Location and presence of permanent teeth in a complete bilateral cleft lip and palate population

To describe the location and presence of permanent teeth in nonsyndromic complete bilateral cleft lip and palate patients from the Manitoba Centre for Craniofacial Difference.

Records of 1570 patients dating back to 1958 were assessed in this retrospective chart review.

Thirty-eight patients met the inclusion criteria, providing 76 cleft site teeth: A tooth on each side of the cleft was considered to have developed from a single lateral incisor tooth bud. The pattern M was assigned when a tooth was found mesial to the cleft, D when distal, MD when mesial and distal and AB if none was found. Pattern M was noted 9.2% of the time; D, 47.4%; MD, 5.3%; and AB, 38.2%. Teeth outside the cleft site: In the maxilla, agenesis occurred in 11.9% of second premolars and 10.5% of central incisors. In the mandible, agenesis occurred in 4.0% of second premolars, 2.6% of lateral incisors, 2.6% of central incisors, and 2.6% of second molars.

The lateral incisor was most commonly found distal to the cleft. Agenesis of the lateral incisor and teeth outside the cleft were more common than in noncleft populations.