A comparison of orofacial profiles in 5- and 10-year-old Swedish children with and without cleft lip and/or palate
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The objectives of this study were to assess orofacial profiles in 5- and 10-year-old children with cleft lip and/or palate (CL/P) compared to controls and to estimate a possible association between orofacial dysfunction and caries frequency.
Materials and methods
A total of 133 children with CL/P (77 5-year-olds and 56 10-year-olds) and 308 controls (142 5-year-olds and 166 10-year-olds) were included in the study. Orofacial function was evaluated with Nordic Orofacial Test-Screening (NOT-S), and caries were scored according to the International Caries Detection and Assessment System (ICDAS).
The total NOT-S score was higher in children with CL/P compared to controls (mean 3.2 vs 0.9, p < 0.001). The domains frequently scored in CL/P children were speech (82%), face at rest (72%), and facial expression (58%). There was a significantly positive correlation between NOT-S scores and caries frequency.
Children with CL/P have impaired orofacial function compared to controls. There seems to be a correlation between orofacial function and caries.
Impaired orofacial function seen in children with CL/P can be one of many risk factors for caries development, and it is suggested to be a part of caries risk assessment.
KeywordsChildren Cleft lip and/or palate Orofacial function NOT-S Caries
We are grateful to all children and parents participating in our research. Thanks to the cleft teams in Gothenburg and Linköping and all the public dental clinics involved. We will also thank Anna-Karin Nilsson for assisting with data collection.
All authors were involved in writing and reviewing the manuscript. Anna Lena Sundell collected the data and wrote the first draft of the manuscript.
This work was supported by Region Jönköping County, Medical Research Council of Southeast Sweden (FORSS) and Academy for Health and Care Region Jönköping County (Futurum).
Compliance with ethical standards
Conflict of interest
The authors, Anna Lena Sundell and Agneta Marcusson, report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
All procedures performed in studies involving human participants were in accordance with ethical standards of the institutional and/or national research committee and with the 1964 declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all caregivers to the children included in the study.
- 3.Trotman CA, Phillips C, Essick GK, Faraway JJ, Barlow SM, Losken HW, van Aalst J, Rogers L (2007) Functional outcomes of cleft lip surgery. Part I: study design and surgeon ratings of lip disability and need for lip revision. Cleft Palate Craniofac J 44:598–606. https://doi.org/10.1597/06-124.1 CrossRefGoogle Scholar
- 6.Rutjens CA, Spauwen PH, van Lieshout PH (2001) Lip movement in patients with a history of unilateral cleft lip. Cleft Palate Craniofac J 38:468–475. https://doi.org/10.1597/1545-1569(2001)038<0468:LMIPWA>2.0.CO;2 CrossRefGoogle Scholar
- 11.Dahllöf G, Ussisoo-Joandi R, Ideberg M, Modéer T (1989) Caries, gingivitis, and dental abnormalities in preschool children with cleft lip and/or palate. Cleft Palate J 26:233–237Google Scholar
- 15.Hairfield WM, Warren DW, Seaton DL (1988) Prevalence of mouthbreathing in cleft lip and palate. Cleft Palate J 25:135–138Google Scholar
- 16.Montes ABM, de Oliveira TM, Gaviao MBD, de Souza Barbosa T (2018) Occlusal, chewing, and tasting characteristics associated with orofacial dysfunctions in children with unilateral cleft lip and palate: a case-control study. Clin Oral Investig 22:941–950. https://doi.org/10.1007/s00784-017-2173-4 CrossRefGoogle Scholar
- 17.Bakke M, Bergendal B, McAllister A, Sjögreen L, Asten P (2007) Development and evaluation of a comprehensive screening for orofacial dysfunction. Swed Dent J 31:75–84Google Scholar
- 18.Millard DR Jr (1964) Rotation-advancement principle in cleft lip closure. Cleft Palate J 12:246–252Google Scholar
- 20.Sommerlad BC (2003) A technique for cleft palate repair. Plast Reconstr Surg 6:1542–1548. https://doi.org/10.1097/01.PRS.0000085599.84458.D2 CrossRefGoogle Scholar
- 21.Lilja J, Friede H, Johanson J (1996) Changing philosophy of surgery of the cleft lip and palate in Göteborg, Sweden. In: Berkowitz S (ed) Cleft lip and palate perspectives on management, vol 2. Singular Publishing, San Diego, pp 155–170Google Scholar
- 22.Pitts NB, Ekstrand KR, ICDAS Foundation (2013) International caries detection and assessment system (ICDAS) and its international caries classification and management system (ICCMS)—methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 41:41–52. https://doi.org/10.1111/cdoe.12025 CrossRefGoogle Scholar
- 23.Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB (2007) The international caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 35:170–178. https://doi.org/10.1111/j.1600-0528.2007.00347.x CrossRefGoogle Scholar
- 24.McAllister A, Hammarström Lundeborg I (2014) Oral sensorimotor functions in typically developing children 3 to 8 years old, assessed by the Nordic Orofacial test, NOT_S. J Med Speech Lang Pathol 21(1):51–59Google Scholar
- 29.Nyberg J, Peterson P, Lohmander A (2014) Speech outcomes at age 5 and 10 years in unilateral cleft lip and palate after one-stage palatal repair with minimal incision technique - a longitudinal perspective. Int J Pediatr Otorhinolaryngol 78:1662–1670. https://doi.org/10.1016/j.ijporl.2014.07.016 CrossRefGoogle Scholar
- 30.Klintö K, Falk E, Wilhelmsson S, Schonmeyr B, Becker M (2018) Speech in 5-year-olds with cleft palate with or without cleft lip treated with primary palatal surgery with muscle reconstruction according to Sommerlad. Cleft Palate Craniofac. https://doi.org/10.1177/1055665618768541