Dento-skeletal characteristics of cleft patients with missing teeth

Abstract

ObjectiveThe objective of this study was to compare the cephalometric skeletal and dental characteristics of unilateral complete cleft lip and palate (UCCLP) subjects with and without missing teeth.DesignA retrospective records review was conducted for patients who are being treated at the cleft lip and palate (CLP) clinics in the College of Dentistry.MethodsNinety-six consecutive records of non-syndromic UCCLP subjects were recruited (33 subjects without missing teeth, 50 subjects with only one missing tooth, and 13 subjects with two or more missing teeth). Skeletal and dental characteristics were assessed using lateral cephalometric radiographs in UCCLP subjects with missing teeth and compared to the group with no missing teeth. A total of 25 linear and angular measurements were analyzed and compared between the sample groups.ResultsOf the dental variables tested, overjet was significantly different between the three groups. The UCCLP subjects with multiple missing teeth had the smallest overjet (–3.89±2.75 mm; P=0.015) among the three groups. None of the skeletal characteristics reached statistical significance.ConclusionMissing teeth influence the dental but not skeletal characteristics of UCCLP. Overjet is significantly reduced in UCCLP subjects with multiple missing teeth. Future studies with larger sample sizes are warranted.

Dental Characteristics of Different Types of Cleft and Non-cleft Individuals

“…Maximum alterations are found in the BCLP group. UCLP results almost coincide with the results of Batwa et al (2018) in which the smallest overjet was found in the unilateral complete type of CLP subjects with multiple missing teeth.…”

“… Batwa et al (2018) found U1-SN values of 85.04 ± 12.13 and 91.63 ± 10.62 (mean ± SD) in the control and case groups (UCCLP), respectively. Utilizing the mean ± SD values of the two groups, the calculated Cohen’s d and effect-size r were 0.578 and 0.277, respectively.…”

“… Batwa et al (2018) recommended broadly that analysts in the CLP field should embrace exhaustive activities to survey a wide range of CLP. Longitudinal and extensive examination studies will empower social insurance suppliers to actualize substantial treatment conventions that are suitable for the extraordinary nature and intricacy of the CLP populace.…”

“…Numerous strategies for the evaluation of the craniofacial characteristics, dental relationship, and maxillary morphometry measurement of CLP individuals have been depicted already ( Alam et al, 2008 , 2013 , 2019 ; Kajii et al, 2013 ; Asif et al, 2016 ; Arshad et al, 2017a , b , 2018 ; Haque et al, 2017a , b , 2018 ). The result of the craniofacial characteristics of CLP can be evaluated from multifacets of factors, for example, dental relationship ( Haque et al, 2018 ), cephalogram ( Alam et al, 2013 , 2019 ; Wu et al, 2013 ; Batwa et al, 2018 ; Alam and Alfawzan, 2020 ), cone-beam computed tomography ( Parveen et al, 2018 ), and maxillary morphometry ( Haque et al, 2020 ). Oral clefts show an assortment of clinical inconsistencies ( Batwa et al, 2018 ).…”

“…The result of the craniofacial characteristics of CLP can be evaluated from multifacets of factors, for example, dental relationship ( Haque et al, 2018 ), cephalogram ( Alam et al, 2013 , 2019 ; Wu et al, 2013 ; Batwa et al, 2018 ; Alam and Alfawzan, 2020 ), cone-beam computed tomography ( Parveen et al, 2018 ), and maxillary morphometry ( Haque et al, 2020 ). Oral clefts show an assortment of clinical inconsistencies ( Batwa et al, 2018 ). Lee et al (2020) and Kunz et al (2020) uncovered artificial intelligence (A.I.)…”