Scandcleft randomized trials of primary surgery for unilateral cleft lip and palate: Dental anomalies in 8-year olds

Sara Rizell*, Haydn Bellardie, Agneta Karsten, Paul Sæle, Jeanette Mooney, Arja Heliövaara, Annelise Küseler, Eli Brinck, Pål Skaare, Kirsten Mølsted, Midia Najar Chalien, Agneta Marcusson, Phil Eyres, W. Shaw, Gunvor Semb

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Children born with unilateral cleft lip and palate (UCLP) are reported to display several dental anomalies including agenesis, supernumeraries, as well as variations in dental size, shape, and path of eruption. The extensive sample of individuals with UCLP included in the Scandcleft randomized control trials offers the opportunity to study more rare conditions, which is seldom possible with limited samples. Objectives: The aim was to study dental anomalies at 8 years of age in children born with UCLP included in the Scandcleft randomized control trials. Methods: Panoramic and intraoral radiographs from 425 individuals (279 males and 146 females) with a mean age of 8.1 years were assessed by four orthodontists regarding dental anomalies. Results: Agenesis was found in 52.5 per cent and supernumerary teeth in 16.9 per cent of the participants. The cleft lateral was missing in 43.8 per cent and was found peg shaped in 44.7 per cent. The distribution of ectopic eruption was 14.6 per cent, mainly affecting maxillary first molars, while transposition was found in 3.4 per cent of the individuals. In addition, infraocclusion of one or several primary molars was registered in 7.2 per cent of the participants. Conclusion: We conclude that 8-year-old children born with UCLP display multiple dental anomalies. The Scandcleft sample allowed rarely studied conditions such as infraocclusion of primary molars and transposition to be studied in children born with UCLP. Trial registration: ISRCTN29932826.

Original languageEnglish
Pages (from-to)8-14
Number of pages7
JournalEuropean Journal of Orthodontics
Volume42
Issue number1
Early online date3 Oct 2019
DOIs
Publication statusPublished - 1 Feb 2020

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