Article

Dental anomalies in individuals with cleft lip and/or palate

Department of Orthodontics, Faculty of Dentistry, Ankara University, Besevler, Ankara, Turkey.
The European Journal of Orthodontics (Impact Factor: 1.39). 04/2010; 32(2):207-13. DOI: 10.1093/ejo/cjp156
Source: PubMed

ABSTRACT Significant heterogeneity has previously been reported but with no consensus on the prevalence of dental anomalies in subjects with a cleft lip and palate (CLP), thus, the purpose of this study was to investigate the frequency of various dental anomalies in the upper dental arch in different cleft groups. Diagnostic records, i.e., panoramic, occlusal and periapical films, dental casts, and intra-oral photographs, of 122 subjects (mean age: 14 +/- 5 years; 67 males and 55 females) were grouped as either unilateral left cleft lip and palate (ULCLP), unilateral right cleft lip and palate (URCLP), bilateral cleft lip and palate (BCLP), or cleft palate (CP). Prevalence rates of 15 different dental anomalies were calculated for each group. Wilcoxon's test was used to determine if there was a statistically significant difference in the number of missing teeth between the right and left sides, in each cleft group. Overall, 96.7 percent of patients were found to have at least one dental anomaly. The most prevalent was agenesis in the anterior region on the cleft side (70.8-97.1 percent). There was a statistically significant difference in the prevalence of agenesis by cleft and non-cleft sides but only in the ULCLP group (P < 0.001). Significantly higher rates of impaction were observed in the anterior and premolar regions in the CLP groups (2.9-29.2 percent), with the highest rates in the anterior region on the cleft sides. A very high proportion of subjects were found to have at least one dental anomaly. Thus, the management of dental anomalies should be central to the treatment planning process of individuals with a cleft.

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    • "The findings of current study correspond with the findings of Akcam et al. [7] and Eslami et al. [10] who investigated the prevalence of dental anomalies in patients with cleft lip and palate, and found that a significant proportion of individuals with a cleft had at least one dental anomaly. Similarly to the findings of the current study, Eslami et al. [10] did not find any associations between cleft type and dental anomalies either. "
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    • "The findings of current study correspond with the findings of Akcam et al. [7] and Eslami et al. [10] who investigated the prevalence of dental anomalies in patients with cleft lip and palate, and found that a significant proportion of individuals with a cleft had at least one dental anomaly. Similarly to the findings of the current study, Eslami et al. [10] did not find any associations between cleft type and dental anomalies either. "
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    ABSTRACT: Background.Cleft lip and/or palate (CLP) is one of the most common types of craniofacial birth defects Objectives. The aim of the current study was to investigate the prevalence of dental anomalies in children with CLP and classify them according to the type of cleft. Material and Methods. This study consisted of 201 cleft patients including 131 males (mean age 12.3 ± 4 years) and 70 females (mean age of 12.6 ± 3.9 years). Dental anomalies including rotation, enamel opacity and hypopla-sia, and shape malformation of central and lateral incisors were recorded. T-test and chi-square test were used for assessment of the data. Results. Central incisor rotation was the most frequent anomaly observed. 57.2% of all the patients had central incisor rotation while only 15.4% of them had lateral incisor rotation. Chi square test showed that no specific association existed between anomalies and type of cleft. Enamel opacity and hypoplasia of central incisor was recorded in 40.3% and 35.8 of the patients respectively. 16.4% of the patients had peg shaped lateral incisors. Conclusions. Vast majority of cleft lip and or plate patients had at least one dental anomaly and most of the dental anomalies were observed at the side of cleft. However, no association could be found between the type of cleft and dental anomalies (Dent. Med. Probl. 2015, 52, 2, 192–196).
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    • "[3] [8] Also, the absence of the lateral incisor mesially and /or distally of the cleft could be the result of tissue insufficiency in the medial nasal and /or maxillary process during embryological development. [3] A high prevalence of agenesis outside the cleft area points to a common genetic background for hypodontia and clefts. [9] Management of hypodontia requires an interdisciplinary approach. "
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    ABSTRACT: clefts of the lip and palate are one of the most common congenital craniofacial abnormalities seen in the practice of pediatric dentistry. It has been observed that these children have a higher caries experience compared to their non-cleft counterparts resulting in early pulpal involvement and gross destruction of teeth. They also have congenital anomalies like missing or supernumerary teeth and abnormal development and mineralization pattern of the tooth germs. The following case report documents the restoration of severely mutilated deciduous teeth and an attempt to save the second deciduous molars with missing permanent successors.
    IOSR Journal of Dental and Medical Sciences 02/2014; 13,(Issue 2):53-57. · 1.58 Impact Factor
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