ABSTRACT
Objective: to evaluate and analyze patterns and factors associated with the epidemiology of cleft lip and palate in one of the most active centers for craniofacial care in Amman, Jordan
Method: the records of 656 cleft lip and cleft palate subjects who attended the Orthodontic Department at Royal Rehabilitation Centre were registered in the Cleft Lip/Palate and Craniofacial Anomalies Registry. The sample was collected from January, 2013 to April, 2014. Variables such as cleft type and side, gender, age, family history, any associated syndromes, and prenatal diagnosis were all recorded and later analyzed
Results: regarding the cleft type; the most prevalent type was cleft lip and palate [43%] then isolated cleft lip [20%] followed by isolated cleft palate [8%]. Bilateral cleft lip and palate was more common than bilateral cleft lip only with [21 %] and [7%] respectively. Also, more clefts were found in male patients [386] than females [270], males predominated females incomplete cleft lip and palate type anomaly with 277 and 152 respectively; whereas, approximately equal numbers reported in isolated cleft lip and cleft palate among both genders. A range from 7 days to 30 years were registered in this study, with an average age [11.5 +/- 5.68]. A positive family history of clefting from father and mother side was seen in [3.8%] of cases. 4% of total cases had a diagnosed syndrome. Only 3% of parents had prior knowledge for their child CLP deformity via the routine prenatal ultrasound diagnosis
Conclusion: this descriptive study for a pool of cleft lip palate patients revealed no significant differences from available national and regional epidemiological data. Further, joint hospital research and cooperation are needed to give a broader picture of the patterns and variables associated with cleft lip palate anomalies in Jordan. Prenatal diagnosis via ultrasound routine examination should be implemented and reviewed for routine screening of oral clefting
ABSTRACT
The main objective of the study was to investigate the most common chief complaints and the mean age of the Jordanian children at which they report for their first dental visit. The sample of this clinical prospective study, conducted in 2010 and 2013, comprised a total of 166 patients [76 males and 90 females] who were referred to paedodontic clinic of Princess Haya Hospital, Prince Hashem Hospital, Marka Military Medical Centre, King Hussein Medical Centre, Ameer Zaid Hospital / Royal Medical Services-Jordan Armed Forces-Jordan. Inclusion criteria for enrolment in the study were the subjects who were not suffering from any systemic condition nor they were using any pharmacological agent known to affect the dentition. Patients were diagnosed using an examination kit containing dental mirror, explorer, tweezers, facial mask and sterile gloves. Patient's date of birth, gender, brushing habits and chief complaint were recorded. The study group consisted of 166 patients with a mean [ +/- SD] age of 64.76 +/- 23.07 months. Seventy six were male patients with a mean [ +/- SD] age of 65.61 +/- 24.18 months compared to 90 females with a mean [ +/- SD] age of 64.05 +/- 22.20 months. The difference in mean age between both groups was statistically significant [P<0.05, t-test]. Age range was 24-144 months. Most common chief complaint for the first visit was pain [48.8%]. Second common complaint was having dental cavities [29.5%]. There was noticeable increase in number of subjects who never brushed their teeth. There was a significant difference between different areas in brushing habits [P<0.05, Chi-squire test]. Good correlation was found between brushing habits and number of carious teeth [P<0.05, Pearson's correlation]. It was concluded that two most common complaints for seeking dental appointment were dental pain and dental caries
ABSTRACT
The presence of fixed orthodontic appliances in the mouth undoubtedly predisposes to the accumulation of plaque. Two favored sites for such accumulation are around the cervical margins of the teeth and under the molar bands. This study was carried out to find out the incidence and severity of white spots after a full term of orthodontic treatment under the molar bands. The incidence of white spots under the molar bands of 75 patients [300 first molars] treated by fixed appliances in Queen Alia Hospital was recorded at the time of debonding during the year 2005. Direct clinical examination for the presence of white spots was made on the labial surface of the first molar teeth. Following debonding 93.3% of patients had at least one white spot and 50% of the examined molars had, to some extent, a degree of decalcification. There was no significant difference between male and female white spot distribution. This study revealed that the incidence of white spots among this sample of Jordanian patients was very high. Of equal, if not greater, benefit would be the implementation of more stringent and more frequent preventive measures applied prior to and throughout the period of active treatment. Both patients and parents should be instructed and motivated on the importance and on how to maintain the highest standards of oral hygiene