Assessment of Root Surface Areas of Maxillary Permanent Teeth in Thai Patients with Complete Unilateral Cleft Lip and Palate using Cone Beam Computed Tomography

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Naowarat Saenjandee
Marasri Chaiworawitkul
Dhirawat Jotikasthira
Apirum Janhom
Patiyut Sriwilas

Abstract

Objective: To assess and compare the root surface areas of the maxillary permanent teeth between the cleft and the non-cleft sides in Thai patients with complete unilateral cleft lip and palate, using cone beam computed tomography.


Materials and Methods: Two hundred and sixteen cone beam computed tomographic images of maxillary permanent teeth from 20 Thai patients with unilateral cleft lip and palate (mean age: 10.50 ± 2.24 years) were used to construct three-dimensional tooth models with the Mimics Research 15.01 software. The cemento-enamel junction was identified, and the root surface areas of each tooth type was calculated automatically by the 3-Matic Research version 7.01 software. The median root surface areas of each tooth type from the cleft and non-cleft sides were compared using the non-parametric Wilcoxon matched pairs signed rank test (P < 0.05).


Results: The median root surface areas of maxillary central incisors, maxillary canines, first premolars, second premolars and first molars on the cleft side in Thai patients with complete unilateral cleft lip and palate were significantly less than those on the non-cleft side. The median root surface area of the four remaining maxillary lateral incisors on the cleft side was less than on the non-cleft side but the difference was not statistically significant.


Conclusions: The root surface areas of the maxillary permanent teeth were less on the cleft side than those on the non-cleft side in Thai patients with complete unilateral cleft lip and palate except maxillary lateral incisor.

Article Details

How to Cite
Saenjandee , N., Chaiworawitkul , M. ., Jotikasthira, D., Janhom , A. ., & Sriwilas , P. . (2020). Assessment of Root Surface Areas of Maxillary Permanent Teeth in Thai Patients with Complete Unilateral Cleft Lip and Palate using Cone Beam Computed Tomography. Chiang Mai Dental Journal, 41(3), 31–41. Retrieved from https://he01.tci-thaijo.org/index.php/cmdj/article/view/246383
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Original article

References

Dixon MJ, Marazita ML, Beaty TH, Murray JC. Cleft lip and palate: understanding genetic and environmental influences. Nat Rev Genet 2011; 12(3): 167-178.

Ribeiro LL, Neves LTD, Costa B, Gomide MR. Dental development of permanent lateral incisor in complete unilateral cleft lip and palate. Cleft Palate Craniofac J 2002; 39(2): 193-196.

Tortora C, Meazzini MC, Garattini G, Brusati R. Prevalence of abnormalities in dental structure, position, and eruption pattern in a population of unilateral and bilateral cleft lip and palate patients. Cleft Palate Craniofac J 2008; 45(2): 154-162.

Celikoglu M, Buyuk S, Sekerci A, Cantekin K, Candirli C. Maxillary dental anomalies in patients with cleft lip and palate: a cone beam computed tomography study. J Clin Pediatr Dent 2015; 39(2): 183-186.

Haque S, Alam MK. Common dental anomalies in cleft lip and palate patients. Malays J Med Sci 2015; 22(2): 55-60.

Lehtonen V, Anttonen V, Ylikontiola L, Koskinen S, Pesonen P, Sándor G. Dental anomalies associated with cleft lip and palate in Northern Finland. Eur J Paediatr Dent 2015; 16(4): 327-332.

Rullo R, Festa V, Rullo R, et al. Prevalence of dental anomalies in children with cleft lip and unilateral and bilateral cleft lip and palate. Eur J Paediatr Dent 2015; 16(3): 229-232.

Amarlal D, Muthu M, Kumar NS. Root development of permanent lateral incisor in cleft lip and palate children: a radiographic study. Indian J Dent Res 2007; 18(2): 82-86.

Brouwers HJ, Kuijpers AM. Development of permanent tooth length in patients with unilateral cleft lip and palate. Am J Orthod Dentofacial Orthop 1991; 99(6): 543-549.

Ranta R. A review of tooth formation in children with cleft lip/palate. Am J Orthod Dentofacial Orthop 1986; 90(1) :11-18.

Celebi AA, Ucar FI, Sekerci AE, Caglaroglu M, Tan E. Effects of cleft lip and palate on the development of permanent upper central incisors: a cone-beam computed tomography study. Eur J Orthod 2015; 37(5): 544-549.

Lai MC, King NM, Wong HM. Dental development of Chinese children with cleft lip and palate. Cleft Palate Craniofac J 2008; 45(3): 289-296.

Suzuki A, Nakano M, Yoshizaki K, Yasunaga A, Haruyama N, Takahashi I. A longitudinal study of the presence of dental anomalies in the primary and permanent dentitions of cleft lip and/or palate patients. Cleft Palate Craniofac J 2017; 54(3): 309-320.

Topolski F, Souza RBd, Franco A, Cuoghi OA, Assuncao LRdS, Fernandes A. Dental development of children and adolescents with cleft lip and palate. Braz J Oral Sci 2014; 13(4) :319-324.

Zhang X, Zhang Y, Yang La, Shen G, Chen Z. Asymmetric dental development investigated by cone-beam computed tomography in patients with unilateral cleft lip and alveolus. Cleft Palate Craniofac J 2016; 53(4): 413-420.

Oppenheim A. Tissue changes, particularly of the bone, incident to tooth movement. Eur J Orthod 2007; 29(suppl 1): 2-15.

Schwarz AM. Tissue changes incidental to orthodontic tooth movement. Int J Orthod 1932; 18(4): 331-352.

Chen SK, Chen CM, Jeng JY. Calculation of simplified single-root surface area from simulated X-ray projection. J Periodontol 2002; 73(8): 906-910.

Mowry JK, Ching MG, Orjansen MD, et al. Root surface area of the mandibular cuspid and bicuspids. J Periodontol 2002; 73(10): 1095-1100.

Gibbs SJ. Effective dose equivalent and effective dose: comparison for common projections in oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90(4): 538-545.

Ngan D, Kharbanda OP, Geenty JP, Darendeliler M. Comparison of radiation levels from computed tomography and conventional dental radiographs. Aust Orthod J 2003; 19(2): 67-75.

Suteerapongpun P, Sirabanchongkran S, Wattanachai T, Sriwilas P, Jotikasthira D. Root surface areas of maxillary permanent teeth in anterior normal overbite and anterior open bite assessed using cone-beam computed tomography. Imaging Sci Dent 2017; 47(4): 241-246.

Tasanapanont J, Apisariyakul J, Wattanachai T, Sriwilas P, Midtbo M, Jotikasthira D. Comparison of 2 root surface area measurement methods: 3-dimensional laser scanning and cone-beam computed tomography. Imaging Sci Dent 2017; 47(2): 117-122.

Mangione F, Nguyen L, Foumou N, Bocquet E, Dursun E. Cleft palate with/without cleft lip in French children: radiographic evaluation of prevalence, location and coexistence of dental anomalies inside and outside cleft region. Clin Oral Investig 2017; 22(2): 689-695.

Menezes R, Vieira AR. Dental anomalies as part of the cleft spectrum. Cleft Palate Craniofac J 2008; 45(4): 414-419.

Nicholls W. Dental anomalies in children with cleft lip and palate in Western Australia. Eur J Dent 2016; 10(2): 254-258.

Paradowska A, Dubowik M, Szelag J, Kawala B. Dental anomalies in the incisor-canine region in patients with cleft lip and palate-literature review. Dev Period Med 2014; 18(1): 66-69.

Pioto NR, Costa B, Gomide MR. Dental development of the permanent lateral incisor in patients with incomplete and complete unilateral cleft lip. Cleft Palate Craniofac J 2005; 42(5): 517-520.

Ranta R. A comparative study of tooth formation in the permanent dentition of Finnish children with cleft lip and palate. An orthopantomographic study. Proc Finn Dent Soc 1972; 68(2): 58-66.

Ranta R. Asymmetric tooth formation in the permanent dentition of cleft-affected children. An orthopantomographic study. Scand J Plast Reconstr Surg 1973; 7(1): 59-63.

Zhou W, Li W, Lin J, Liu D, Xie X, Zhang Z. Tooth lengths of the permanent upper incisors in patients with cleft lip and palate determined with cone beam computed tomography. Cleft Palate Craniofac J 2013; 50(1): 88-95.

Solis A, Figueroa AA, Cohen M, Polley JW, Evans CA. Maxillary dental development in complete unilateral alveolar clefts. Cleft Palate Craniofac J 1998; 35(4): 320-328.

Peterka M, Tvrdek M, Müllerová Z. Tooth eruption in patients with cleft lip and palate. Acta Chir Plast 1993; 35(3-4): 154-158.

Bailit HL, Niswander JD, MacLean CJ. The relationship among several prenatal factors and variation in the permanent dentition in Japanese children. Growth 1968; 32(4): 331-345.

Akcam MO, Evirgen S, Uslu O, Memikoğlu UT. Dental anomalies in individuals with cleft lip and/or palate. Eur J Orthod 2010; 32(2): 207-213.

Lekkas C, Latief B, Ter Rahe S, Kuijpers-Jagtman A. The adult unoperated cleft patient: absence of maxillary teeth outside the cleft area. Cleft Palate Craniofac J 2000; 37(1): 17-20.

Cosman B, Crikelair GF. The minimal cleft lip. Plast Reconstr Surg 1966; 37(4): 334-340.

Dixon DA, Newton I. Minimal forms of the celft syndrome demonstrated by stereophotogrammetric surveys of the face. Br Dent J 1972; 132(5): 183-189.

Dixon DA. Defects of structure and formation of the teeth in persons with cleft palate and the effect of reparative surgery on the dental tissues. Oral Surg Oral Med Oral Pathol 1968; 25(3): 435-446.

Hellquist R, Linder-Aronson S, Norling M, Ponten B, Stenberg T. Dental abnormalities in patients with alveolar clefts, operated upon with or without primary periosteoplasty. Eur J Orthod 1979; 1(3): 169-180.

Kraus BS, Jordan RE, Pruzansky S. Dental abnormalities in the deciduous and permanent dentitions of individuals with cleft lip and palate. J Dent Res 1966; 45(6): 1736-1746.

Vastardis H, Karimbux N, Guthua SW, Seidman JG, Seidman CE. A human MSX1 homeodomain missense mutation causes selective tooth agenesis. Nat Genet 1996; 13(4): 417-421.

Lopatiene K, Dumbravaite A. Risk factors of root resorption after orthodontic treatment. Stomatologija 2008; 10(3): 89-95.