Nonsyndromic cleft lip and/or palate: A multicenter study of the dental anomalies involved.

Autor: Menezes C; Institute of Teaching and Research of Hospital Sírio Libanês, São Paulo, SP, Brazil., de Arruda JA; Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Silva LV; Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Monteiro JL; Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil., Caribé P; Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil., Álvares P; Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil., Almeida MC; Department of Orthodontics, Hospital Municipal Infantil Menino Jesus, São Paulo, SP, Brazil., Coelli JC; Department of Orthodontics, Centrinho Prefeito Luiz Gomes, Joinville, SC, Brazil., Goldemberg F; Department of Orthodontics, Hospital Municipal Infantil Menino Jesus, São Paulo, SP, Brazil., Silveira M; Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil., Sobral AP; Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil., Bueno DF; Institute of Teaching and Research of Hospital Sírio Libanês, São Paulo, SP, Brazil.; Department of Orthodontics, Hospital Municipal Infantil Menino Jesus, São Paulo, SP, Brazil.
Jazyk: angličtina
Zdroj: Journal of clinical and experimental dentistry [J Clin Exp Dent] 2018 Aug 01; Vol. 10 (8), pp. e746-e750. Date of Electronic Publication: 2018 Aug 01 (Print Publication: 2018).
DOI: 10.4317/jced.54926
Abstrakt: Background: Nonsyndromic cleft lip and/or palate (NSCL/P) is the most common craniofacial malformation. Due to the anatomical defect present in the alveolar process, these patients tend to exhibit more dental anomalies. The aim of this study was to identify the prevalence of dental anomalies in patients with NSCL/P by obtaining orthodontic documentation from Brazilian Centers for cleft lip and palate treatment.
Material and Methods: A retrospective analysis (2000-2014) was conducted on orthodontic archives, radiographs and medical records of NSCL/P of 524 patients under orthodontic treatment. Panoramic radiographs and intra-oral photographs were examined to identify these anomalies. Categorical variables were expressed in terms of frequencies and percentages and analyzed using the Chi-Square test. The level of significance was set at p ≤0.05 in all analyses.
Results: Approximately 83.3% of the individuals had at least one dental anomaly. Tooth agenesis was the most common abnormality found in those patients (87.8%) ( p <0.001). Also, the largest number of dental anomalies was detected in the group of unilateral left clefts. The prevalence of dental anomalies in the present sample of NSCL/P patients was high and reached the highest levels in patients with alveolar bone clefts.
Conclusions: This study describes the most common dental anomalies observed in patients with NSCL/P. These abnormalities can cause significant problems that may be solved or minimized by early diagnosis and treatment. Key words: Cleft lip and/or palate, dental care for children, epidemiology, craniofacial abnormalities.
Competing Interests: Conflict of interest statement: The authors have declared that no conflict of interest exist.
Databáze: MEDLINE