Permanent maxillary central incisor and first molar rotations in the mixed dentition in repaired complete unilateral cleft lip and palate and their relationship with absence of teeth in their vicinity
| Autor: | David M. Fisher, Bruce Ross, Wendy Lou, Suteeta Disthaporn, Bryan Tompson, Sunjay Suri, Diogenes Baena |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Molar Dentition Mixed Cleft Lip Orthodontics Mandibular first molar 03 medical and health sciences 0302 clinical medicine TOOTH ABSENCE stomatognathic system Incisor Humans Medicine Maxillary central incisor Child 030223 otorhinolaryngology Mixed dentition Dental Casting Technique business.industry Original Articles 030206 dentistry Cleft Palate stomatognathic diseases medicine.anatomical_structure Female Alveolar bone grafting business |
| Zdroj: | Angle Orthod |
| ISSN: | 1945-7103 0003-3219 |
| DOI: | 10.2319/121117-856.1 |
| Popis: | Objectives: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. Materials and Methods: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8.9 ± 1.0 years) were studied. Directions and magnitudes of permanent maxillary central incisor and first molar rotations were recorded. Tooth absence was confirmed from longitudinal radiographic records. Incisor and molar rotations were analyzed in relation to the absence of teeth in their vicinity. Results: Distolabial rotation of the permanent maxillary central incisor was noted in 77.14% on the cleft side, while distopalatal rotation was noted in 82.19% on the noncleft side. Incisor rotation was greater when a permanent tooth was present distal to the cleft side central incisor, in the greater segment. The permanent maxillary first molar showed mesiopalatal rotation, which was greater on the cleft side and when there was absence of one or more teeth in the buccal segment. Conclusions: Presence and absence of teeth were associated with the severity of incisor and molar rotations in UCLP. Crowding of anterior teeth in the greater segment was associated with a greater magnitude of rotation of the cleft side permanent central incisor. Absence of one or more buccal segment teeth was associated with greater magnitude of rotation of the molar. |
| Databáze: | OpenAIRE |
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