Abstract
ABSTRACTAim of the Study : To assess the prevalence of oral mucosal and extraoral lesions among the cleft lip and/or palate subjects aged between 3 and 18 years, and to compare with those of noncleft controls.Methodology : A cross sectional survey was conducted during the period of March 2004 to September 2004. A select sample of 150 cases consisted of cleft lip and/or palate subjects aged between 3 and 18 years reporting to Outpatient Department, Plastic and Reconstructive Surgery, private Hospital and Medical Research Center, Belgaum. A sample of 450 matched noncleft subjects (Controls) was selected based on convenience from general population. Oral health assessment form as prescribed in Basic Oral Health Surveys, WHO, was used to record the data.Results : Approximately 43% of cleft subjects had abnormalities of upper lip. 7% of clefts and 5% of noncleft controls presented enlarged lymph nodes on palpation in the head and neck region. Both the cleft subjects and noncleft controls had ulcerations in the buccal mucosa. However, there was no significant difference between them. Among few cleft subjects abscess formation was observed in the sulcus region (1.33%) as well as gingiva (2.66%) adjacent to cleft. Similarly among controls also few abscess in sulcus and gingival region were observed.Conclusions : On intra-and extraoral examination of cleft and noncleft subjects for any lesions revealed that clefts as well as noncleft subjects exhibited few intraoral lesions, however clinically or statistically significant differences were not observed.
Highlights
On intra-and extraoral examination of cleft and noncleft subjects for any lesions revealed that clefts as well as noncleft subjects exhibited few intraoral lesions, clinically or statistically significant differences were not observed
Cleft lip/cleft palate is a congenital craniofacial anomaly that has been found in mankind for ages
The present study shows 43.33% of cases were affected by cleft lip and alveolus, 36% were affected by cleft lip and cleft palate (Table 2)
Summary
Cleft lip/cleft palate is a congenital craniofacial anomaly that has been found in mankind for ages. In 1556, Pierse Franco made the earliest record of cleft lip and in 1691, Hendrik Von Roonhuyze made the earliest record of a cleft lip and palate.[1]. Clefts can be caused by a number of factors that affect the expectant mother early in the first trimester of pregnancy. These factors include infection and toxicity, poor diet, hormonal imbalance and genetic interferences.[2]. A cleft lip and/palate usually affects other functional areas in a child’s development. Problems may arise pertaining to feeding, facial appearance, speech, hearing, dental functioning and psychosocial development. The affected individual, would require multidisciplinary care from birth until adulthood and perhaps even after
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