Title: 3254 - Factors Associated With Caries Severity Prevalence in Cleft-Lip/Palate (CL/P) Children


Prabhat Chaudhari (Presenter)
All India Institute of Medical Sciences, New Delhi

OP Kharbanda, All India Institute of Medical Sciences, New Delhi
Rama Chaudhary, AIIMS
RM Pandey, AIIMS
Kalpana Bansal, AIIMS
Shashank Chauhan, AIIMS
kunaal Dhingra, AIIMS


Objectives: To evaluate the factors associated with caries severity prevalence in children with CL/P.

Methods: This cross sectional study was conducted on 20 subjects (13 male and 7 females aged between 5 to 12 years) after institutional-ethics-committee approval (IEC-175/01.04.2016) and after obtaining positive written informed consent. Demographic details, oral hygiene practices, dental caries {International Caries Detection and Assessment System (ICDAS-II)}, plaque and gingival index were recorded by one calibrated investigator. Evaluation of unstimulated (resting) and stimulated saliva was done for its flow rate, consistency, buffering capacity (BC), Streptococci mutans and Lactobacilli counts. Salivary BC and microbial counts assessment was done using CRTR Buffer and CRTR Bacteria Kits respectively (Ivoclar Vivadent AG, Liechtenstein).

Results: Only 25% of children with CL/P were using fluoridated tooth paste, and none of child had received professional fluoride varnish application. None of child parents were aware of benefit of community water fluoridation (100%). Staging of carious lesion with ICDAS-II showed that 63% deciduous teeth had extensive carious lesion (ICDAS code 5-6) and 45% of permanent teeth had moderate-to-extensive carious lesion (ICDAS code 3-6). Unstimulated saliva examination showed normal salivary flow rate in 80%, frothy bubbly consistency in 90% of children with similar trends in stimulated saliva. Unstimulated saliva had low BC in 80% children, while stimulated saliva had high to medium BC in 95% of cases. In more than 60% of children Streptococci and Lactobacilli counts were ≥105 Colony Forming Units/ml of saliva.

Conclusions: Parent’s and children with CL/P showed low level of awareness and limited access to caries protective measures. Children showed elevated salivary Streptococci and Lactobacilli along with reduced BC in unstimulated saliva. This contributed to high caries severity prevalence. Better access to oral health care and timely application of caries protective measures may reduce the burden of caries in CL/P children.

This abstract is based on research that was funded entirely or partially by an outside source:
All India Institute of Medical Sciences Intramural Research Grant Project ( Grant Number-418)

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE