title: Oral health in 4-6 years children with cleft lip/palate: a case control study.
abstract: BACKGROUND
  Oro-facial clefts are a major public health problem. Children with clefts rarely escape dental complications.
  
  
  OBJECTIVE
  This study was to determine differences in the dental caries experience, gingival health, and prevalence malocclusion, enamel defects and oral mucosal lesions among 4-6 year old children with and without cleft in Panchkula.
  
  
  METHODS
  The sampling frame consisted of 4-6 year old children with clefts visiting Swami Devi Dyal Hospital and Dental College, Panchkula, India. As a control group an age (±3 months) and gender-matched sample from the same geographical areas were recruited. Dental caries status, gingival health status, developmental defect of enamel, malocclusion and oral mucosal health were assessed and compared between the two groups.
  
  
  RESULTS
  Significant differences in dental caries and gingival health status were found between children with and without cleft. Anterior open-bite, increased overjet and oral mucosal lesions (P < 0.05) were more prevalent among children with clefts. Children with and without clefts had similar developmental defects of enamel (P > 0.05).
  
  
  CONCLUSIONS
  Differences of oral health status exist among 4-6 year old children with and without clefts. Children fare worse in terms of dental caries, gingival health, oral mucosal health and malocclusion.
authors.affiliation: Department of Public Health Dentistry, Swami Devi Dyal Hospital and Dental College (SDDHDC), Panchkula, Haryana, India.
authors.forename: Amandeep
authors.initials: A
authors.lastname: Chopra
authors.affiliation: Department of Public Health Dentistry, Swami Devi Dyal Hospital and Dental College (SDDHDC), Panchkula, Haryana, India.
authors.forename: Manav
authors.initials: M
authors.lastname: Lakhanpal
authors.affiliation: Department of Public Health Dentistry, Swami Devi Dyal Hospital and Dental College (SDDHDC), Panchkula, Haryana, India.
authors.forename: Nanak Chand
authors.initials: NC
authors.lastname: Rao
authors.affiliation: Department of Public Health Dentistry, Swami Devi Dyal Hospital and Dental College (SDDHDC), Panchkula, Haryana, India.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Gupta
authors.affiliation: Department of Public Health Dentistry, Swami Devi Dyal Hospital and Dental College (SDDHDC), Panchkula, Haryana, India.
authors.forename: Shelja
authors.initials: S
authors.lastname: Vashisth
keywords: Cleft lip; Cleft palate; Dental caries; Oral health