 article-title: Periodontal attachment loss over 14 years in cleft lip, alveolus and palate (CLAP, CL, CP) subjects not enrolled in a supportive periodontal therapy program publication-title: Journal of Clinical Periodontology – volume: 9 start-page: 472 year: 1982 end-page: 481 article-title: Patterns of progression and regression of advanced destructive periodontal disease publication-title: Journal of Clinical Periodontology – volume: 32 start-page: 280 year: 2005 end-page: 286 article-title: Periodontal maintenance in a specialist periodontal clinic and in general dental practice publication-title: Journal of Clinical Periodontology – year: 2006 – volume: 30 start-page: 909 year: 2003 end-page: 918 article-title: Clinical course of chronic periodontitis. III. Patterns, variations and risks of attachment loss publication-title: Journal of Clinical Periodontology – volume: 70 start-page: 171 year: 1999 end-page: 178 article-title: Periodontal disease in subjects with cleft palate and subjects with unilateral and bilateral clefts of lip, palate, and alveolus publication-title: Journal of Periodontology – volume: 29 start-page: 179 year: 1992 end-page: 185 article-title: Periodontal conditions in adult subjects with cleft lip, alveolus, and palate publication-title: The Cleft Palate-Carniofacial Journal – ident: e_1_2_6_4_1 doi: 10.1111/j.1600-051X.1985.tb01384.x – ident: e_1_2_6_14_1 doi: 10.1111/j.1600-051X.2005.00803.x – ident: e_1_2_6_17_1 doi: 10.1902/jop.1978.49.12.607 – volume-title: Syndromes of the Head and Neck. Oxford Monographs on Medical Genetics; No. 42 year: 2001 ident: e_1_2_6_11_1 doi: 10.1093/oso/9780195118612.001.0001 – ident: e_1_2_6_23_1 doi: 10.1034/j.1600-051X.2003.00390.x – ident: e_1_2_6_19_1 doi: 10.1111/j.1600-051X.1986.tb01487.x – ident: e_1_2_6_10_1 doi: 10.1111/j.1600-051X.1982.tb02108.x – ident: e_1_2_6_16_1 doi: 10.1111/j.1600-051X.1983.tb01292.x – ident: e_1_2_6_28_1 – ident: e_1_2_6_22_1 doi: 10.1111/j.1600-051X.2005.00659.x – ident: e_1_2_6_8_1 doi: 10.1080/000163598428293 – ident: e_1_2_6_25_1 doi: 10.1086/344779 – ident: e_1_2_6_9_1 doi: 10.1902/jop.1999.70.2.171 – ident: e_1_2_6_13_1 doi: 10.1111/j.1600-051X.1983.tb01278.x – ident: e_1_2_6_20_1 doi: 10.1016/S0094-1298(03)00138-X – ident: e_1_2_6_18_1 doi: 10.1111/j.1600-0765.1978.tb00210.x – ident: e_1_2_6_12_1 doi: 10.1016/S1010-5182(06)60001-2 – ident: e_1_2_6_3_1 doi: 10.1111/j.1600-051X.1990.tb00034.x – ident: e_1_2_6_21_1 doi: 10.1902/jop.1972.43.1.38 – ident: e_1_2_6_24_1 doi: 10.1034/j.1600-051X.2003.00401.x – ident: e_1_2_6_27_1 doi: 10.1086/510518 – ident: e_1_2_6_2_1 doi: 10.1111/j.1600-051X.1981.tb02035.x – ident: e_1_2_6_5_1 doi: 10.1597/1545-1569(1992)029<0179:PCIAPW>2.3.CO;2 – volume: 58 start-page: 551 year: 1996 ident: e_1_2_6_26_1 article-title: Orofacial clefts, parental cigarette smoking, and transforming growth factor‐alpha gene variants publication-title: The American Journal of Human Genetics – ident: e_1_2_6_29_1 doi: 10.1136/bmj.39079.618287.0B – ident: e_1_2_6_6_1 doi: 10.1002/(SICI)1097-0223(200002)20:2<149::AID-PD764>3.0.CO;2-U – volume: 5 start-page: 358 year: 1955 ident: e_1_2_6_7_1 article-title: Thoughts on the etiology of clefts of the palate and lip publication-title: Acta Genetica et Statistica Medica – ident: e_1_2_6_15_1 doi: 10.1111/j.1600-051X.1986.tb00852.x |
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| Snippet | Aims: To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25‐year period without regular... Aims: To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25‐year period without regular... To assess rates of periodontal disease progression in subjects with cleft lip, alveolus and palate (CLAP) over a 25-year period without regular maintenance... |
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| SubjectTerms | Adult Alveolar Process - abnormalities alveolus and palate Biological and medical sciences Chronic Periodontitis - physiopathology cleft lip Cleft Lip - complications Cleft Palate - complications Cohort Studies Dental Plaque - physiopathology Disease Progression Facial bones, jaws, teeth, parodontium: diseases, semeiology Female Follow-Up Studies Gingival Hemorrhage - physiopathology Humans maintenance care Male Medical sciences Middle Aged Non tumoral diseases orofacial cleft Otorhinolaryngology. Stomatology Periodontal Attachment Loss - physiopathology periodontal disease Periodontal Pocket - physiopathology periodontitis Risk Factors supportive periodontal therapy Tooth Loss - physiopathology |
| Title | Periodontal disease progression in subjects with orofacial clefts over a 25-year follow-up period |
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