Dental anomalies inside the cleft region in individuals with nonsyndromic cleft lip with or without cleft palate
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Sa, Jamile; Araujo, Luana; Guimaraes, Laís; Maranhao, Samário; Lopes, Gabriela; Medrado, Alena; Della Coletta, Ricardo; Reis, Silvia
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Aquest document és un/a article, creat/da en: 2016
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Background: Individuals with nonsyndromic cleft lip with or without cleft palate (NSCL±P) present high frequency
of dental anomalies, which may represent complicating factors for dental treatment. The aim of this study
was to investigate the prevalence of dental anomalies inside cleft area in a group of Brazilians with NSCL±P.
Material and Methods: Retrospective analysis of 178 panoramic radiographs of patients aged from 12 to 45 years
old and without history of tooth extraction or orthodontic treatment was performed. Association between cleft
type and the prevalence of dental anomalies was assessed by chi-square test with a significance level set at p≤
0.05.
Results: Dental anomalies were found in 88.2% (n=157) of the patients. Tooth agenesis (47.1%), giroversion (20%)
and microdontia (15.5%) were the most common anomalies. Individuals with unilateral complete cleft lip and
palate (CLP, p<0.0001), bilateral complete CLP (p=0.0002) and bilateral incomplete CLP (p< 0.0001) were more
affected by tooth agenesis than individuals with other cleft types. The maxillary lateral incisors were the most
affected teeth (p<0.0001).
Conclusions: The present study revealed a high frequency of dental anomalies inside cleft region in NSCL±P
patients, and further demonstrated that patients with unilateral complete CLP and bilateral incomplete CLP were
frequently more affected by dental anomalies. Moreover, our results demonstrate that dental anomalies should be
considered during dental treatment planning of individuals affected by NSCL±P.
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