Developmental characteristics of the permanent upper lateral incisor in unilateral cleft lip and palate.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Tim B A Knüppe, Mona Haj, Elske M Strabbing, Eppo B Wolvius, Paola L Carvajal Monroy
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引用次数: 0

Abstract

Objectives: This study aims to provide insights into the developmental characteristics of the upper lateral incisor in individuals with unilateral clefts.

Materials and methods: Panoramic radiographs of a consistent group of Caucasian children taken over time (ages 6, 9, and 12) were extensively reviewed. The study assessed the distribution pattern, eruption path, tooth development, and crown size of the upper lateral incisor within the cleft region.

Results: The most commonly observed distribution pattern was the lateral incisor located distal to the cleft, accounting for 49.2% of cases. Furthermore, a significant delay in tooth development of the upper lateral incisor on the cleft side was noted at ages 6 and 9 (p > 0.001). Compared with the non-cleft side, these incisors often erupted along the alveolar cleft and exhibited microdontia (88.3%, p < 0.041).

Conclusion: Lateral incisors on the cleft side display unique distribution patterns, microdontia, and delayed tooth development. Careful monitoring of the cuspid eruption is essential, as it can influence the eruption of the lateral incisor.

Clinical relevance: A comprehensive understanding of the development of the upper lateral incisor relative to the cleft is vital for determining its prognosis over time. The position of the upper lateral incisor can also influence the timing and prognosis of secondary alveolar bone grafting. Preserving the upper lateral incisor favors arch length, perimeter, and symmetry in individuals with unilateral clefts.

单侧唇腭裂患者永久性上外侧切牙的发育特征。
研究目的本研究旨在深入了解单侧唇裂患者上外侧切牙的发育特征:对一组高加索儿童在不同时期(6 岁、9 岁和 12 岁)拍摄的全景照片进行了广泛的审查。研究评估了上侧切牙在裂隙区域内的分布模式、萌出路径、牙齿发育和牙冠大小:结果:最常见的分布模式是侧切牙位于裂隙远端,占病例总数的 49.2%。此外,裂隙一侧的上侧切牙在 6 岁和 9 岁时牙齿发育明显延迟(p > 0.001)。与非唇裂侧相比,这些切牙通常沿着牙槽裂萌出,并表现出微牙合(88.3%,p 结论:唇裂侧的上侧切牙发育明显滞后:唇裂侧的侧切牙显示出独特的分布模式、微牙合和牙齿发育延迟。对尖牙萌出的仔细监测至关重要,因为它会影响侧切牙的萌出:临床意义:全面了解上侧切牙相对于裂隙的发育情况,对于确定其随着时间推移的预后至关重要。上侧切牙的位置也会影响二次牙槽骨移植的时机和预后。保留上侧切牙有利于单侧唇裂患者的牙弓长度、周长和对称性。
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来源期刊
Oral and Maxillofacial Surgery-Heidelberg
Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.20
自引率
5.60%
发文量
118
期刊介绍: Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).
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