Diet and dental caries in preschoolers with and without cleft lip and palate in Lima, Peru

Keywords: Cleft palate, Cleft lip, Dental caries, Diet, Child, preschool, Peru

Abstract

Aim: To demonstrate the relationship between diet and dental caries in preschool children with or without cleft lip and palate (CLP).
Material and Methods: The participants included 142 children from 3 to 5 years old. The number of children with CLP was 91, and those without CLP were 51. The type of the study was analytical, comparative, and cross-sectional. The sampling was non-probabilistic for convenience, and the study variables were diet and dental caries. The study used the Health Behavior in School-aged Children (HBSC) questionnaire to get data on diet and the decayed, missing, and filled teeth (dmft) index for dental caries.
Results: The study found that participants with clefts had a higher prevalence of dental caries (86.8%) than those without (78.4%). Regarding inadequate diet, both groups presented a significant association with dental caries (p=0.036); cleft children who consumed sugar-free dairy products had less dental caries than those dmft did not (p=0.023).
Conclusions: In cleft children, inadequate diet had a significant association with dental caries having a great association with sugary dairy products.

References

Wijekoon P, Herath T, Mahendran R. Awareness of feeding, growth and development among mothers of infants with cleft lip and/or pala-te. Heliyon. 2019;5(12):e02900. Published 2019. https://doi.org/10.1016/j.heliyon.2019.e02900

Darjazini Nahas L, Hmadieh M, Audeh M, Yousfan A, Almasri IA, Martini N. Cleft lip and palate risk factors among otorhinolaryngology: Head and neck surgery patients in two hospitals. Medicine. 2023;102(42):e34419. https://doi.org/10.1097/MD.0000000000034419

Agha B, Helal NMS, Al-Khafaji TJ, Farie GA, Basri O, Fleming PS. Knowledge assessment on cleft lip and palate among recently graduated dentists: a cross-sectional study. BMC Oral Health. 2023;23(1):689. Published 2023. https://doi.org/10.1186/s12903-023-03388-y

de Andrade RS, Oliveira FES, Martelli DRB, de Barros LM, Martelli Júnior H. Maternal con-sumption of caffeine and second-hand tobacco smoke as risk factors for the devel-opment of oral clefts. Clinics. 2023;78:100266. https://doi.org/10.1016/j.clinsp.2023.100266. PMID: 375670 43; PMCID: PMC1043 2903.

Du J, Huang F, Tang Z. Effect of nutritional intervention in child health care on improving growth and development and dise-ase prevention of infants. Pak J Med Sci. 2024; 40(3Part-II):477-481. https://doi.org/110.12669/pjms.40.3.7720

Boyce JO, Reilly S, Skeat J, Cahir P. Academy of Breastfeeding Medicine. ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate-Revised 2019. Breastfeed Med. 2019;14(7):437-444. https://doi.org/10.1089/bfm.2019.29132.job

Allam GG, Sobeh IA. Caries Experience Varies in Egyptian Children With Different Combina-tions of Cleft Lip and Palate and Is Related to Car-bohydrate Intake Between Meals. Cleft Palate Craniofac J. 2021;58(4):414-418. https://doi.org/10.1177/1055665620952297

Machiulskiene V, Campus G, Carvalho JC, Dige I, Ekstrand KR, Jablonski-Momeni A, et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Res. 2020;54(1):7-14. https://doi.org/10.1159/000503309.

Alotaibi RN, Howe BJ, Chernus JM, Mukhopadhyay N, Sanchez C, Deleyiannis FWB, Neiswanger K, Padilla C, Poletta FA, Orioli IM, Buxó CJ, Hecht JT, Wehby GL, Long RE, Vieira AR, Weinberg SM, Shaffer JR, Moreno Uribe LM, Marazita ML. Genome-Wide Association Study (GWAS) of dental caries in diverse populations. BMC Oral Health. 2021;21(1):377. https://doi.org/10.1186/s12903-021-01670-5. PMID: 34311721; PMCID: PMC 8311973.

Świtała J, Sycińska-Dziarnowska M, Spagnuolo G, Woźniak K, Mańkowska K, Szyszka-Sommer- feld L. Oral Microbiota in Children with Cleft Lip and Palate: A Systematic Review. J Clin Med. 2023;12(18):5867. https://doi.org/10.3390/jcm12185867

Fioravanti M, Di Giorgio G, Amato R, Bossù M, Luzzi V, Ierardo G, Polimeni A, Vozza I. Baby Food and Oral Health: Knowledge of the Existing Interaction. Int J Environ Res Public Health. 2022;19(10):5799. https://doi.org/10.3390/ijerph19105799. PMID: 35627333; PMCID: PMC 9140504.

Tenelanda-López D, Valdivia-Moral P, Castro-Sánchez M. Eating Habits and Their Relation-ship to Oral Health. Nutrients. 2020;12(9):2619. https://doi.org/10.3390/nu12092619

Gupta A, Sethi S, Wadhwa J, Batra P, Shick EA. Is caries prevalence site-specific in cleft lip and palate patients? A systematic review and meta-analysis. Dent Res J (Isfahan). 2023;20:111. PMID: 38020250; PMCID: PMC10680076.

Wu Q, Li Z, Zhang Y, Peng X, Zhou X. Dental caries and periodontitis risk factors in cleft lip and palate patients. Front Pediatr. 2023;10:1092809. https://doi.org/10.3389/fped.2022.1092809

Shqair AQ, Dos Santos Motta JV, da Silva RA, do Amaral PL, Goettems ML. Children's eating behaviour traits and dental caries. J Public Health Dent. 2022;82(2):186-193. https://doi.org/10.1111/jphd.12449

Lewis, CW, Jacob LS, Lehmann CU, AAP SECTION ON ORAL HEALTH. The Primary Care Pediatrician and the Care of Children With Cleft Lip and/or Cleft Palate. Pediatrics. 2017;139(5):e20170628. Pediatrics.2017;140(3):e20171921.https://doi.org/10.1542/peds.2017-1921. Erratum for: Pediatrics. 2017; 139(5):e20170628. https://doi.org/10.1542/peds.2017-0628

Surtie F, Ebadi M, Klus BA, Schroth RJ. Prevalence of Treatment of Early Childhood Caries among Children with Cleft Lip and/or Cleft Palate in Manitoba. Cleft Palate Cra-niofac J. 2024;61(8):1294-1301. https://doi.org/10.1177/10556656231164515. Epub 2023 Mar 28. PMID: 36974513; PMCID: PMC11308340.

Aparco JP, Bautista-Olórtegui W, Astete-Robilliard L, Pillaca J. Evaluación del estado nutricional, patrones de consumo alimentario y de actividad física en escolares del Cercado de Lima [Assessment of the nutritional status, physical activity, and eating habits of schoolchildren in Cercado de Lima]. Rev Peru Med Exp Salud Publica. 2016;33(4):633-639. https://doi.org/10.17843/rpmesp.2016.334.254

Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003;31 Suppl 1:3-23. https://doi.org/10.1046/j..2003.com122.x

Kirthiga M, Murugan M, Saikia A, Kirubakaran R. Risk Factors for Early Childhood Caries: A Systematic Review and Meta-Analysis of Case Control and Cohort Studies. Pediatr Dent. 2019;41(2):95-112.

Grewcock RE, Innes NPT, Mossey PA, Robertson MD. Caries in children with and without orofacial clefting: A systematic review and meta-analysis. Oral Dis. 2022;28(5):1400-1411. https://doi.org/10.1111/odi.14183

Abirami S, Panchanadikar N, Muthu MS, Balasu-bramanian S, Murthy J, Mohan A, Haridoss S, Subbalekshmi T. Effect of Sustained Interven-tions from Infancy to Toddlerhood in Children with Cleft Lip and Palate for Preventing Early Childhood Caries. Caries Res. 2021;55(5):554-562. https://doi.org/10.1159/000517210. Epub 2021 Jul 22. PMID: 34293739.

Llena C, Forner L. Dietary habits in a child population in relation to caries experience. Caries Res. 2008;42(5):387-93. https://doi.org/10.1159/000154784.

Da Silva Dalben G, Costa B, Gomide MR, Teixeira das Neves LT. Breast-feeding and sugar inta-ke in babies with cleft lip and palate. Cleft Palate Craniofac J. 2003;40(1):84-87. https://doi.org/10.1597/1545-1569_2003_040_0084_bfasii_2.0.co_2

Published
2025-05-05
How to Cite
Romero-Velarde, M., Aliaga-Mariñas, A., Morales-Vadillo, R., Vásquez-Gonzales, A., Cruz-Gonzales, G., Chiong-Lam, L., Suyo-Chauca, T., Sandoval-Cáceda, E., Guevara-Canales, J.-O., & Vargas-Garcia, D. (2025). Diet and dental caries in preschoolers with and without cleft lip and palate in Lima, Peru. Journal of Oral Research, 14(1), 352-362. https://doi.org/10.17126/joralres.2025.029