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Permanent tooth development in children with cleft lip and palate
Adena F Borodkin1, Robert J Feigal, Soraya Beiraghi
1School of Dentistry, University of Minnesota, Minneapolis, Minn, USA. aborodkin@hotmail.com
Pediatric Dentistry
|October 24, 2008
Summary
Permanent tooth development is delayed in children with cleft lip and palate (CLP), particularly in boys. This delay is not linked to cleft type, severity, or tooth proximity to the cleft.
Area of Science:
- Craniofacial anomalies
- Pediatric dentistry
- Dental development
Background:
- Cleft lip and palate (CLP) is a common congenital condition affecting facial structures.
- Dental development in CLP patients may differ from the general population.
- Understanding these differences is crucial for comprehensive patient care.
Purpose of the Study:
- Quantify and compare permanent tooth development in CLP patients versus controls.
- Correlate developmental findings with cleft type and severity.
- Examine delays in specific maxillary teeth relative to cleft proximity.
Main Methods:
- Utilized panoramic radiographs for dental development staging in 49 CLP patients and 49 controls.
- Assessed dental age and employed standardized measurement techniques.
- Analyzed data using a mixed-effects linear model.
Main Results:
- A significant correlation was found between delayed permanent tooth development and CLP (overall delay of 0.52 years, P = .02).
- Boys accounted for the entire observed delay; no significant differences were noted between unilateral and bilateral clefts.
- Maxillary first and second premolars, and second molars were most frequently affected by developmental delays.
Conclusions:
- Permanent tooth development is indeed delayed in individuals with CLP.
- This delay is predominantly observed in boys and is independent of cleft type or severity.
- The study found no correlation between tooth developmental delay and the proximity of teeth to the cleft area.
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