CONDIÇÃO PERIODONTAL DE PACIENTES COM FISSURA LABIOPALATINA: UMA REVISÃO DE LITERATURA

Abstract

Cleft lip and palate (CLP) are malformations that appear in the initial phase of embryogenesis. It is known that patients with CLP have alterations in the alveolar process, causing problems to the supporting and protective tissues, and may be more susceptible to developing periodontal diseases. Therefore, the objective of this study is to evaluate the oral health condition and the implications for the functional and aesthetic rehabilitation of these individuals, in contrast to non-cleft patients. For this, searches for studies will be carried out through the PubMed and SciELO databases, using the descriptors "cleft lip", "cleft palate", "periodontal diseases" with "and" or "or" as an integrative search tool. The risk indicators that are involved in the periodontal health-disease process and their implication in their oral rehabilitation were identified. A total of 522 articles were found, of which 13 were selected based on the inclusion and exclusion criteria. The reviewed literature points to a higher prevalence of periodontal problems in patients with CLP, especially in men and adolescents, highlighting the need for specific care and strict preventive follow-up, since the type of cleft seems to influence the extent of periodontal destruction. While some suggest that all types of clefts increase the risk of periodontal disease, others point out that the anatomical complexity of clefts can make cleaning even more difficult. Thus, the importance of a preventive and personalized approach to the periodontal care of these patients is reinforced, with the aim of ensuring a more effective and long-term oral rehabilitation.