The Relationship Between Dental Agenesis and Maxillary Hypoplasia in Patients With Cleft Lip and Palate.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Sep 2021
01 Sep 2021
Historique:
pubmed:
13
4
2021
medline:
16
9
2021
entrez:
12
4
2021
Statut:
ppublish
Résumé
Both dental agenesis and maxillary growth restriction are well-recognized sequelae in patients with unilateral cleft lip and palate, but their etiology remains controversial. The aim of this study was to evaluate the relationship between hypodontia and maxillary volume. A retrospective review of patients age 6 to 9 with Veau III (unilateral) cleft palate who underwent Cone Beam Computer Tomography in preparation for alveolar bone grafting at 2 major Children's Hospitals between 2010 and 2016 was conducted and serial panoramic radiographs were reviewed. Thirty-eight patients were identified that met inclusion criteria and had adequate imaging. Group 1 ("poor growers") consisted of the bottom 50% of Sella-Nasion-A point minus Sella-Nasion-B point (ANB) angles and Group 2 ("good growers") consisted of the top 50% of ANB angles. Group 1 had a significantly higher mean number of missing teeth (1.58 ± 0.28 missing teeth) compared to Group 2 (0.74 ± 0.23 missing teeth), and significantly lower maxillary volume (12.88 ± 0.61 cm3 versus 15.24 ± 0.88 cm3, respectively). The severity of maxillary hypoplasia in cleft patients increases with increased dental agenesis. These data indicate that intrinsic factors play a significant role in maxillary growth restriction in cleft patients, independent of the sequelae of surgical intervention.
Identifiants
pubmed: 33840758
doi: 10.1097/SCS.0000000000007555
pii: 00001665-900000000-92683
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2012-2015Informations de copyright
Copyright © 2021 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
DeLuke DM, Marchand A, Robles EC, et al. Facial growth and the need for orthognathic surgery after cleft palate repair: literature review and report of 28 cases. J Oral Maxillofac Surg 1997; 55:694–697.
Good PM, Mulliken JB, Padwa BL. Frequency of Le Fort I osteotomy after repaired cleft lip and palate or cleft palate. Cleft Palate Craniofac J 2007; 44:396–401.
Schweckendiek H. The problem of early and late surgery in congenital fissure of the of the lips and palate. Z Laryngol Rhinol Otol 1951; 30:51–56.
Bardach J, Morris HL, Olin WH. Late results of primary veloplasty: the Marburg project. Plast Reconstr Surg 1984; 73:207–218.
Rohrich RJ, Rowsell AR, Johns DF, et al. Timing of hard palatal closure: a critical long-term analysis. Plast Reconstr Surg 1996; 98:236–246.
Holland S, Gabbay JS, Heller JB, et al. Delayed closure of the hard palate leads to speech problems and deleterious maxillary growth. Plast Reconstr Surg 2007; 119:1302–1310.
Peltomaki T, Vendittelli BL, Grayson BH, et al. Associations between severity of clefting and maxillary growth in patients with unilateral cleft lip and palate treated with infant orthopedics. Cleft Palate Craniofac J 2001; 38:582–586.
Liao YF, Prasad NK, Chiu YT, et al. Cleft size at the time of palate repair in complete unilateral cleft lip and palate as an indicator of maxillary growth. Int J Oral Maxillofac Surg 2010; 39:956–961.
Doucet JC, Delestan C, Montoya P, et al. New neonatal classification of unilateral cleft lip and palate part 2: to predict permanent lateral incisor agenesis and maxillary growth. Cleft Palate Craniofac J 2014; 51:533–539.
Honda Y, Suzuki A, Nakamura N, et al. Relationship between primary palatal form and maxillofacial growth in Japanese children with unilateral cleft lip and palate: infancy to adolescence. Cleft Palate Craniofac J 2002; 39:527–534.
Antonarakis GS, Fisher DM. Permanent tooth agenesis and maxillary hypoplasia in patients with unilateral cleft lip and palate. Plast Reconstr Surg 2015; 136:648e–656e.
Meazzini MC, Donati V, Garattini G, et al. Maxillary growth impairment in cleft lip and palate patients: a simplified approach in the search for a cause. J Craniofac Surg 2008; 19:1302–1307.
Oberoi S, Chigurupati R, Vargervik K. Morphologic and management characteristics of individuals with unilateral cleft lip and palate who required maxillary advancement. Cleft Palate Craniofac J 2008; 45:42–49.
Couly G, Monteil J. Neurocristopathic classification of dental abnormalities. Rev Stomatol Chir Maxillofac 1982; 83:293–298.
Ogaard B, Krogstad O. Craniofacial structure and soft tissue profile in patients with severe hypodontia. Am J Orthod Dentofacial Orthop 1995; 108:472–477.
Ben-Bassat Y, Brin I. Skeletodental patterns in patients with multiple congenitally missing teeth. Am J Orthod Dentofacial Orthop 2003; 124:521–525.
Lisson JA, Scholtes S. Investigation of craniofacial morphology in patients with hypo- and oligodontia. J Orofac Orthop 2005; 66:197–207.
Acharya PN, Jones SP, Moles D, et al. A cephalometric study to investigate the skeletal relationships in patients with increasing severity of hypodontia. Angle Orthod 2010; 80:511–518.
Lagana G, Lombardi CC, Franchi L, et al. Tooth agenesis: dento-skeletal characteristics in subjects with orthodontic treatment need. Eur J Paediatr Dent 2011; 12:17–20.
Wu TT, Chen PK, Lo LJ, et al. The characteristics and distribution of dental anomalies in patients with cleft. Chang Gung Med J 2011; 34:306–314.
Rullo R, Di Maggio D, Addabbo F, et al. Speech outcome in unilateral complete cleft lip and palate patients: a descriptive study. Eur J Paediatr Dent 2014; 15:293–296.
Shapira Y, Lubit E, Kuftinec MM. Hypodontia in children with various types of clefts. Angle Orthod 2000; 70:16–21.
Meazzini MC, Capello AV, Ventrini F, et al. Long-term follow-up of UCLP patients: surgical and orthodontic burden of care during growth and final orthognathic surgery need. Cleft Palate Craniofac J 2015; 52:688–697.
Lee JC, Slack GC, Walker R, et al. Maxillary hypoplasia in the cleft patient: contribution of orthodontic dental space closure to orthognathic surgery. Plast Reconstr Surg 2014; 133:355–361.
Lai LH, Hui BK, Nguyen PD, et al. Lateral incisor agenesis predicts maxillary hypoplasia and Le Fort I advancement surgery in cleft patients. Plast Reconstr Surg 2015; 135:142e–148e.
Gillies HD, Fry WK. A new principle in the surgical treatment of congenital cleft palate and its mechanical counterpart. Br Med J 1921; 1:335–338.
Graber TM. Craniofacial morphology in cleft palate and cleft lip deformities. Surg Gynecol Obstet 1949; 88:359–369.
Ortiz-Monasterio F, Serrano A, Barrera G, et al. A study of untreated adult cleft palate patients. Plast Reconstr Surg 1966; 38:36–41.
Bishara SE, Krause CJ, Olin WH, et al. Facial and dental relationships of individuals with unoperated clefts of the lip and/or palate. Cleft Palate J 1976; 13:238–252.
Lynch JB, Peil R. Retarded maxillary growth in experimental cleft palates. Mechanical binding of scar tissue in puppies. Am Surg 1966; 32:507–511.
Kremenak CR, Huffman WC, Olin WH. Growth of maxillae in dogs after palatal surgery. I. Cleft Palate J 1967; 4:6–17.
Bardach J, Roberts DM, Yale R, et al. The influence of simultaneous cleft lip and palate repair on facial growth in rabbits. Cleft Palate J 1980; 17:309–318.
Bardach J, Mooney M, Bardach E. The influence of two-flap palatoplasty on facial growth in beagles. Plast Reconstr Surg 1982; 69:927–939.
Bardach J, Kelly KM. Does interference with mucoperiosteum and palatal bone affect craniofacial growth? An experimental study in beagles. Plast Reconstr Surg 1990; 86:1093–1100.
Bardach J, Kelly KM, Salyer KE. Relationship between the sequence of lip and palate repair and maxillary growth: an experimental study in beagles. Plast Reconstr Surg 1994; 93:269–278.
Shetty V, Agrawal RK, Sailer HF. Long-term effect of presurgical nasoalveolar molding on growth of maxillary arch in unilateral cleft lip and palate: randomized controlled trial. Int J Oral Maxillofac Surg 2017; 46:977–987.