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Cleft palate with/without cleft lip in French children: radiographic evaluation of prevalence, location and coexistence of dental anomalies inside and outside cleft region

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Abstract

Introduction

Prevalence of dental anomalies in cleft patients is higher than that in general population. The objectives of this study were to assess the prevalence of dental anomalies and their coexistence in French children with cleft and, then, to investigate the relation between the dental anomalies and the cleft type.

Material and methods

Seventy-four non-syndromic cleft patients (6–16 years old) from Lille Regional University and Mondor-Chenevier Hospitals (France) were included. Clefts were classified as right/left unilateral cleft lip and palate (UCLP), bilateral cleft lip and palate (BCLP) and cleft palate (CP). Dental anomalies were investigated on panoramic radiographs and categorized as agenesis, supernumerary teeth, incisor rotations, impacted canines and shape anomalies. Prevalence and gender distribution of dental anomalies, mean number of affected teeth per patient, agenesis occurrence and location, and coexistence of dental anomalies were analysed by cleft type.

Results

96.0% of patients presented at least one dental anomaly (agenesis 83.8%, incisor rotations 25.7%, shape anomalies 21.6%, impacted canines 18.9%, supernumerary teeth 8.1%). BCLP patients had a higher number of affected teeth, and left UCLP patients had a higher one compared to right UCLP patients. Distribution of inside (45.3%) and outside (54.7%) cleft region agenesis was similar. Adjacent (31.8%) and not adjacent (33.3%) combined dental anomalies were often encountered.

Conclusions

Dental anomalies were localized inside as well as outside cleft region and were often associated with each other. BCLP patients were more affected.

Clinical relevance

Early radiographic evaluation allows a comprehensive diagnosis of inside and outside cleft region anomalies, required for the multidisciplinary dental treatment.

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Author information

Authors and Affiliations

  1. Faculty of Dental Surgery, Paris Descartes University, 1 rue Maurice Arnoux, 92120, Montrouge, France

    Francesca Mangione, Laure Nguyen & Elisabeth Dursun

  2. Albert Chenevier Hospital, 40 rue de Mesly, 94010, Créteil Cedex, France

    Francesca Mangione, Laure Nguyen & Elisabeth Dursun

  3. La bor atory Orofacial Pathologies EA 2 496, Imagery and Biotherapies, Dental School and Life imaging Platform (PIV), Paris Desc artes University, 1 rue Maurice Arnoux, 92120, Montrouge, France

    Francesca Mangione

  4. Faculty of Dentistry, Lille University, Place de Verdun, 59000, Lille, France

    Nathalie Foumou & Emmanuelle Bocquet

  5. Lille Regional University Hospital Center, 2 avenue Oscar Lambret, 59037, Lille Cedex, France

    Nathalie Foumou & Emmanuelle Bocquet

  6. Research Unit of Innovative Biomaterials and Interfaces EA 4462, Paris Descartes University, 1 rue Maurice Arnoux, 92120, Montrouge, France

    Elisabeth Dursun

Authors
  1. Francesca Mangione
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  2. Laure Nguyen
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  4. Emmanuelle Bocquet
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Corresponding author

Correspondence to Elisabeth Dursun.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

There was no funding for this study.

Ethical approval

Only anonymous data from medical record (gender, age, type of cleft and radiographic panoramic) were analysed with the permission from the registry holders (Lille Regional University Hospital Center and Henri Mondor-Albert Chenevier Hospital Group). The data were analysed without personal identifying details. Ethical approval was granted by the departmental ethics committee of the Henri Mondor-Albert Chenevier University Hospital Group.

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Mangione, F., Nguyen, L., Foumou, N. et al. 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 Invest 22, 689–695 (2018). https://doi.org/10.1007/s00784-017-2141-z

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  • DOI: https://doi.org/10.1007/s00784-017-2141-z

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