Cleft complications: Severely rotated maxillary permanent central incisors

Area of Science:

• Dentistry
• Orthodontics
• Craniofacial Anomalies

Background:

• Maxillary permanent central incisor (MPCI) rotation is highly prevalent in cleft lip and palate patients (up to 96%).
• Severely rotated MPCIs are aesthetically concerning, highlighting repaired clefts and often being a primary orthodontic complaint.
• The benefits of interceptive orthodontic treatment must be balanced against the increased treatment burden for these patients.

Purpose of the Study:

• To explore the etiology, presentation, and management of rotated MPCIs in cleft patients.
• To discuss the implications of short root length anomalies on orthodontic treatment planning for rotated MPCIs.
• To provide insights from clinical cases treated within the department.

Main Methods:

• Literature review on the etiology and presentation of rotated MPCIs in cleft patients.
• Case series analysis of patients treated for rotated MPCIs.
• Discussion of orthodontic treatment planning considerations, including short root length.

Main Results:

• Rotated MPCIs are a frequent and visible dental abnormality in cleft patients, significantly impacting patient concerns.
• Short root length is a commonly associated anomaly that complicates orthodontic treatment planning.
• Effective management strategies are crucial to address aesthetic and functional concerns.

Conclusions:

• Understanding the multifactorial nature of rotated MPCIs in cleft patients is essential for effective management.
• Orthodontic treatment planning must consider associated anomalies like short root length.
• Further research is needed to optimize interceptive and corrective orthodontic strategies for this population.