scholarly journals Dual embryonic origin of maxillary lateral incisors: clinical implications in patients with cleft lip and palate

2015 ◽  
Vol 20 (5) ◽  
pp. 118-125 ◽  
Author(s):  
Daniela Gamba Garib ◽  
Julia Petruccelli Rosar ◽  
Renata Sathler ◽  
Terumi Okada Ozawa
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Lateral Incisor ◽  
Craniofacial Anomalies ◽  
Nasal Process ◽  
Embryonic Origin ◽  
Maxillary Lateral Incisor ◽  
To Come ◽  
Dual Origin ◽  
Research Analysis

Introduction:Cleft lip and palate are craniofacial anomalies highly prevalent in the overall population. In oral clefts involving the alveolar ridge, variations of number, shape, size and position are observed in maxillary lateral incisors. The objective of this manuscript is to elucidate the embryonic origin of maxillary lateral incisors in order to understand the etiology of these variations.Contextualization: The hypothesis that orofacial clefts would split maxillary lateral incisor buds has been previously reported. However, recent studies showed that maxillary lateral incisors have dual embryonic origin, being partially formed by both the medial nasal process and the maxillary process. In other words, the mesial half of the lateral incisor seems to come from the medial nasal process while the distal half of the lateral incisor originates from the maxillary process. In cleft patients, these processes do not fuse, which results in different numerical and positional patterns for lateral incisors relating to the alveolar cleft. In addition to these considerations, this study proposes a nomenclature for maxillary lateral incisors in patients with cleft lip and palate, based on embryology and lateral incisors position in relation to the alveolar cleft.Conclusion:Embryological knowledge on the dual origin of maxillary lateral incisors and the use of a proper nomenclature for their numerical and positional variations renders appropriate communication among professionals and treatment planning easier, in addition to standardizing research analysis.

Chronology and Sequence of Eruption of the Permanent Teeth in Patients with Complete Unilateral Cleft Lip and Palate

2004 ◽  
Vol 41 (6) ◽  
pp. 642-645 ◽  
Author(s):  
Cleide Felíciode Carvalho Carrara ◽  
JoséEduardode Oliveira Lima ◽  
Carlos Eduardo Carrara ◽  
Bernardo Gonzalez Vono
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sao Paulo ◽  
Lateral Incisor ◽  
Permanent Teeth ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Cross Sectional ◽  
Maxillary Lateral Incisor ◽  
Mandibular Teeth

Objective To establish the chronology and sequence of eruption of the permanent teeth in subjects with complete unilateral cleft lip and palate. Design Cross-sectional. Data on children presenting complete cleft lip and palate were evaluated. Setting The study was carried out at the Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, Sao Paulo, Brazil. Sample The sample comprised 477 patients with complete unilateral cleft lip and palate, aged 5 to 14 years. Of these patients, 166 were girls and 311 were boys. Results The girls presented, for all maxillary and mandibular teeth, a smaller mean age of eruption than the boys. The maxillary lateral incisor and cuspid adjacent to the cleft presented significantly higher mean ages of eruption than their homologous teeth on the noncleft side.

scholarly journals The maxillary lateral incisor in the rehabilitation of cleft lip and palate

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Guida Paola Genovez Tereza ◽  
Marcos Antônio Corrêa dos Santos ◽  
Vivian Patricia Saldias Vargas Winckler ◽  
Ana Lúcia Pompeia Fraga de Almeida ◽  
Gisele da Silva Dalben
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Lateral Incisor ◽  
Maxillary Lateral Incisor

#Cleft

2018 ◽  
Vol 55 (7) ◽  
pp. 974-976 ◽  
Author(s):  
Joseph S. Khouri ◽  
Melisande J. McCheyne ◽  
Clinton S. Morrison
Keyword(s):  
Social Media ◽  
Perioperative Care ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Craniofacial Anomalies ◽  
Treatment Team ◽  
Congenital Cleft ◽  
To Come ◽  
Use Of Social Media ◽  
Question Survey

Introduction: Many societies and organizations are using social media to reach their target audience. The extent to which parents of patients with craniofacial anomalies use social media has yet to be determined. The goal of this study is to characterize and describe the use of social media by the parents of children with cleft lip and palate as it pertains to the care of their child. Materials and Methods: Parents or guardian of all patients presenting for initial consultation regarding a child's congenital cleft anomaly were contacted by phone or mail to complete a survey regarding their use of social media vis-à-vis their child's cleft anomaly. Participants were asked to answer a 19-question survey. Results: Thirty-two families were contacted and 25 surveys were completed. Ninety-two percent of respondents used social media to learn about their child's diagnosis. Facebook (76%) and blogs (24%) were the most commonly accessed social media outlets, followed by Instagram (8%). Education about the diagnosis and treatment of cleft pathology (87%) was the most common reason for accessing social media, followed by companionship and support (56%), and advice about perioperative care (52%). Almost half (43%) of parents used social media to obtain information on their caregiver and treatment team, and 26% of parents used information gained on social media to guide their decision on where to seek care. Conclusion: Social media is a readily available resource, one that will certainly shape the experiences of our patients and families for years to come.

Dental Anomalies of the Permanent Lateral Incisors and Prevalence of Hypodontia outside the Cleft Area in Complete Unilateral Cleft Lip and Palate

2003 ◽  
Vol 40 (2) ◽  
pp. 172-175 ◽  
Author(s):  
Luciana Lourenço Ribeiro ◽  
Lucimara Teixeira das Neves ◽  
Beatriz Costa ◽  
Marcia Ribeiro Gomide
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Data Bank ◽  
Lateral Incisor ◽  
Craniofacial Anomalies ◽  
Distal Side ◽  
High Prevalence ◽  
Age Range ◽  
Congenitally Missing ◽  
Missing Tooth

Objective To determine in complete unilateral cleft lip and palate (UCLP) subjects the characteristics (location, shape) of the cleft-side lateral incisor. The presence of a supernumerary tooth at the cleft side and the prevalence of hypodontia outside the cleft area were evaluated. A comparison was made of the shape of the cleft side lateral incisor to its contralateral incisor. Setting Hospital for Rehabilitation of Craniofacial Anomalies (HRCA), Sao Paulo, Brazil. Patients Orthopantomograms of 203 subjects with UCLP and without syndromes were chronologically selected from the HRCA data bank, within an age range of 5 to 10 years. Outcome Measure Orthopantomograms were analyzed by the same observer according to established criteria. Results There were no statistically significant differences between sexes for any of the criteria studied. The cleft-side lateral incisor was present in 50.2%, and it was more commonly located at the distal side (76.5%). The congenital absence of the cleft-side lateral incisor was observed in 49.8% of the sample, and its antimere was congenitally missing in 10.9%, this difference being statistically significant. The most commonly missing tooth outside the cleft area was the maxillary second premolar. Conclusions The high prevalence of hypodontia of the permanent lateral incisor in the cleft side showed that the cleft could play an important role in this absence. There were different patterns for the presence of the cleft-side lateral incisor.

Chronology of Deciduous Teeth Eruption in Children with Cleft Lip and Palate

2004 ◽  
Vol 41 (3) ◽  
pp. 285-289 ◽  
Author(s):  
Cristiane Duque ◽  
Gisele da Silva Dalben ◽  
Andreza Maria Fábio Aranha ◽  
Cleide Felício de Carvalho Carrara ◽  
Marcia Ribeiro Gomide ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Lateral Incisor ◽  
Deciduous Teeth ◽  
São Paulo ◽  
Cross Sectional ◽  
Second Molar ◽  
Maxillary Lateral Incisor

Objective To determine the chronology and sequence of eruption of the deciduous teeth in children with complete unilateral cleft lip and palate. Design Cross-sectional study. Setting Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Bauru, Sao Paulo, Brazil. Sample A total of 435 children aged 0 to 48 months who presented with complete unilateral cleft lip and palate. Results All teeth on the cleft side in both jaws for both sexes presented a higher mean age of eruption than their homologues at the noncleft side. This difference was statistically significant for the maxillary lateral incisor, maxillary cuspid, and mandibular lateral incisor. There was a statistically significant sex difference regarding the mean age of eruption only for the maxillary second molar for the girls and mandibular cuspid for the boys. The maxillary lateral incisor on the cleft side was the last tooth to erupt, thus modifying the sequence of eruption of the deciduous teeth. Conclusions The results suggest the interference of the cleft on the chronology of eruption of the deciduous teeth that are directly related to it.

Distribution Patterns of Primary and Permanent Dentition in Children with Unilateral Complete Cleft Lip and Palate

1998 ◽  
Vol 35 (2) ◽  
pp. 154-160 ◽  
Author(s):  
Tzong-Ping Tsai ◽  
Chiung-Shing Huang ◽  
Chuan-Chuan Huang ◽  
Lai-Chu See
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Distribution Patterns ◽  
Permanent Dentition ◽  
Primary Dentition ◽  
Lateral Incisor ◽  
Permanent Teeth ◽  
Alveolar Cleft ◽  
Maxillary Lateral Incisor ◽  
Numerical Variation

Objective To investigate the distribution patterns of primary and permanent teeth in the cleft area and the numerical variation in teeth in unilateral complete cleft lip and palate (UCLP) patients. Design A survey of the dentition in UCLP patients. Setting Craniofacial Center, Chang Gung Memorial Hospital, Taipei, Taiwan. Patients 137 UCLP patients who met the following criteria: (1) have had at least one panoramic film taken, (2) the first panoramic film illustrates either primary or early mixed dentition. Evaluation of both permanent and primary dentition was available in 91 cases. Main Outcome Measures Two evaluators performed independent evaluations of number and distribution of teeth in UCLP patients. The hypothesis that there are two odontogenic origins for maxillary lateral incisors was proposed to explain the occurrence of distribution patterns of dentition in the cleft area and to explain differences between primary and permanent dentition in UCLP patients. Results Four distribution patterns in the cleft area were identified in both the primary and the permanent dentition. In the primary dentition, placement of the lateral incisor distal to the alveolar cleft was the predominant pattern (pattern y, 82.4%), followed by absence of the cleft side maxillary lateral incisor (pattern ab, 9.9%), presence of one tooth on each side of the alveolar cleft (pattern xy, 5.5%), and placement of the lateral incisor mesial to the alveolar cleft (pattern x, 2.2%). In the permanent dentition, the most common pattern was the absence of the maxillary lateral incisor on the cleft side (pattern AB, 51.8%), followed by lateral incisor placement distal to the alveolar cleft (pattern Y, 46%), lateral incisor placement mesial to the alveolar cleft (pattern X, 1.5%) and the presence of one tooth on each side of the alveolar cleft (pattern XY, 0.7%). The discrepancy between the distribution patterns of primary dentition and permanent dentition successors is 57.1%. Variations in tooth number in both primary and permanent dentition of UCLP patients occurred most often in the cleft area. Abnormalities in the number of teeth (hypodontia or hyper-dontia) outside the cleft area were more common in the permanent dentition than in the primary dentition (24.1% versus 4.4%). Conclusions Four distribution patterns in the cleft area were identified in both sets of dentition. Our findings of distribution patterns in UCLP patients support the hypothesis that there may be two odontogenic origins for maxillary lateral incisors. Clinicians involved in managing the dentition of UCLP patients should consider the high frequency of numerical variation both in and outside the cleft area before starting dental treatment.

Maxillary Lateral Incisor of Subjects with Cleft Lip and/or Palate: Part 1

1992 ◽  
Vol 29 (4) ◽  
pp. 376-379 ◽  
Author(s):  
Akira Suzuki ◽  
Yasuhide Takahama
Keyword(s):  
Cross Sections ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Primary Dentition ◽  
Lateral Incisor ◽  
Canine Tooth ◽  
Anterior Teeth ◽  
Dental Hospital ◽  
Maxillary Lateral Incisor ◽  
Dental Casts

As a pilot study, dental casts of 30 patients with unilateral cleft lip and palate were selected and examined from the longitudinal data in the Department of Orthodontics, Kyushu University Dental Hospital. Dental casts of the anterior teeth were sectioned at right angles to the long axis of the tooth 2 to 3 mm below the incisai edge. The teeth were differentiated according to their cross sections. They were classed as lateral incisors or other types by the ratio of labiolingual diameter to mesiodistal diameter and the flatness labiolingually. Dental casts of 309 additional patients with cleft alveolus were examined subjectively based on above findings. In primary dentition, 183 of 184 teeth on the cleft side were incisai type. One tooth was canine type. In permanent dentition, 42 of 78 teeth on the cleft side were conical type, 20 teeth were intermediate type, and 16 teeth were incisai type. As a conclusion, the tooth on the cleft side is almost certain to be a lateral incisor, not a supernumerary canine tooth. As well, their form was normal in the majority of the primary dentition, but malformed in the permanent one.

scholarly journals Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies - USP (HRAC-USP) - Part 2: Pediatric Dentistry and Orthodontics

2012 ◽  
Vol 20 (2) ◽  
pp. 268-281 ◽  
Author(s):  
José Alberto de Souza Freitas ◽  
Daniela Gamba Garib ◽  
Marchini Oliveira ◽  
Rita de Cássia Moura Carvalho Lauris ◽  
Ana Lúcia Pompéia Fraga de Almeida ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Pediatric Dentistry ◽  
Craniofacial Anomalies ◽  
Rehabilitative Treatment
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