Dental Anomalies of Number in the Permanent Dentition of Patients with Bilateral Cleft Lip: Radiographic Study

2008 ◽  
Vol 45 (5) ◽  
pp. 473-476 ◽  
Author(s):  
Ana Paula Ramos Bernardes da Silva ◽  
Beatriz Costa ◽  
Cleide Felício de Carvalho Carrara

Objective: To radiographically evaluate the prevalence of dental anomalies in patients with complete and incomplete bilateral cleft lip, comparing the prevalence of anomalies between genders and cleft types. Setting: Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Bauru, São Paulo, Brazil. Participants: 150 randomly selected panoramic radiographs of individuals with complete or incomplete bilateral cleft lip; patient age 12 to 25 years (mean age 13.8 years). Results: Data were statistically analyzed to compare the possible association between presence of hypodontia and supernumerary teeth, according to gender and cleft type. Among the 150 patients evaluated, 80 (53.3%) were male and 70 (46.6%) were female. Since no statistically significant difference was found in hypodontia between genders, data were grouped for analysis, revealing prevalence of 31.6% for complete clefts and 26.8% for incomplete clefts. Concerning supernumerary teeth, the prevalence for the male patients was 28.2% for complete cleft lip and 29.2% for incomplete cleft lip. For female patients, the prevalence was significantly (p  =  .006) lower for complete cleft lip (17.5%) than for incomplete cleft lip (46.6%). Conclusions: The present results suggest that the prevalence of hypodontia was higher in patients with complete cleft lip, and the prevalence of supernumerary teeth was higher in patients with incomplete cleft lip, in agreement with previous studies.

2009 ◽  
Vol 46 (5) ◽  
pp. 481-486 ◽  
Author(s):  
Marta Cunha Lima ◽  
Eduardo Jacomino Franco ◽  
Guilherme Janson ◽  
Izabel Maria Marchi Carvalho ◽  
Carlos Ferreira Santos ◽  
...  

Objectives: To investigate the prevalence of upper cervical vertebrae anomalies in patients with isolated cleft lip, isolated cleft palate, and complete cleft lip and palate, as well as to compare the prevalence of these anomalies between groups, between genders, and with noncleft patients. Design: Retrospective cross-sectional study of randomly selected patients. Setting: Radiology Section, Hospital for Rehabilitation of Craniofacial Anomalies and Department of Orthodontics, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil. Participants: The sample comprised 300 lateral cephalograms of cleft patients, aged 12 to 13 years, of both genders, from the files of the Hospital for Rehabilitation of Craniofacial Anomalies–University of São Paulo and 300 lateral cephalograms from noncleft patients of the Department of Orthodontics, Bauru School of Dentistry. Cephalograms of patients with syndromes were not included. Method: Radiographs were interpreted on a film viewer by a single examiner; the profiles of vertebrae were traced on acetate paper, and cervical vertebrae anomalies were registered and categorized into posterior arch deficiencies, fusion, and association of both. Main Outcome Measures: Statistical comparison of groups using the chi-square test. Results: In the cleft group, 38.67% of the patients had cervical vertebrae anomalies. Of those in the noncleft sample, 31% showed anomalies of the cervical spine. This difference was statistically significant. There was no statistically significant difference when the types of clefts were compared with each other or when both genders were compared in both samples. Conclusions: This study confirms the association between clefts and cervical anomalies. Additional research on this topic is necessary.


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

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.


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

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.


2004 ◽  
Vol 41 (6) ◽  
pp. 642-645 ◽  
Author(s):  
Cleide Felíciode Carvalho Carrara ◽  
JoséEduardode Oliveira Lima ◽  
Carlos Eduardo Carrara ◽  
Bernardo Gonzalez Vono

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.


2008 ◽  
Vol 45 (2) ◽  
pp. 154-162 ◽  
Author(s):  
Chiara Tortora ◽  
Maria C. Meazzini ◽  
Giovanna Garattini ◽  
Roberto Brusati

Objective: To evaluate the dental characteristics of patients subjected to a protocol that included early secondary gingivoalveoloplasty (ESGAP). Design: Panoramic radiographs of 87 patients with unilateral cleft lip and palate (UCLP) and 29 with bilateral cleft lip and palate (BCLP) were evaluated. Missing and supernumerary teeth were also quantified on the cleft and noncleft side and in the maxilla and mandible. Crown and root malformations and tooth rotations were quantified. A subsample in permanent dentition was extrapolated to analyze canine eruption patterns. Results: A total of 48.8% of the UCLP patients presented with missing permanent lateral incisors in the cleft area and 6.1% contralaterally. A total of 4.9% presented with missing second maxillary premolars on the cleft site and 1.2% contralaterally. A total of 7.3% presented with supernumerary lateral incisors, and 45% of the BCLP cleft sites presented with missing lateral incisors, while 25% of the cleft sites presented second maxillary premolars agenesis. Five percent of the cleft sites presented with supernumerary lateral incisors. Evaluation of the subsample in permanent dentition showed that 15.5% had a canine retention and 4.4% of the canines had to be surgically exposed. A significant association was observed between canine inclination and retention but not with absence of the lateral incisor. Conclusions: The frequency of dental anomalies in this sample was similar to other cleft populations. As surgical trauma has been suggested to damage forming teeth, the results of this study indicated that ESGAP has no detrimental influence on subsequent dental development.


2005 ◽  
Vol 42 (4) ◽  
pp. 392-395 ◽  
Author(s):  
Suzana Papile Maciel ◽  
Beatriz Costa ◽  
Marcia Ribeiro Gomide

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.


2017 ◽  
Vol 55 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Thamara Frascarelli Alberconi ◽  
Gabriela Leticia Clavisio Siqueira ◽  
Renata Sathler ◽  
Katherine A. Kelly ◽  
Daniela G. Garib

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.


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 ◽  
...  

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.


2005 ◽  
Vol 16 (3) ◽  
pp. 243-246 ◽  
Author(s):  
Viviane Regina Côas ◽  
Ana Christina Claro Neves ◽  
Sigmar de Mello Rode

This survey investigated the etiology of atrophy or loss of the ocular globe in patients assisted at the Maxillofacial Prosthetics Clinic of two Schools of Dentistry in São Paulo State, Brazil. A total of 238 patients were examined and their clinical files were reviewed. The etiology of eyeball atrophy/loss was assessed with respect to gender, age group, affected side and type ophthalmologic surgery performed. The greatest incidence of ocular globe loss was due to traumatic etiology (57.14%), followed by pathogenic (36.13%) and congenital (5.04%) etiologies. Comparing the genders, a predominance of male patients was observed (61.76%; p<0.01). The age group most frequently affected was between 21 and 40 years (42.01%; p<0.01). For all types of etiologies investigated in this study, enucleation was the most commonly used surgical procedure for removal of the ocular globe (66.38%; p<0.01). Loss of the left eye was predominantly seen (55.04%), even though no statistically significant difference was found between sides (p>0.01).


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