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Absent maxillary lateral incisor as evidence of poor midfacial growth in unilateral cleft lip and palate.

Abstract

OBJECTIVE

The absence of a maxillary permanent lateral incisor in patients with unilateral cleft lip and palate (UCLP) may affect the dental arch relationship. An analysis is performed to investigate the relationship between the maxillary-mandibular dental relationship and the status of the maxillary permanent lateral incisor.

STUDY DESIGN

Patients with non-syndromic UCLP were analysed using the GOSLON Yardstick to assess maxillary-mandibular dental relationship on pre-expansion orthodontic study models. Absence of the permanent upper lateral incisor on the cleft side was assessed from medical records and dental radiographs.

RESULTS

A total of 83 subjects were identified: 54 males and 29 females, with 54 having a missing lateral incisor on the cleft side. There was a significant relationship between the GOSLON Yardstick score and the absence of the maxillary permanent lateral incisor on the cleft side (p<0.05). Of those in GOSLON categories 4 and 5, 78% had a missing lateral incisor compared to 42.3% in GOSLON 1 and 2.

CONCLUSIONS

Missing lateral incisor may be an indicator of severity of dental arch discrepancy.

Authors+Show Affiliations

Department of Plastic Surgery, Birmingham Children's Hospital, NHS Foundation Trust, Birmingham, UK; University of Birmingham, Edgbaston, Birmingham, UK.Birmingham Dental Hospital, Birmingham, UK.Department of Plastic Surgery, Birmingham Children's Hospital, NHS Foundation Trust, Birmingham, UK. Electronic address: bruce.richard@bch.nhs.uk.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25660277

Citation

Hardwicke, Joseph, et al. "Absent Maxillary Lateral Incisor as Evidence of Poor Midfacial Growth in Unilateral Cleft Lip and Palate." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, vol. 119, no. 4, 2015, pp. 392-5.
Hardwicke J, Chhabra P, Richard B. Absent maxillary lateral incisor as evidence of poor midfacial growth in unilateral cleft lip and palate. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(4):392-5.
Hardwicke, J., Chhabra, P., & Richard, B. (2015). Absent maxillary lateral incisor as evidence of poor midfacial growth in unilateral cleft lip and palate. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 119(4), 392-5. https://doi.org/10.1016/j.oooo.2014.12.011
Hardwicke J, Chhabra P, Richard B. Absent Maxillary Lateral Incisor as Evidence of Poor Midfacial Growth in Unilateral Cleft Lip and Palate. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(4):392-5. PubMed PMID: 25660277.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Absent maxillary lateral incisor as evidence of poor midfacial growth in unilateral cleft lip and palate. AU - Hardwicke,Joseph, AU - Chhabra,Purnima, AU - Richard,Bruce, Y1 - 2014/12/24/ PY - 2014/10/08/received PY - 2014/12/03/revised PY - 2014/12/12/accepted PY - 2015/2/10/entrez PY - 2015/2/11/pubmed PY - 2015/12/15/medline SP - 392 EP - 5 JF - Oral surgery, oral medicine, oral pathology and oral radiology JO - Oral Surg Oral Med Oral Pathol Oral Radiol VL - 119 IS - 4 N2 - OBJECTIVE: The absence of a maxillary permanent lateral incisor in patients with unilateral cleft lip and palate (UCLP) may affect the dental arch relationship. An analysis is performed to investigate the relationship between the maxillary-mandibular dental relationship and the status of the maxillary permanent lateral incisor. STUDY DESIGN: Patients with non-syndromic UCLP were analysed using the GOSLON Yardstick to assess maxillary-mandibular dental relationship on pre-expansion orthodontic study models. Absence of the permanent upper lateral incisor on the cleft side was assessed from medical records and dental radiographs. RESULTS: A total of 83 subjects were identified: 54 males and 29 females, with 54 having a missing lateral incisor on the cleft side. There was a significant relationship between the GOSLON Yardstick score and the absence of the maxillary permanent lateral incisor on the cleft side (p<0.05). Of those in GOSLON categories 4 and 5, 78% had a missing lateral incisor compared to 42.3% in GOSLON 1 and 2. CONCLUSIONS: Missing lateral incisor may be an indicator of severity of dental arch discrepancy. SN - 2212-4411 UR - https://www.unboundmedicine.com/medline/citation/25660277/Absent_maxillary_lateral_incisor_as_evidence_of_poor_midfacial_growth_in_unilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2212-4403(14)01416-3 DB - PRIME DP - Unbound Medicine ER -