Najla S. Alrejaye, Mostafa A. Abolfotouh, Fathima Fazrina Farook, Elaf Mubarak Abdullah Algharbi, Abdulmajeed Mohammed B. Alharbi, Halah Ibrahim Alshuaibi, Mai Saad Bin Akresh, AlAnood Naif Bin Saedan, Nouf Besher Albesher, Atheer Sami Aldaham, Lujain Ahmad Alghrairy, Latifa Yousef AlGudaibi, Rana Abdullah Alolaiq, Afnan Turki Alzomaili, Mosleh S. Alharbi
{"title":"Risk Factors for Nonsyndromic Orofacial Clefts Among Saudi Children","authors":"Najla S. Alrejaye, Mostafa A. Abolfotouh, Fathima Fazrina Farook, Elaf Mubarak Abdullah Algharbi, Abdulmajeed Mohammed B. Alharbi, Halah Ibrahim Alshuaibi, Mai Saad Bin Akresh, AlAnood Naif Bin Saedan, Nouf Besher Albesher, Atheer Sami Aldaham, Lujain Ahmad Alghrairy, Latifa Yousef AlGudaibi, Rana Abdullah Alolaiq, Afnan Turki Alzomaili, Mosleh S. Alharbi","doi":"10.1002/cre2.70108","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>The aim of this study was to identify the risk factors associated with nonsyndromic orofacial clefts (NSOFCs) among Saudi children.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>A case–control study was carried out at the Ministry of National Guard Health Affairs. Cases were children with NSOFCs who were matched by gender and year of birth to healthy controls from the same setting. Data on risk factors were collected by interviewing parents of both cases and controls using a validated questionnaire. The questionnaire consisted of the father's and mother's information and the child's information. The level of significance was set at 0.05. Odds ratio (OR) and 95% confidence intervals (CIs) were used to determine the associated risk factors with NSOFCs.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 188 children were included (88 cases and 100 controls), with a mean age of 5.1 ± 2.3 years. Maternal fever during pregnancy was associated with a significantly higher risk of NSOFCs (OR = 3.4, 95% CI: 0.05–2.5, <i>p</i> < 0.05). Additionally, the presence of maternal relatives with orofacial clefts increased the risk (OR = 6.02, 95% CI: 0.43–3.16, <i>p</i> < 0.001), whereas the strongest predictor was paternal relatives with orofacial clefts (OR = 8.00, 95% CI: 0.41–3.75, <i>p</i> = 0.014). These findings are of utmost importance for the understanding and potential prevention of NSOFCs.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The presence of paternal or maternal relatives with orofacial clefts and maternal fever during the first trimester were predictors for NSOFCs, with having affected paternal relatives being the strongest predictor.</p>\n </section>\n </div>","PeriodicalId":10203,"journal":{"name":"Clinical and Experimental Dental Research","volume":"11 1","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cre2.70108","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Experimental Dental Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cre2.70108","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Risk Factors for Nonsyndromic Orofacial Clefts Among Saudi Children
Objectives
The aim of this study was to identify the risk factors associated with nonsyndromic orofacial clefts (NSOFCs) among Saudi children.
Materials and Methods
A case–control study was carried out at the Ministry of National Guard Health Affairs. Cases were children with NSOFCs who were matched by gender and year of birth to healthy controls from the same setting. Data on risk factors were collected by interviewing parents of both cases and controls using a validated questionnaire. The questionnaire consisted of the father's and mother's information and the child's information. The level of significance was set at 0.05. Odds ratio (OR) and 95% confidence intervals (CIs) were used to determine the associated risk factors with NSOFCs.
Results
A total of 188 children were included (88 cases and 100 controls), with a mean age of 5.1 ± 2.3 years. Maternal fever during pregnancy was associated with a significantly higher risk of NSOFCs (OR = 3.4, 95% CI: 0.05–2.5, p < 0.05). Additionally, the presence of maternal relatives with orofacial clefts increased the risk (OR = 6.02, 95% CI: 0.43–3.16, p < 0.001), whereas the strongest predictor was paternal relatives with orofacial clefts (OR = 8.00, 95% CI: 0.41–3.75, p = 0.014). These findings are of utmost importance for the understanding and potential prevention of NSOFCs.
Conclusions
The presence of paternal or maternal relatives with orofacial clefts and maternal fever during the first trimester were predictors for NSOFCs, with having affected paternal relatives being the strongest predictor.
期刊介绍:
Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.