424 - Education-based Baseline Assessment of Oral Hygiene Improvement in Cleft Lip and Palate Patients

Abstract:

Purpose: Children with cleft lip and palate (CLP) may experience challenges maintaining adequate oral hygiene due to anatomical differences, scar tissue, and orthodontic appliances. The original aim of this project was to implement a quality improvement initiative to improve oral hygiene through structured education and follow-up evaluation. Due to limited follow-up compliance, the present study evaluates baseline oral hygiene status in patients with CLP.

Methods: A cross-sectional observational analysis was conducted using baseline data from 45 patients evaluated during cleft team appointment. Plaque accumulation on the facial surfaces of maxillary and mandibular anterior teeth was assessed using the Modified Quigley–Hein Plaque Index (MQHPI). Dental disclosing solution was applied to visualize plaque and distinguish new and old plaque. At baseline, patients and caregivers received oral hygiene instructions, educational handouts demonstrating proper brushing techniques, and an oral hygiene tracking chart to support daily hygiene practices.

Results: The mean MQHPI score was 3.71, with plaque present on 74.2% of evaluated surfaces. A greater proportion of plaque was identified as old plaque, suggesting inconsistent plaque removal.

Conclusion: Patients with CLP demonstrated moderate plaque accumulation and suboptimal plaque control. Ongoing research will incorporate a three-month follow-up to evaluate changes in oral hygiene following educational intervention.