CAJ | 학술논문

健康的牙周条件是维持口颌系统健康的必要条件，研究显示：唇腭裂裂隙区易发生深层的牙周破坏，罹患牙龈炎和牙周疾病，唇腭裂人群的牙周疾病进展风险更高，裂隙侧较非裂隙侧更易发生牙周组织破坏；唇腭裂患儿的口腔卫生情况和平均牙龈指数明显差于健康儿童；单侧和双侧唇腭裂患者均存在明显的菌斑积聚和牙龈出血；唇腭裂患者的菌斑积聚量和牙龈炎的发生率高于健康人群，双侧唇腭裂患者的菌斑积聚量又高于单侧唇腭裂患者，裂隙侧的菌斑指数高于非裂侧，裂隙侧的牙周探诊深度大于非裂侧；唇腭裂患者常伴有的角化龈减少、牙龈退缩、牙龈炎症和牙槽骨高度降低等牙周软硬组织问题，都有可能影响牙周健康状况；唇腭裂患者假丝酵母菌的定植率明显高于健康者，尤其是接受过3次以上手术和双侧唇腭裂患者的假丝酵母菌定植率最高；裂隙区植骨术是一种改善牙槽嵴形态和增加骨量的方法，植骨术有利于牙周状况的改善，为裂隙邻牙提供健康的牙周支持组织，裂隙区牙龈炎症的发生率也明显降低。本文就唇腭裂患者的口腔卫生和牙周健康状况及其影响因素作一综述。
건강적아주조건시유지구합계통건강적필요조건，연구현시：진악렬렬극구역발생심층적아주파배，리환아간염화아주질병，진악렬인군적아주질병진전풍험경고，렬극측교비렬극측경역발생아주조직파배；진악렬환인적구강위생정황화평균아간지수명현차우건강인동；단측화쌍측진악렬환자균존재명현적균반적취화아간출혈；진악렬환자적균반적취량화아간염적발생솔고우건강인군，쌍측진악렬환자적균반적취량우고우단측진악렬환자，렬극측적균반지수고우비렬측，렬극측적아주탐진심도대우비렬측；진악렬환자상반유적각화간감소、아간퇴축、아간염증화아조골고도강저등아주연경조직문제，도유가능영향아주건강상황；진악렬환자가사효모균적정식솔명현고우건강자，우기시접수과3차이상수술화쌍측진악렬환자적가사효모균정식솔최고；렬극구식골술시일충개선아조척형태화증가골량적방법，식골술유리우아주상황적개선，위렬극린아제공건강적아주지지조직，렬극구아간염증적발생솔야명현강저。본문취진악렬환자적구강위생화아주건강상황급기영향인소작일종술。
Healthy?periodontal?condition?is?a?requirement?for?maintaining?a?healthy?stomatognathic?system.?Studies?have?shown?that?the?cleft?areas?in?patients?with?cleft?lip?and?palate(CLP)?are?prone?to?deep?periodontal?destruction,?gingivitis,?and?periodontal?disease.?Individuals?with?CLP?are?at?a?high?risk?for?periodontal?disease?progression,?and?the?cleft?sides?tend?to?exhibit?more?periodontal?tissue?destruction?compared?with?the?noncleft?sides.?Children?with?CLP?have?poor?oral?hygiene?and?worse?average?gingival?index?compared?with?normal?controls.?Patients?with?unilateral?and?bilateral?CLP(UCLP?and?BCLP)?exhibit?significant?plaque?accumulation?and?gingivitis?bleeding.?The?prevalence?of?plaque?accumulation?and?gingivitis?is?higher?in?patients?with?CLP?than?in?controls,?and?plaque?accumulation?is?significantly?higher?in?patients?with?BCLP?than?in?patients?with?UCLP.?The?cleft?sides?present?a?higher?plaque?index?and?probing?depth?than?the?noncleft?sides.?Periodontal?problems?in?soft?and?hard?tissues?have?often?been?reported?in?patients?with?CLP.?Such?problems?include?reduced?keratinized?gingiva,?gingival?recession,?gingival?inflammation,?and?decreased?alveolar?bone?height,?and?all?of?which?can?affect?the?periodontal?status.?The?colonization?rate?of?Saccharomyces?in?patients?with?CLP?is?significantly?higher?than?in?healthy?control?subjects?and?is?highest?in?patients?with?CLP?who?had?undergone?at?least?three?surgeries?and?in?patients?with?BCLP.?Grafting?an?alveolar?bone?to?the?cleft?area?is?a?method?to?improve?the?alveolar?morphology?and?increase?bone?mass.?This?method?helps?improve?the?periodontal?status?and?provides?healthy?periodontal?support?for?the?teeth?adjacent?to?the?cleft.?The?incidence?of?gingival?inflammation?is?also?reduced.?Therefore,?the?aim?of?this?study?is?to?summarize?the?oralhygiene and periodontal status, including its influencing factors, of patients with CLP.