Frequency of Additional Congenital Dental Anomalies in Children with Cleft Lip, Alveolar and Palate

Pastuszak, Przemysław; Dunin-Wilczyńska, Izabella; Lasota, Agnieszka

doi:10.3390/jcm9123813

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…This is consistent with many other investigations (6, 20). Regarding the cleft type, the prevalence of supernumerary teeth was comparable among URCLP, ULCLP and BCLP samples, resembling the pattern seen in the Polish cleft patients (27).…”

Section: Supernumerary Teethsupporting

confidence: 67%

Prevalence of tooth agenesis and supernumerary teeth related to different Thai cleft lip and cleft palate populations

Aung,

Pungchanchaikul,

Pisek

et al. 2023

Preprint

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Background Pattern of dental anomalies encountered in cleft patients shows subtle signs of genetic involvement. This study aimed to evaluate the prevalence and pattern of tooth agenesis and supernumerary teeth in Thai cleft population according to the cleft type. Methods Data collected from patients with cleft lip and palate, who had been treated at Tawanchai Cleft Center, Khon Kaen University, Thailand, available during year 2012–2022, were investigated. Records from 194 patients with non-syndromic clefts met the inclusion criteria. Standard dental records, and at least either orthopantomogram (OPG) or cone beam computed tomography (CBCT), were examined. Statistical analysis was performed using chi-square and binominal test (p ≤ 0.05). Results Prevalence of tooth agenesis was higher (77.3%) than that of supernumerary teeth (5.7%) and was more common in bilateral cleft lip and palate (BCLP) (88.1%) than in unilateral cleft lip and palate (UCLP) (72.6%) (p = 0.017). The upper lateral incisor was more frequently affected (46.4%), followed by the upper second premolar. The number of missing teeth observed on the left side was significantly higher. Patients with left UCLP (ULCLP) had the highest prevalence of tooth agenesis. A total of 41 tooth agenesis code (TAC) patterns was found. The prevalence of supernumerary teeth was comparable with 6.6% of ULCLP, 5.1% of BCLP, and 4.5% of URCLP. Tooth-number anomalies were observed more often in the BCLP and were most likely to occur on the left side of the maxilla. Both types of anomalies could be featured in a small proportion of cleft patients. Conclusions More than half of the patients with non-syndromic cleft lip and palate in this study, presented with tooth-number anomalies. Tooth agenesis was approximately 10-time more prevalent than supernumerary teeth. Tooth agenesis was likely to appear on the left-side of the maxilla regardless of the laterality of the cleft.

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Section: Supernumerary Teethsupporting

confidence: 67%

Prevalence of tooth agenesis and supernumerary teeth related to different Thai cleft lip and cleft palate populations

Aung,

Pungchanchaikul,

Pisek

et al. 2023

Preprint

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“…Early detection of dental anomalies in paediatric patients with cleft lip and palate is fundamental to the prevention of various irregularities that may include such as tooth sensitivity, malocclusion, impaired tooth eruption, impaired dental arch development and aesthetic problems. 17,24,28,29 Many recent studies have examined cleft palate in relation to dental anomalies, but the assessment of maxillary lateral incisor malposition and malformation of the maxillary lateral incisors has never been done in Indonesia YPPCBL Indonesian Cleft Centre RSGM Unpad, Bandung. Selection of the age range of the subjects of this study, which is 5-13 years old, the age selection is based on the estimated age of children who are in the period of the transition from primary teeth to permanent teeth.…”

Section: Discussionmentioning

confidence: 99%

Relationship of complete unilateral and bilateral cleft palate with malposition and malformation of maxillary lateral incisors

Pratiwi,

Soewondo,

Chemiawan

et al. 2024

IJOHD

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Cleft palate is a facial deformity that allows primary and permanent teeth to be affected by anomalies such as malpositions and malformations. The lateral incisors are the most commonly affected in patients with cleft palate. The diagnosis of malposition and dental malformation is established through history taking, clinical examination, and diagnostic evaluation in the form of study models, clinical photos, and panoramic radiographs. The aim of this study was to analyze the relationship between complete unilateral and bilateral cleft palate and maxillary lateral incisor malposition and malformation. The research method is analytic cross-sectional, with the research sample consisting of 35 primary data from clinical examinations and secondary data from panoramic radiographs of pediatric patients 5-13 years old at YPPCBL RSGM Padjadjaran University, Bandung. This study looked at the clinical condition of dental anomalies and the interpretation of panoramic radiographs. Data were analyzed using Kendall Concordal analysis and Spearman rank correlation. The results showed that the impaction is the most common type of maxillary lateral incisor malposition found in complete unilateral and bilateral cleft palate. Peg shape is the most common type of maxillary lateral incisor malformation found in complete unilateral cleft palate. The highest rate of maxillary lateral incisor agenesis was found in bilateral complete cleft palate compared to complete unilateral clefts. There is a relationship between complete unilateral and bilateral cleft palate, which was statistically significant at 78% with p-value = 5.69E-32 <0.05. The conclusion of the study is there is a relationship between the unilateral cleft palate; and bilateral complete with malposition and malformation of maxillary lateral incisors.

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“…CL/P is the most prevalent congenital facial anomaly worldwide, with a rate of 7.94 per 10,000 live births [5]. In Poland, it is one of the leading congenital defects, occurring in about 10 per 10,000 births [6].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Factors Influencing the Occurrence of Cleft Lip and/or Palate: A Case Analysis and Literature Review

Kulesa-Mrowiecka,

Lipowicz,

Marszałek-Kruk

et al. 2024

Children

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Introduction: Cleft lip with or without cleft palate (CL/P) stands as the most common congenital facial anomaly, stemming from multifactorial causes. Objective: Our study aimed to ascertain the prevalence and characteristics of cleft palates, identify associated risk factors to inform prevention and prenatal detection for early intervention, and assess postoperative rehabilitation protocols for cleft palates. Design: This study employs a retrospective descriptive and clinical approach. Patients: The study includes 103 children with cleft palates treated at the Department of Head and Neck Surgery Clinic for Children and Young Adults, Department of Clinical Pediatrics, University of Warmia and Mazury. Methods: We conducted a thorough evaluation of records, considering variables such as sex, cleft type, maternal occupation, parental education, and family history of clefts. Data analysis was carried out using R software version GPL-3 and ordinal logistic regression analyses. Results: Notably, children born to mothers who experienced significant stress during pregnancy exhibited a 9.4-fold increase in the odds of having bilateral cleft palates. Conversely, no substantial evidence was found to support the influence of the child’s sex, birth order, body mass, maternal exposure to workplace toxins, infections, or drug toxicity on the dependent variable. Conclusions: Our findings suggest that children with parents who have a history of clefts and those with less educated mothers are more likely to develop bilateral cleft palates. Additionally, children born to mothers experiencing stress during pregnancy face an increased risk of bilateral cleft palates. It is important to note that there is a paucity of literature on rehabilitation following various cleft palate surgical techniques in children.

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Frequency of Additional Congenital Dental Anomalies in Children with Cleft Lip, Alveolar and Palate

Cited by 6 publications

References 30 publications

Prevalence of tooth agenesis and supernumerary teeth related to different Thai cleft lip and cleft palate populations

Prevalence of tooth agenesis and supernumerary teeth related to different Thai cleft lip and cleft palate populations

Relationship of complete unilateral and bilateral cleft palate with malposition and malformation of maxillary lateral incisors

Characteristics of Factors Influencing the Occurrence of Cleft Lip and/or Palate: A Case Analysis and Literature Review

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