Frequency of Additional Congenital Dental Anomalies in Children with Cleft Lip, Alveolar and Palate.

Frequency of Additional Congenital Dental Anomalies in Children with Cleft Lip, Alveolar and Palate.
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DOI:
10.3390/jcm9123813
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发表时间:
2020-11-25
影响因子:
3.9
通讯作者:
Lasota A
Lasota A
中科院分区:
医学2区
文献类型:
--
作者:
Pastuszak P;Dunin-Wilczyńska I;Lasota A

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该研究的目的是评估非综合征性唇裂、牙槽裂和/无腭裂 (CL/P) 儿童发生其他先天性牙齿异常的风险。认识到牙齿发育不全、牙齿过多和尖牙嵌塞。从卢布林医科大学颌骨矫形科主任和科室先天性面部畸形诊所接受治疗的 CL/P 患者中,随机选择 56 名受试者。在 8 至 12 岁时拍摄的全景 X 光片上,使用 Westerlund 的建议测量上尖牙的角度。检查多生牙和牙齿发育不全。手术过程:上颌扩张、二次牙槽骨移植(SABG)和拔除原发尖牙。尖牙嵌塞发生率为5.36%。 37.5%的患者出现牙齿发育不全; 23.21%的患者存在多牙症。没有证明手术(上颌骨扩张、SABG、乳尖牙拔除)对永久性上颌尖牙萌出有影响。 CL/P 患者最常暴露于未萌出的上颌尖牙的不利位置,即完全裂的裂区。裂侧上颌侧切牙最常受到先天性异常的影响。牙缺失和牙过多不影响上颌尖牙阻生。临床应用效果良好,值得推广。
The aim of the study was to assess the risk of incidence of additional congenital dental anomalies in children with nonsyndromic cleft lip, alveolar and/without palate (CL/P). Hypodontia, hyperdontia and canines impaction was recognized. From patients with CL/P treated at the Clinic of Congenital Facial Deformities in Chair and Department of Jaw Orthopedics Medical University of Lublin, 56 subjects were randomly selected. On the panoramic radiographs taken at the age of 8–12 years, the angle of upper unerupted canines was measured using Westerlund’s recommendations. The supernumerary teeth and hypodontia were checked. The procedures: maxillary expansion, secondary alveolar bone graft (SABG) and extraction of primary canines were noted. The frequency of canines impaction was 5.36%. Hypodontia was found in 37.5% of patients; hyperdontia was present in 23.21% of patients. No influence of procedures (expansion of the maxilla, SABG, deciduous canines extraction) on permanent maxillary canine eruption was proved. Patients with CL/P are exposed to the unfavorable position of unerupted maxillary canines most frequently in the cleft area of complete cleft. Maxillary lateral incisor on the cleft side is most frequently affected with congenital anomaly. Hypodontia and hyperdontia do not influence maxillary canine impaction. Good clinical result was achieved with an applied approach, which should be widely introduced.
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发表时间: 2017-04-01
影响因子: 3.1
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