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.

Difference in the Prevalence of Enamel Alterations Affecting Central Incisors of Children with Complete Unilateral Cleft Lip and Palate

2005 ◽  
Vol 42 (4) ◽  
pp. 392-395 ◽  
Author(s):  
Suzana Papile Maciel ◽  
Beatriz Costa ◽  
Marcia Ribeiro Gomide
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sao Paulo ◽  
Permanent Dentition ◽  
Permanent Teeth ◽  
Homogeneous Distribution ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Cross Sectional ◽  
Enamel Defects

Objective To evaluate the prevalence of enamel alterations affecting the deciduous and permanent central maxillary incisors of children with complete unilateral cleft lip and palate and to verify their characteristics. Design Cross-sectional. Setting Hospital for Rehabilitation of Craniofacial Anomalies–University of São Paulo, Bauru, São Paulo, Brazil. Patients A sample of 90 patients attending the Hospital for Rehabilitation of Craniofacial Anomalies, presenting with complete cleft lip and palate, of both genders, ages 2 to 11 years old. Methodology The buccal surfaces of the maxillary central incisors of patients were analyzed for observation of the presence of enamel defects, their type, number, and location. The prevalence of defects was compared between deciduous and permanent teeth and between the incisors at the cleft and noncleft sides. Results There was a higher frequency of defects among incisors on the cleft side for both deciduous and permanent dentitions compared with the noncleft side (p < .05); the permanent central incisor was more frequently affected than the deciduous. Evaluation of the types of defects for both incisors in both dentitions demonstrated a homogeneous distribution, except for a lower proportion of yellow opacity in the permanent dentition on the cleft side. In general, the most affected area in all dentitions was the incisal third. Conclusion The prevalence of enamel alterations affecting incisors adjacent to the cleft was higher than for incisors on the noncleft side. This difference also was present in the permanent dentition.

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.

Prevalence of Palatal and Alveolar Cysts in Babies with Cleft Lip and Palate

2004 ◽  
Vol 41 (5) ◽  
pp. 490-493 ◽  
Author(s):  
Karina Mirela Ribeiro Pinto Alves ◽  
Virginia Peixoto ◽  
Márcia Ribeiro Gomide ◽  
Cleide Felíciode Carvalho Carrara ◽  
Beatriz Costa
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sao Paulo ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Cross Sectional ◽  
Significant Difference ◽  
Different Types ◽  
Low Prevalence ◽  
Posterior Area

Objective To evaluate the prevalence of palatal and alveolar cysts in babies with cleft lip and/or palate. Design Cross-sectional. Setting Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC-USP), Bauru, São Paulo, Brazil. Participants Two hundred ninety-one Caucasian babies divided into four groups according to the type of cleft: cleft lip with or without cleft alveolus (70), complete unilateral cleft lip and palate (112), complete bilateral cleft lip and palate (56), and cleft palate (53). Results A low prevalence of palatal and alveolar cysts was observed among patients with the four different types of clefts, with no statistically significant difference between genders. The maxilla and the anterior area of the mouth were more affected than the mandible and the posterior area. Conclusions The low prevalence of palatal and alveolar cysts in the four groups of babies with clefts included in this study may have been due to the high mean age of the sample.

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.

Prevalence of Intranasal Ectopic Teeth in Children with Complete Unilateral and Bilateral Cleft Lip and Palate

2000 ◽  
Vol 37 (3) ◽  
pp. 271-273 ◽  
Author(s):  
Alexandra Sárzyla Medeiros ◽  
Marcia Ribeiro Gomide ◽  
Beatriz Costa ◽  
Cleide Felicio De Carvalho Carrara ◽  
Lucimara Teixeira Das Neves
Keyword(s):  
Retrospective Study ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sao Paulo ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Ectopic Eruption ◽  
Bilateral Cleft Lip ◽  
Males And Females

Objective The objective of this study was to determine the prevalence of ectopic eruption of intranasal teeth. Design This was a retrospective study, where records of children with repaired cleft lip and palate were analyzed. Setting The study was conducted at a large craniofacial center, the Hospital for Rehabilitation of Craniofacial Anomalies, USP, Bauru, São Paulo, Brazil. Subjects The sample consisted of 815 records from patients with bilateral cleft lip and palate (BCLP) and 1495 records from patients with unilateral cleft lip and palate (UCLP). The age of the subjects was 5 to 10 years old and the groups included both males and females. Results The results showed that 0.61% of the children with BCLP and 0.40% of those with UCLP had an intranasal tooth. The prevalence of an intranasal tooth for the whole group was 0.48%, and it appeared to be more common in females.

Assessment of Orthodontic Burden of Care in Patients With Unilateral Complete Cleft Lip and Palate

2017 ◽  
Vol 55 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Thamara Frascarelli Alberconi ◽  
Gabriela Leticia Clavisio Siqueira ◽  
Renata Sathler ◽  
Katherine A. Kelly ◽  
Daniela G. Garib
Keyword(s):  
Surgical Procedures ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sao Paulo ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Burden Of Care ◽  
Intergroup Comparison ◽  
The Mean

Objective: To assess the orthodontic burden of care of patients from a Brazilian rehabilitation center (Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo [HRAC-USP]). Design: Retrospective. Setting: Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo. Interventions: One hundred files of unilateral complete cleft lip and palate patients who had consecutively finished orthodontic rehabilitation at HRAC-USP were evaluated from January 2011 to January 2013. The duration of orthodontic treatment, number of visits, kilometers traveled, number of appliances and surgical procedures performed were recorded. The sample was divided into 2 subgroups according to severity the interarch relation (Goslon Yardstick score) at the beginning of orthodontic treatment. Mann-Whitney test was applied for intergroup comparison ( P < .05). Results: For the total sample (n = 100), the mean time of orthodontic treatment was 140.2 months, the mean number of orthodontic appointments was 61.8, the mean number of appliances was 10, the mean number of surgical procedures was 6.2, and the mean distance traveled to attend the center for orthodontic appointments was 38,978.5 km. The subgroup with the most severe malocclusion (Goslon yardsticks scores 4 and 5) showed a longer orthodontic treatment length, greater number of surgical procedures, and longer distance traveled than those presenting Goslon yardstick scores 1, 2, and 3. Conclusion: Patients with greater severity of the initial malocclusion experienced a higher burden of care than patients with less severity of the initial malocclusion. To reduce the burden of care, research and efforts should focus on minimizing maxillary growth deficiency related to primary surgery.

scholarly journals Prevalência de anomalias dentárias em radiografias panorâmicas

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Roque Soares Martins Neto ◽  
Ivna Freitas De Sousa Alves ◽  
Arthur Lima Machado ◽  
Luiz Alves Barbosa Neto ◽  
Andressa Aires Alencar ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Meta Analysis ◽  
Genetic Diseases ◽  
Third Molar ◽  
Sao Paulo ◽  
Permanent Teeth ◽  
Caries Experience ◽  
São Paulo ◽  
Dental Anomalies

Introdução: As anomalias de desenvolvimento dentário ocorrem devido a distúrbios que acontecem durante a formação e a diferenciação celular. Dentre as radiografias odontológicas, a panorâmica se destaca por ser um exame radiográfico mais abrangente, que auxilia no diagnóstico e no planejamento terapêutico dos processos patológicos dos dentes e dos ossos da face. Objetivo: O objetivo desse estudo é determinar a prevalência de anomalias dentárias em radiografias panorâmicas de pacientes em tratamento no Centro Universitário Católica de Quixadá-CE e no Centro de Especialidades Odontológicas de Quixeramobim-CE. Métodos: A análise radiográfica foi realizada por um único pesquisador e os achados radiográficos foram escritos em uma ficha devidamente desenvolvida para este estudo. Resultados: Foram analisadas 500 radiografias panorâmicas de pacientes que possuíam entre 5 e 50 anos de idade. Desses, 67% (n=333) pertenciam ao sexo feminino e 33% (n=167) ao masculino. Foi encontrado um total de 1150 anomalias, correspondentes a: dentes não irrompidos 41,7% (n=480), giroversão 24,4% (n=281), dilaceração radicular 20,3% (n=234), microdontia 6,7% (n=77), agenesia 3,9% (n=45), dentes supranumerários 2,4% (n=28), taurodontia 0,3% (n=4) e a macrodontia 0,1% (n=1). As radiografias também foram divididas pelo tipo de arcada ocorrendo 48% (n=307) na maxila e 52% (n=330), na mandíbula. As anomalias dentárias hiperplasiantes foram encontradas em 2,9% (n=33) da amostra, as hipoplasiantes em 10,6% (n=122) e as heterotópicas em 86,5% (n=995). Desta forma conclui-se que na população estudada a maior prevalência correspondeu ao sexo feminino, à anomalia de desenvolvimento heterotópica e ao dente não irrompido.Descritores: Anormalidades Dentárias; Radiografia; Radiografia Panorâmica.ReferênciasCarneiro GV. Estudo radiográfico da prevalência de anomalias dentárias por meio de radiografias panorâmicas em diferentes faixas etárias [tese]. Programa de Pós-graduação em Saúde e Desenvolvimento na Região Centro-Oeste; 2014.Seabra M, Macho V, Pinto A, Soares D, Andrade C. A importância das anomalias dentárias de desenvolvimento. Acta Pediatr Port. 2008;39(5):195-200.Álvares LC, Tavano O. Curso de radiologia em odontlogia. São Paulo: Santos; 2009.Paula, AFB, Ferrer KJN. Prevalência de agenesia em uma clínica ortodôntica de Goiânia. RGO. 2007;55(2):149-53.Gartner CF, Goldenberg FC. A importância da radiografia panorâmica no diagnóstico e no plano de tratamento ortodôntico na fase da dentadura mista. Rev Odonto. 2009;17(33):102-9.Barbieri AA. A importância da radiografia panorâmica como instrumento auxiliar às práticas clínica e odontolegal [dissertação]. São José dos Campos: Universidade Estadual Paulista; 2011.Santos MR, Olibeira KL, Fonte JBM, Hora IAA, Takeshita WM, Melo MFB. Prevalência De Alterações Dentárias Em Pacientes Com Síndrome De Down Avaliados Por Meio De Radiografia Panorâmica. Rev Odontol Univ Cid São Paulo. 2014;26(2):112-18.Pereira AC, Nishiyama CK, Pinto LC. Anomalias dentárias em indivíduos com fissura transforame incisivo unilateral e o tratamento endodôntico. RFO UPF. 2013;18(3):328-34.Scarpim MFPA, Nunes VS, Cerci BB, Azevedo LR, Tolazzi AL, Grégio AMT et al. Prevalência de anomalias dentárias em pacientes avaliados para tratamento ortodôntico: estudo retrospectivo. Clin Pesq Odontol. 2006;2(3):203-12.Torres PF, Simplício AHM, Luz ARCA, Lima MDM, Moura LFAD, Moura MS. Anomalias dentárias de número em pacientes ortodônticos. Rev Odontol UNESP. 2015;44(5):280-84Girondi JR, Fenyo-Pereira M, Campos PSF, Panella J. Estudo da prevalência das anomalias dentárias de desenvolvimento em dada população com o uso de radiografi as panorâmicas. Rev Odont Univ Cid São Paulo. 2006;18(1):15-21.Canoglu E, Canoglu H, Aktas A, Cehreli ZC. Isolated bilateral macrodontia of mandibular second premolars: a case report. Eur J Dent. 2012;6(3):330-34.Menini AAS, Silva MC, Iwaki LCV, Takeshita WM. Estudo radiográfico da prevalência de anomalias dentárias por meio de radiografias panorâmicas em diferentes faixas etárias. Rev Odontol Univ Cid São Paulo. 2012;24(3):170-77.Barbosa DFM, Cruz CM, Crepaldi MV, Oliveira BLS. Agenesias múltiplas, planejamento e hereditariedade. Rev Faipe. 2016;6(2):14-27.Inoue T, Saito M, Nishimura F, Miyazaki T. Three-dimensional representation of microdontia of the maxillary third molar. Clin Case Rep. 2017;5(4):547-48.Costa MA, Oliveira AEF, Costa JF, Silva RA, Lopes FF, Silva APB. Incidência das posições anatômicas e agenesia dos terceiros molares em estudantes de São Luís, Maranhão. Pesqui bras odontopediatria clin integr. 2010;10(3):399-403.King NM, Wong WL, Wong HM. Caries experience of Chinese children with cleft lip and palate. Cleft Palate Craniofac J. 2013;50(4):448-55.Yamada N. Radiographic abnormalities in genetic diseases. Dent Outl. 1983;62(1):71-8.Guttal KS, Naikmasur VG, Bhargava P, Bathi RJ. Frequency of developmental dental anomalies in the Indian population. Eur J Dent. 2010;4(3):263-69.Garib DG, Alencar BM, Ferreira FV, Ozawa TO. Anomalias dentárias associadas: o ortodontista decodificando a genética que rege os distúrbios de desenvolvimento dentário. Dental Press J Orthod. 2010;15(2):138-57.Colombo LT, Paulon SS, Coclete GA, Coclete GEG, Gaetti Jardim Junior E, Castro AL. Giroversão dental presente ou ausente em radiografias panorâmicas. Arch Health Invest. 2013;2(Esp 2):224.Teixeira VP, Martins MAT, Lascala CA, Marques MM, Rossi JM, Missawa GTM et al. Estudo de anormalidades dentárias de desenvolvimento em pacientes em tratamento ortodôntico Study of development dental abnormalities in orthodontic patients. Rev Inst Ciênc Saúde. 2008;26(4):454-57.Polder BJ, Van’t Hof MA, Van der Linden FP, Kuijpers-Jagtman AM. A meta-analysis of the prevalence of dental agenesis of permanent teeth. Community Dent Oral Epidemiol. 2009;32(3):217-26.Mafra RP, Vasconcelos RG, Vasconcelos MG, Queiroz LMG, Barboza CAG. Desenvolvimento dental: aspectos morfogenéticos e relações com as anomalias dentárias do desenvolvimento. Rev bras odontol. 2012;69(2):232-37.Ezoddini AF, Sheikhha MH, Ahmadi H. Prevalence of dental anomalies: a radiographic study. Community Dent Health. 2007;424(3):140-44.

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.

Dental Development of the Permanent Lateral Incisor in Patients with Incomplete and Complete Unilateral Cleft Lip

2005 ◽  
Vol 42 (5) ◽  
pp. 517-520 ◽  
Author(s):  
Nádia Rodrigues Pioto ◽  
Beatriz Costa ◽  
Marcia Ribeiro Gomide
Keyword(s):  
Root Development ◽  
Cleft Lip ◽  
Development Stage ◽  
Sao Paulo ◽  
Lateral Incisor ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Mean Delay ◽  
The Mean

Objective This study aimed to evaluate a possible delay in root development of the permanent lateral incisor on the cleft side compared with its contralateral tooth in patients with incomplete and complete unilateral cleft lip. Design Retrospective. Setting Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Bauru, São Paulo, Brazil. Patients A sample of 95 panoramic radiographs of patients with incomplete and complete unilateral cleft was obtained from the files of HRAC/USP. The patients were both boys and girls of various races, aged 5 to 11 years, and did not have any syndrome or associated congenital malformation. The sample was divided into three groups according to the severity of the cleft lip. Main Outcome Measure Radiographs were analyzed to compare root development stage of the lateral incisor on the cleft side with the noncleft side according to the classification of Nolla. Results The mean delay in root development of the permanent lateral incisor on the cleft side ranged from 0.5 to 1.6 scores for all three groups investigated. Conclusions Root development of the permanent lateral incisor on the cleft side was delayed compared with the noncleft side.

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