277 - Craniofacial Pediatric Patients’ Oral Health: Status and Parental Perceptions

Friday, May 27, 2022

3:00 PM – 3:15 PM PT

Location: Sails Pavilion

Has Audio

Presenting Author(s)

Lydia J. DeJonge, DDS

Pediatric Dental Resident (PGY2)
UIC College of Dentistry Department of Pediatric Dentistry
UIC College of Dentistry
Chicago, Illinois, United States

Co-Author(s)

SA

Sahar Alrayyes, DDS, MS

Department of Pediatric Dentistry, College of Dentistry, UIC Chicago, IL,
David M. Avenetti, DDS, MSD, MPH

Associate Professor & Residency Program Director
University of Illinois Chicago, College of Dentistry
University of Illinois Chicago, Dept. of Pediatric Dentistry
Chicago, Illinois, United States
Evelina Kratunova, MDS, MFD, D.Ch.Dent., FFD

Clinical Assistant Professor
University of Illinois at Chicago
College of Dentistry, University of Illinois at Chicago
Chicago, Illinois, United States
PP

Pravin Patel, MD

Craniofacial Center, UI Health, Chicago, IL
Lydia J. DeJonge, DDS

Pediatric Dental Resident (PGY2)
UIC College of Dentistry Department of Pediatric Dentistry
UIC College of Dentistry
Chicago, Illinois, United States

Research Mentor(s)

Evelina Kratunova, MDS, MFD, D.Ch.Dent., FFD

Clinical Assistant Professor
University of Illinois at Chicago
College of Dentistry, University of Illinois at Chicago
Chicago, Illinois, United States

Program Director(s)

David M. Avenetti, DDS, MSD, MPH

Associate Professor & Residency Program Director
University of Illinois Chicago, College of Dentistry
University of Illinois Chicago, Dept. of Pediatric Dentistry
Chicago, Illinois, United States

Purpose: To assess oral health status and parental perception of oral health needs in children with craniofacial anomalies compared to matched controls. Methods: A total sample of 102 subjects was enrolled, including a study group (n=48) of children with craniofacial anomalies from an urban craniofacial center and a control group (n=48) of medically healthy participants with matched demographics (age, sex, race, and insurance type). Two trained and calibrated investigators completed oral examinations for all subjects. Oral health status outcome measures included number of decayed, missing and filled surfaces in both primary (dmfs) and permanent (DMFS) dentitions, as well as plaque and gingival scores . A validated questionnaire, Early Childhood Oral Health Impact Score (ECOHIS) was administered to the parents. Statistical analysis included Independent Sample T Test, Mann-Whitney U and Multiple Mixed Methods.

Results: Preliminary data results indicated average scores were DMFS=3.5, dmfs=11.8, plaque score=1.7, gingival score=1.4, and ECOHIS=22.4 for the craniofacial group. Average scores were DMFS=4.9, dmfs=18.7, plaque index=0.9, gingival index=0.85, and ECOHIS=21.7 for the control group. There was no difference in ECOHIS or DMFS (P=.13) between groups, but dmfs (P=.04), plaque index (P < .001), and gingival index (P < .001) scores showed statistically significant differences. Intra-rater and inter-rater agreement (Cohen’s Kappa) were κ >0.88. Conclusions: Pediatric craniofacial patients had lower caries rates in comparison to their healthy counterparts; however, they had poorer oral hygiene as seen in the plaque scores. The parental perception of oral health needs was similar between groups.