RESUMEN
Cleft lip and palate are relatively common congenital malformations, which may require specialist paedodontic treatment. In this article, the case of a 9-year-old boy with bilateral complete cleft lip and palate is presented. He attended the Hospital for Rehabilitation of Craniofacial Anomalies (HRAC) for routine examination, during which the presence of pre-canine supernumeraries bilaterally in the cleft area was seen. The extraction of these dental elements was justified by extensive carious lesions and because they represented a potential problem during secondary palatoplasty. The precautions needed in tooth extraction in patients with cleft lip and palate are described, together with illustrations of the clinical procedure.
Asunto(s)
Fisura del Paladar/complicaciones , Atención Dental para Enfermos Crónicos , Extracción Dental/métodos , Diente Supernumerario/cirugía , Niño , Labio Leporino/complicaciones , Diente Canino/anomalías , Caries Dental/complicaciones , Caries Dental/cirugía , Humanos , Masculino , Diente Supernumerario/complicacionesRESUMEN
OBJECTIVE: Natal/neonatal teeth are very common in children with complete unilateral and bilateral cleft lip and palate. The extraction of these teeth is the usual treatment in the Hospital for Rehabilitation of Craniofacial Anomalies. The objective of this study was to verify whether these teeth could be of the normal complement or whether they were supernumerary. DESIGN: The primary dentition of children with cleft lip and palate with and without natal/neonatal teeth was compared at the Hospital for Rehabilitation of Craniofacial Anomalies. SUBJECTS: The sample consisted of 55 children with complete unilateral and bilateral cleft lip and palate with natal/neonatal teeth and 54 without. RESULTS: No positive association between these groups and missing lateral incisor or supernumerary or complete dentition was found. CONCLUSION: The extraction of the natal/neonatal teeth did not alter the final complement of primary teeth, and these teeth could be the lateral incisor or supernumerary.
Asunto(s)
Labio Leporino/patología , Fisura del Paladar/patología , Dientes Neonatales/patología , Diente Primario/patología , Anodoncia/patología , Niño , Preescolar , Estudios de Evaluación como Asunto , Femenino , Humanos , Incisivo/anomalías , Masculino , Maxilar , Estadística como Asunto , Diente Supernumerario/patologíaRESUMEN
OBJECTIVE: The objective of this study was to determine the prevalence of ectopic eruption of intranasal teeth. DESIGN: This was a retrospective study, where records of children with repaired cleft lip and palate were analyzed. SETTING: The study was conducted at a large craniofacial center, the Hospital for Rehabilitation of Craniofacial Anomalies, USP, Bauru, São Paulo, Brazil. SUBJECTS: The sample consisted of 815 records from patients with bilateral cleft lip and palate (BCLP) and 1,495 records from patients with unilateral cleft lip and palate (UCLP). The age of the subjects was 5 to 10 years old and the groups included both males and females. RESULTS: The results showed that 0.61% of the children with BCLP and 0.40% of those with UCLP had an intranasal tooth. The prevalence of an intranasal tooth for the whole group was 0.48%, and it appeared to be more common in females.
Asunto(s)
Labio Leporino/complicaciones , Fisura del Paladar/complicaciones , Erupción Ectópica de Dientes/epidemiología , Brasil/epidemiología , Distribución de Chi-Cuadrado , Niño , Preescolar , Femenino , Humanos , Masculino , Cavidad Nasal , Prevalencia , Estudios Retrospectivos , Distribución por Sexo , Erupción Ectópica de Dientes/etiologíaRESUMEN
Many dentists refuse to offer dental assistance to cleft lip and palate patients because they lack understanding about this malformation and do not want to make a professional mistake with the anesthesia. The aim of this work is to guide clinical practitioners, who want to work with these patients about the anatomical features of the cleft lip and palate area and the implications in the anesthetic procedures.
Asunto(s)
Anestesia Dental/métodos , Anestesia Local/métodos , Labio Leporino/patología , Fisura del Paladar/patología , Atención Odontológica , Anestésicos Locales/administración & dosificación , Humanos , Inyecciones/métodosRESUMEN
In the daily routine of the Hospital for Research and Rehabilitation of Cleft Lip and Palate, a high frequency of natal/neonatal teeth was observed. Therefore, this retrospective study was conducted to determine the prevalence of this anomaly in 692 patients with complete unilateral and 327 bilateral cleft lip and palate, who were less than 3 months old, without prior surgery, and registered at the Hospital from 1989 to 1994. A higher prevalence of such teeth was found in the complete bilateral cleft group (10.6%), than in the complete unilateral cleft group (2.02%). Both, however, were higher than that reported for noncleft groups. There were also different characteristics in the appearance of these teeth in cleft patients from those previously related in the literature for normal patients. The conclusion was that these differences constitute another particularity of the cleft lip and palate patient.