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Sickle cell gnathopathy: radiologic assessment.

D L Brown, J I Sebes

    Oral Surgery, Oral Medicine, and Oral Pathology
    |June 1, 1986
    PubMed
    Summary
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    Sickle cell gnathopathy, a dental issue in sickle cell anemia, can be accurately measured using the palate-alveolar ridge (PAR) angle. This radiographic method helps evaluate maxillary protrusion caused by marrow hyperplasia.

    Area of Science:

    • Dentistry
    • Radiology
    • Genetics

    Background:

    • Sickle cell anemia can cause skeletal abnormalities, including dental issues known as sickle cell gnathopathy.
    • Objective evaluation methods are needed to assess these changes.

    Purpose of the Study:

    • To objectively evaluate sickle cell gnathopathy using lateral skull radiographs.
    • To compare hard palate length and palate-alveolar ridge (PAR) angle in patients with sickle cell anemia and controls.

    Main Methods:

    • Lateral skull radiographs were taken from 50 sickle cell anemia patients and 25 controls.
    • Measurements included hard palate length, PAR angle, and Sella-Nasion-Anterior nasal spine (SNA) angle.
    • Statistical comparison was performed between the patient and control groups.

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    Main Results:

    • A significant difference was observed in the PAR angle between sickle cell anemia patients and controls.
    • No significant differences were found in hard palate length or SNA angle.
    • Maxillary protrusion in sickle cell gnathopathy is primarily associated with an increased PAR angle.

    Conclusions:

    • The PAR angle is a simple and accurate radiographic measurement for evaluating sickle cell gnathopathy.
    • Marrow hyperplasia is the likely cause of maxillary overgrowth in sickle cell anemia.
    • Radiographic assessment of the PAR angle aids in understanding and managing sickle cell gnathopathy.