ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title No Current Evidence to Suggest That Teeth Closer To A Surgically Corrected Cleft Lip And Palate Are At Increased Risk For Periodontitis
Clinical Question Do teeth in close approximation of a surgically corrected cleft palate have a higher risk of periodontitis than other teeth in a patient’s mouth?
Clinical Bottom Line The cleft areas do not present a higher prevalence or severity of periodontal pockets and clinical attachment loss than the other areas of their mouth.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 19254062de Almeida/2009400 Patients with complete cleft lip and palateCross-Sectional
Key resultsComparison of mean probing depths and clinical attachment levels among sextants were performed using the Pearson correlation coefficient. The sextants that included the cleft areas had substantial correlation with other sextants. The sextant with the cleft did not present higher means of probing depth, clinical attachment level, plaque index, or gingival index.
Evidence Search Etiology/Broad[filter] AND (("periodontitis"[MeSH Terms] OR "periodontitis"[All Fields]) AND ("cleft palate"[MeSH Terms] OR ("cleft"[All Fields] AND "palate"[All Fields]) OR "cleft palate"[All Fields]) AND ("patients"[MeSH Terms] OR "patients"[All Fields]))
Comments on
The Evidence
The surgical correction of a cleft lip and palate may result in scaring of the tissue, gingival recession and a loss of attached gingiva but this does not appear to put patients at any increased risk for periodontitis in these areas. However, these patients do present with poor plaque control so they will be at a higher risk for gingivitis throughout their entire dentition.
Applicability Patients who are born with a complete cleft lip and palate and have surgical correction of these conditions.
Specialty/Discipline (Public Health) (General Dentistry) (Oral Surgery) (Orthodontics) (Periodontics)
Keywords Cleft lip, Cleft Palate, Periodontitis
ID# 2147
Date of submission: 09/22/2011spacer
E-mail gallowayp@uthscsa.edu
Author Patrick Galloway
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Richard Finlayson, DDS
Faculty mentor/Co-author e-mail finlaysonr@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Marc Worden (San Antonio) on 11/30/2017
PubMed and Trip Database were searched in Nov. 2017, and no more recent or higher level evidence was found to answer this clinical question. It is important to note that there is another CAT#2160 that asks the same clinical question. That CAT reported on a Case-Control Study, a Prospective Cohort, and a Case Series. The author arrived at a conclusion that contradicts the conclusion of the present CAT and seems to conclude that the teeth closest to the site of the cleft are predisposed to periodontal disease, but also acknowledges that further studies need to be done for a definitive conclusion.
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