Shweta Gupta Batra, Manish Khatri, Mansi Bansal, Puneet Batra, Ayush Khatri, Sana Bint Aziz
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Patients with a history of oral prophylaxis in last 6 months or antibiotic therapy within 3 months were excluded from the study.</p><p><strong>Interventions: </strong>Bone Anchored Maxillary Protraction was done in experimental group I, while facemask with acrylic occlusal splint was used for maxillary protraction in experimental group II and no orthodontic intervention in control group.</p><p><strong>Mean outcome measures: </strong>Plaque Index (PI), Gingival Index (GI), Gingival Bleeding Index (GBI), Probing Depth (PD), and microbiota of subgingival plaque (<i>P. gingivalis</i>, <i>P. intermedia</i>, <i>Veillonella</i> and <i>Capnocytophaga</i>) were compared at baseline (T<sub>0</sub>) and after 8 months (T<sub>1</sub>).</p><p><strong>Results: </strong>The PI, GI, GBI and PD were observed to be significantly higher in experimental group II followed by experimental group I as compared to control group at 8 months interval (<i>P</i> < .001). The microbiota counts increased significantly in experimental group II and experimental group I (<i>P</i> < .001), as compared to control group.</p><p><strong>Conclusion: </strong>Maxillary protraction with facemask and bone plates was found to be a better alternative than facemask with occlusal splint, considering the overall oral health of patients with CLP.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241263442"},"PeriodicalIF":1.1000,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Oral Health Assessment in Cleft Lip & Palate Patients During Orthodontic Treatment for Maxillary Protraction: A Periodontal & Microbiological Study.\",\"authors\":\"Shweta Gupta Batra, Manish Khatri, Mansi Bansal, Puneet Batra, Ayush Khatri, Sana Bint Aziz\",\"doi\":\"10.1177/10556656241263442\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To assess the oral health status and microbiota of subgingival plaque in patients with surgically repaired cleft lip and palate (CLP) during orthodontic treatment for maxillary protraction with two different orthodontic appliances.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Setting: </strong>Institutional.</p><p><strong>Participants: </strong>A total of 90 patients with surgically repaired Unilateral Cleft Lip and Palate, out of initially enrolled 120 patients, were divided into 3 groups: experimental group I, experimental group II and control group, with 30 subjects each. 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引用次数: 0
摘要
目的评估手术修复唇腭裂（CLP）患者在使用两种不同矫治器进行上颌前突矫治期间的口腔健康状况和龈下菌斑微生物群：随机对照试验：参与者在最初招募的 120 名患者中，共有 90 名经手术修复的单侧唇腭裂患者，他们被分为 3 组：实验 I 组、实验 II 组和对照组，每组 30 人。过去 6 个月内有口腔预防史或 3 个月内接受过抗生素治疗的患者排除在研究之外：干预措施：实验组 I 采用骨锚定上颌前突，实验组 II 采用面罩加丙烯酸咬合夹板进行上颌前突，对照组不进行正畸干预：比较基线（T0）和 8 个月后（T1）的牙菌斑指数（PI）、牙龈指数（GI）、牙龈出血指数（GBI）、探诊深度（PD）和龈下牙菌斑微生物群（龈上杆菌、中间杆菌、Veillonella 和 Capnocytophaga）：结果：与对照组相比，实验 II 组的 PI、GI、GBI 和 PD 在 8 个月后明显高于实验 I 组：考虑到 CLP 患者的整体口腔健康，使用面罩和骨板进行上颌前突矫正比使用面罩和咬合夹板矫正效果更好。
Oral Health Assessment in Cleft Lip & Palate Patients During Orthodontic Treatment for Maxillary Protraction: A Periodontal & Microbiological Study.
Objective: To assess the oral health status and microbiota of subgingival plaque in patients with surgically repaired cleft lip and palate (CLP) during orthodontic treatment for maxillary protraction with two different orthodontic appliances.
Design: Randomized controlled trial.
Setting: Institutional.
Participants: A total of 90 patients with surgically repaired Unilateral Cleft Lip and Palate, out of initially enrolled 120 patients, were divided into 3 groups: experimental group I, experimental group II and control group, with 30 subjects each. Patients with a history of oral prophylaxis in last 6 months or antibiotic therapy within 3 months were excluded from the study.
Interventions: Bone Anchored Maxillary Protraction was done in experimental group I, while facemask with acrylic occlusal splint was used for maxillary protraction in experimental group II and no orthodontic intervention in control group.
Mean outcome measures: Plaque Index (PI), Gingival Index (GI), Gingival Bleeding Index (GBI), Probing Depth (PD), and microbiota of subgingival plaque (P. gingivalis, P. intermedia, Veillonella and Capnocytophaga) were compared at baseline (T0) and after 8 months (T1).
Results: The PI, GI, GBI and PD were observed to be significantly higher in experimental group II followed by experimental group I as compared to control group at 8 months interval (P < .001). The microbiota counts increased significantly in experimental group II and experimental group I (P < .001), as compared to control group.
Conclusion: Maxillary protraction with facemask and bone plates was found to be a better alternative than facemask with occlusal splint, considering the overall oral health of patients with CLP.
期刊介绍：
The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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