Periodontal and microbiological evaluation in cleft lip/palate patients undergoing orthodontic treatment: A cross‐sectional study

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Ayush Khatri, Manish Khatri, Mansi Bansal, Puneet Batra, Sana Bint Aziz
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Abstract

BackgroundThe present cross‐sectional study was undertaken to evaluate the periodontal and microbiological parameters in patients with surgically repaired unilateral cleft lip and palate (UCLP) undergoing orthodontic correction in comparison to patients without any cleft or orthodontic treatment.MethodsA total of 120 patients, out of initial 148 patients, between the age group 6 and 18 years were enrolled and divided into four groups with 30 patients each: non‐cleft patients without orthodontic treatment in Group 1, non‐cleft patients undergoing fixed orthodontic treatment in Group 2, patients with UCLP without any orthodontic treatment in Group 3, and patients with UCLP undergoing fixed orthodontic treatment in Group 4. Periodontal parameters including plaque index (PI), gingival index (GI), gingival bleeding index (GBI), community periodontal index of treatment needs (CPITN) index, pocket probing depth (PD), and tooth mobility were measured in all the groups. The subgingival plaque samples of all the patients were subjected to microbial evaluation using matrix‐assisted laser desorption ionization‐time of flight mass spectrometry (MALDI‐TOF‐MS) for clinical diagnosis.ResultsThe periodontal parameters were significantly raised in Group 4, followed by Group 3 and Group 2 in comparison to Group 1 (p < 0.01), thereby suggesting poor periodontal health in patients with UCLP undergoing orthodontic treatment. Statistically significant differences (p < 0.01) in counts of micro‐organisms among the groups were observed for P. gingivalis, P. intermedia, Veillonella, and Capnocytophaga, with the highest proportions in Group 4, indicating a deteriorating oral health in these patients.ConclusionPoor periodontal and microbial health in patients with UCLP undergoing orthodontic treatment indicates a need for reinforcement of oral hygiene practices among these patients.
对接受正畸治疗的唇腭裂患者进行牙周和微生物评估:横断面研究
背景本横断面研究旨在评估接受正畸矫正的手术修复单侧唇腭裂(UCLP)患者的牙周和微生物参数,并与未接受任何唇裂或正畸治疗的患者进行比较。方法在最初的 148 名患者中,共招募了 120 名年龄在 6 至 18 岁之间的患者,并将其分为四组,每组 30 人:第一组为未接受正畸治疗的非唇裂患者,第二组为接受固定正畸治疗的非唇裂患者,第三组为未接受任何正畸治疗的单侧唇腭裂患者,第四组为接受固定正畸治疗的单侧唇腭裂患者。各组均测量了牙周参数,包括牙菌斑指数(PI)、牙龈指数(GI)、牙龈出血指数(GBI)、社区牙周治疗需求指数(CPITN)、牙周袋探诊深度(PD)和牙齿活动度。所有患者的龈下牙菌斑样本均采用基质辅助激光解吸电离飞行时间质谱法(MALDI-TOF-MS)进行微生物评估,以进行临床诊断。结果与第 1 组相比,第 4 组的牙周参数显著升高,第 3 组和第 2 组次之(p < 0.01),这表明接受正畸治疗的 UCLP 患者的牙周健康状况较差。在各组中,牙龈脓疱疮菌、中间脓疱疮菌、Veillonella 和 Capnocytophaga 的微生物计数差异有统计学意义(p < 0.01),其中第 4 组的比例最高,表明这些患者的口腔健康状况正在恶化。
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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
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