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Timing and sequence of primary tooth eruption in children with cleft lip and palate
Tatiana Yuriko Kobayashi1, Márcia Ribeiro Gomide, Cleide Felício de Carvalho Carrara
1Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
Insights
Children with complete bilateral cleft lip and palate show delayed primary tooth eruption timing and altered sequence. This finding highlights the impact of clefts on dental development in young children.
Area of Science:
- Craniofacial Anomalies
- Pediatric Dentistry
- Developmental Biology
Background:
- Complete bilateral cleft lip and palate (CBCP) are significant congenital conditions.
- Understanding the impact of CBCP on dental development is crucial for early intervention.
Purpose of the Study:
- To investigate the eruption timing and sequence of primary teeth in children with CBCP.
- To compare dental eruption patterns between children with and without CBCP.
Main Methods:
- Cross-sectional study of 395 children (0-48 months) with CBCP.
- Data collected at a specialized craniofacial anomalies hospital in Brazil.
- Analysis of primary tooth eruption timing and sequence.
Main Results:
- Children with CBCP exhibited delayed eruption of most primary teeth compared to non-cleft controls.
- The maxillary lateral incisor showed the most significant eruption delay.
- Eruption patterns differed between genders, with girls generally showing earlier eruption than boys.
Conclusions:
- Cleft lip and palate significantly interfere with the normal timing and sequence of primary tooth eruption.
- Findings underscore the need for specialized dental monitoring in children with CBCP.
Objective:
To determine the timing and sequence of eruption of primary teeth in children with complete bilateral cleft lip and palate.
Material And Methods:
This cross-sectional study was conducted at the Hospital for Rehabilitation of Craniofacial Anomalies of the University of São Paulo, Bauru, SP, Brazil, with a sample of 395 children (128 girls and 267 boys) aged 0 to 48 months, with complete bilateral cleft lip and palate.
Results:
Children with complete bilateral clefts presented a higher mean age of eruption of all primary teeth for both arches and both genders, compared to children without clefts. This difference was statistically significant for all teeth, except for the maxillary first molar. Mean age of eruption of most teeth was lower for girls compared to boys. The greatest delay was found for the maxillary lateral incisor, which was the eighth tooth of children with clefts of both genders. Analyzing by gender, the maxillary lateral incisor was the eighth tooth to erupt in girls and the last in boys.
Conclusion:
The results suggest an interference of the cleft on the timing and sequence of eruption of primary teeth.
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