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Chronology of deciduous teeth eruption in children with cleft lip and palate

Cristiane Duque1, Gisele da Silva Dalben, Andreza Maria Fábio Aranha

  • 1Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo (HRCA-USP), Bauru, Sao Paulo, Brazil.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|May 21, 2004
PubMed

Insights

Children with complete unilateral cleft lip and palate show delayed tooth eruption on the affected side. The maxillary lateral incisor on the cleft side erupts last, altering the typical deciduous tooth sequence.

Area of Science:

  • Pediatric Dentistry
  • Craniofacial Anomalies
  • Dental Development

Background:

  • Complete unilateral cleft lip and palate (UCLP) is a common congenital anomaly.
  • Tooth eruption patterns can be affected by UCLP, impacting oral development.
  • Understanding deciduous tooth eruption chronology in UCLP is crucial for clinical management.

Purpose of the Study:

  • To investigate the timing and order of deciduous tooth eruption in children with UCLP.
  • To compare eruption chronology between teeth on the cleft and non-cleft sides.
  • To identify any sex-specific differences in eruption patterns.

Main Methods:

  • Cross-sectional study design.
  • Involved 435 children aged 0-48 months with complete UCLP.
  • Data collected from a specialized craniofacial anomaly hospital in Brazil.

Main Results:

  • Teeth on the cleft side showed a significantly later mean eruption age compared to the non-cleft side.
  • Statistically significant delays were observed for the maxillary lateral incisor, maxillary cuspid, and mandibular lateral incisor.
  • The maxillary lateral incisor on the cleft side was the last to erupt, disrupting the normal sequence.

Conclusions:

  • The presence of a cleft significantly interferes with the eruption chronology of directly associated deciduous teeth.
  • Delayed eruption and altered sequence highlight the impact of UCLP on dental development.
  • Findings support the need for tailored monitoring of dental development in children with UCLP.
Abstract

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