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Oral Health Condition and Nutritional Status among Cleft Lip and Palate in Baghdad-Iraq

Authors: Mais M. Almaeeni --- Abeer M. Hassan
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2017 Volume: 29 Issue: 4 Pages: 96-101
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Orofacial cleft is the most common craniofacial birth defect and the fourth most common congenital malformation in humans that have an effect on oral health in addition to nutrient intake affected in those children. This research aims to investigate gingival condition, dental caries experience and nutritional status among children with orofacial cleft and compare them with normal children.Materials and methods: The study group included 36 children with an age ranged (4-9) years of orofacial cleft. The control group included 37 children matched the control group in age and gender. Gingival condition measured by Gingival Index (Löe and Silness, 1963), while dental caries status was measured by (D1-4MFs/d1-4mfs) index according to the criteria of Manji et al (1989). The nutritional status was assessed using body mass index for age. Data analysis was conducted through the application of the SPSS (version 21).Results: The DMFs, dmfs and Ds mean values were higher in study group than control group with no statistically significant differences, while ds mean values were higher in study group than control group with highly significant difference. GI mean values were higher in study group than control group with statistically highly significant difference. No significant difference in body mass index between study and control groups. Concerning severity, the study group had more gingival inflammation severity than control group, while regarding dental cries severity only grades d1, d3 and d4 were significantly increased in study group than control group.Conclusion: The children with orofacial clefts had increased risk for dental caries and gingival inflammation than normal children. The nutritional status was not different between children with orofacial cleft and healthy children


Article
Detection of early occlusal caries of the first permanent molar using different techniques

Authors: Abeer M. Hassan --- Samah F. Al-Qazzaz
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2019 Volume: 31 Issue: 1 Pages: 1-8
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Molars and premolars are considered as the most vulnerable teeth of caries attack, which is related to the morphology of their occlusal surfaces along with the difficulty of plaque removal. different methods were used for early caries detection that provide sensitive, accurate preoperative diagnosis of caries depths in order to institute suitable protective procedures and avoid early tooth management by restoration. The aim of the present study was to evaluate the clinical sensitivity and specificity rates of DIAGNOdent and visual inspection as opposed to the ICDAS for detection of initial occlusal carious lesions in noncavitated first permanent molars.Materials and Methods : the present study examined 139 occlusal surface of the first permanent molar pooled from fifty patients aged 8-9 years by three methods. The selected criteria include one occlusal site per tooth (first permanent molars) with carious lesions range from 0 to 3 according to ICDASII (gold standard) visual criteria then the clinical sensitivity and specificity of visual inspection according to Ekstrand et al.in 1997 and DIAGNOdent were performed. .Results: the highest correlation was found between the ICDASII and DIAGNOdent. The sensitivity of the DIAGNOdent for the enamel caries detection (D1) was better than that of visual inspection. The sensitivity and the specificity for the DIAGNOdent at D3 threshold were better than the D1 threshold and the visual inspection method.Conclusion: DIAGNOden pen can be used as a tool for early caries detection in cases of difficult diagnosis that provide good additional sensitivity to the visual inspection.

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