Dental anomalies in children born with clefts: a case-control study.

Cleft Palate Craniofac J

Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Published: November 2012

Objective: To determine the presence of specific patterns of dental defects in a group of individuals born with clefts.

Design: Case-control.

Setting: Nossa Senhora do Loreto Municipal Hospital and Federal University of Rio de Janeiro Pediatric Dentistry Clinics, Rio de Janeiro, Brazil.

Patients: 642 radiographic and clinical records were evaluated for 321 cases and 321 controls.

Results: Individuals born with clefts presented considerably more dental anomalies in comparison with controls (p  =  .0001). The most frequent was tooth agenesis (n  =  53; p  =  .001), followed by supernumerary teeth (n  =  14; p  =  .11) and tooth malposition (n  =  11; p  =  .33). Regarding tooth agenesis, the upper lateral incisors were more frequently absent in the cleft group (31/86), and control individuals presented more agenesis of the mandibular second premolars (19/45).

Conclusions: The higher prevalence of dental anomalies, especially number anomalies, opposite the cleft area, in individuals born with cleft lip and/or palate is the most common associated dental anomaly outside the cleft area.

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http://dx.doi.org/10.1597/10-067DOI Listing

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