Abstract
There are very few nationwide studies discussing the height, weight, head circumference, and dental screening of children with cleft lip with or without palate (CL/P), with most reports on this subject based on a 1900s cohort. This study aimed to characterize CL/P children in the 2000s in terms of height, weight, head circumference, and dental screening. This nationwide population-based study evaluated the National Health Insurance Service-Infants and Children’s Health Screening (NHIS-INCHS), specifically the height, weight, and head circumference of millions of children. Dental screening data, including the status of each tooth and comprehensive dental judgment, were also evaluated. Syndromic and nonsyndromic CL/P children had lower height, weight, and head circumference than no CL/P children until the age of 66–71 months. Children with cleft palate only or both cleft lip and palate showed similar results. Regarding dental screening, the primary teeth of CL/P children erupted later and fell out faster than no CL/P children. Dental caries was also more common in CL/P children. Children with CL/P had inferior general growth, regardless of palatoplasty surgery. More aggressive dental treatment was required for CL/P children due to the instability of primary teeth and tendency for caries.
Highlights
There are very few nationwide studies discussing the height, weight, head circumference, and dental screening of children with cleft lip with or without palate (CL/P), with most reports on this subject based on a 1900s cohort
Cleft lip with or without palate (CL/P) occurs in 1 out of 700 children, the incidence varies by region and race[1]
There were 2140, 5538, and 2777 children further classified into the cleft lip only (CLO), cleft palate only (CPO), and cleft lip and palate (CLP) subgroups, respectively (Table 1)
Summary
There are very few nationwide studies discussing the height, weight, head circumference, and dental screening of children with cleft lip with or without palate (CL/P), with most reports on this subject based on a 1900s cohort. This study aimed to characterize CL/P children in the 2000s in terms of height, weight, head circumference, and dental screening. Comparative studies on weight gain and skeletal growth in CL/P children have been reported during 1980–2010. These reports show no difference in mean body weight at birth between infants with and without CL/P. There is no nationwide population-based study on the relationship between CL/P and height, weight, and head circumference. We investigated the general growth (height, weight, head circumference) and dental growth of CL/P children compared with age- and sex-matched control subjects
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