Differences in the tooth impaction characteristics between males and females nonsyndromic cleft lip and palate patients: a cross-sectional study

Monica Andreas, Avi Laviana, Endah Mardiati, Elih Sayuti, Indah Yuri Noviaranny

Abstract


ABSTRACT

Introduction: Nonsyndromic cleft lip and palate (nsCLP) refers to an abnormal gap in the upper lip and/or palate, without the presence of additional developmental abnormalities. The risk of tooth impaction in nsCLP-patients is greater than in patients without nsCLP. This research aimed to analyze the differences in the tooth impaction characteristics between males and females nsCLP-patients.  Methods: Type of research is cross-sectional study. CLP by observing 64 panoramic radiographs as population, consisting of 28 males and 36 females with the chronological age of over 7 years. The sampling technique used was purposive sampling of tooth impaction and the number of samples are 14. Univariate analysis was performed to examine the data on tooth impaction characteristics. Bivariate analysis was performed to compare the tooth impaction characteristics between males and females. Results: The proportion of tooth impaction in males (28.57%) was greater than in females (16.67%). Tooth impaction generally affects one tooth. Maxillary permanent canines (64.71%) were the most frequently affected teeth. Most of the impacted teeth were located above the cemento-enamel junction, but less than half the length of the adjacent tooth root with unfavorable angulation<650 to the intercondylar line. There were no significant differences in the tooth impaction characteristics, including proportion (p-value=0.5557), number (p-value=0.0644), position (p-value=0.8273), and angulation (p-value=0.8248), between males and females nsCLP-patients. However, there was a significant difference in the type of impacted teeth (p-value=0.0000) between the two genders. Conclusions: There were no differences in the tooth impaction characteristics, including the proportion, number, position, and angulation, except for the type of impacted teeth, between males and females nsCLP-patients. A small proportion of nsCLP-patients was found to have one impacted tooth, with maxillary permanent canines being the most frequently affected teeth. Impacted teeth were commonly located in favorable positions, but with unfavorable angulation.

KEYWORDS

Tooth impaction, nonsyndromic cleft lip and palate, panoramic radiography


Keywords


Tooth impaction, nonsyndromic cleft lip and palate, panoramic radiography

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References


REFERENCES

Ma K, Du M, Luo C, et al. The relationship between cleft lip and palate children with their trace elements in serum. Int J Clin Exp Pathol. 2016;9(5):5665-5672.

Egbunah UP. Annals of Surgical Education Environmental and Genetic Risk Factors of Nonsyndromic and Syndromic Cleft Lip and Palate - A Literature Review. 2022;3:1-6.

Fitrie RNI, Hidayat M, Dahliana L. Incidence of Cleft Lip with or without Cleft Palate at Yayasan Pembina Penderita Celah Bibir dan Langit-Langit (YPPCBL) in 2016-2019. J Med Heal. 2022;4(1):12. https://doi.org/10.28932/jmh.v4i1.3396

Komala W, Mardiati E, Soemantri ES, Malik I. Physiological maturation stage of cervical vertebrate index in cleft lip/palate and non-cleft lip/palate patients. Maj Kedokt Gigi Indones. 2019;4(3):149. https://doi.org/10.22146/majkedgiind.28356

Mardiati E, Komara I, Halim H, Maskoen AM. Determination of Pubertal Growth Plot Using Hand-wrist and Cervical Vertebrae Maturation Indices, Dental Calcification, Peak Height Velocity, and Menarche. Open Dent J. 2021;15(1):228-240. https://doi.org/10.2174/1874210602115010228

Oner D, Tastan H. Cleft lip and palate: Epidemiology and etiology. Otorhinolaryngol Neck Surg. 2020;5(4):1-5. https://doi.org/10.15761/OHNS.1000246

Antunes CL, Aranha AMF, Bandeca MC, de Musis CR, Borges ÁH, Vieira EMM. Eruption of impacted teeth after alveolar bone graft in cleft lip and palate region. J Contemp Dent Pract. 2018;19(8):933-936. https://doi.org/10.5005/jp-journals-10024-2360

Zakyah AD, Laviana A. Translation and validation of the Indonesian version of the Psychosocial Impact of Dental Aesthetics Questionnaire to measure the psychosocial i. J Kedokt Gigi Univ Padjadjaran. 2021;33(2):119. https://doi.org/10.24198/jkg.v33i2.32721

Samretdee H, Singkhornard J, Rod-Ong D, Maneeganondh S, Theeyoung A, Patjanasoontorn N. Self-esteem of patients with cleft-lip cleft-palate attending the self-esteem enhancement program camp activities. J Med Assoc Thail. 2018;101(5):S59-S63.

Hereman V, Llano-pérula MC De, Willems G, Coucke W, Wyatt J, Verdonck A. Associated parameters of canine impaction in patients with unilateral cleft lip and palate after secondary alveolar bone grafting : a retrospective study. 2018;40(6):575-582. https://doi.org/10.1093/ejo/cjy011

Lasota A. Dental abnormalities in children with cleft lip with or without cleft palate. J Pre-Clinical Clin Res. 2021;15(1):46-49. https://doi.org/10.26444/jpccr/134178

Che Soh, NH; Santhosh Kumar, MP; Arthi B. Prevalence of trigeminal neuralgia among dental patients - An institutional study. Eur J Mol Clin Med. 2020;07(01):1943-1951. https://doi.org/10.26452/ijrps.v11iSPL4.4006

Atoche, JRH; Garcia NAH; Ramirez ME; Perez, FJA Ayala, FJA; Colome, EAL; Ruiz, GEC; Herrera I. Dental anomalies in cleft lip and palate: an unusual case. Medicine (Baltimore). 2022;101(31):1-5. https://doi.org/10.1179/bjo.17.3.243

Pradhan L, Shakya P, Thapa S, et al. Prevalence of dental anomalies in the patient with cleft lip and palate visiting a tertiary care hospital. J Nepal Med Assoc. 2020;58(228):591-596. https://doi.org/10.31729/jnma.5149

Jamilian A, Jamilian M, Darnahal A, Hamedi R, Mollaei M, Toopchi S. Hypodontia and supernumerary and impacted teeth in children with various types of clefts. Am J Orthod Dentofac Orthop. 2015;147(2):221-225. https://doi.org/10.1016/j.ajodo.2014.10.024

Sayuti E. Correlation Of Inter Incisal Angle and Facial Profile after Retraction of Anterior Teeth. Int J Med Sci Clin Invent. 2018;5(09):4048-4051. https://doi.org/10.18535/ijmsci/v5i9.03

Cobourne, M; Dibiase A. Handbook of Orthodontics. 2nd ed. London: Elsevier; 2016.

Korde SJ, Diagavane P, Kulshrestha R, Umale V, Chandurkar K, Hawaldara C. Radiographic Evaluation of Position and Angulation of Impacted Maxillary Canines in Cleft Palate Cases. Arch Dent. 2023;5(1):1-8. https://doi.org/10.33696/dentistry.5.023

Parlina C, Krisnawati K. Penatalaksanaan impaksi gigi premolar kedua bawah kiri tanpa exposure bedah pada perawatan ortodonti cekat: Non-surgical exposure management of impacted lower left second premolar in orthodontic treatment. J Ked Gigi Univ Padjadjaran. 2022;33(3):78. https://doi.org/10.24198/jkg.v33i3.35091

Fekonja A. Radiographic characteristics of impacted teeth. Acta Medico-Biotechnica. 2015;8(1):18-26. https://doi.org/10.18690/actabiomed.113

Ismail AF, Farhana N, Sharuddin A, et al. Risk Prediction of Maxillary Canine Impaction among 9-10-Year- Old Malaysian Children : A Radiographic Study. Biomed Res Int. 2022:1-8. https://doi.org/10.1155/2022/5579243

Namdar P, Mesgarani A, Shiva A. Prevalence of Maxillary Dental Anomalies and Related Factors in Children with Cleft Lip and Palate in Sari. Int J Pediatr. 2021;9(10):14600-14607. https://doi.org/10.22038/ijp.2020.53798.4363.

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. 2018;22(2):689-695. https://doi.org/10.1007/s00784-017-2141-z

Reina H. Dental characterization of colombian children with non syndromic cleft lip and palate. Rev Odontol Mex. 2016;20(3):175-181. https://doi.org/10.1016/j.rodmex.2016.08.005

Gallagher ER, Collett BR, Barron S, Romitti P, Ansley T, Wehby GL. Laterality of oral clefts and academic achievement. Pediatrics. 2017;139(2):1-8. https://doi.org/10.1542/peds.2016-2662

Huda NU, Shahzad HB, Noor M, Ishaq Y, Anwar MA, Kashif M. Frequency of Different Dental Irregularities Associated With Cleft Lip and Palate in a Tertiary Care Dental Hospital. Cureus. 2021;13(4):1-5. https://doi.org/10.7759/cureus.14456

Luis F, Pedro M, Bandéca MC, et al. Prevalence of Impacted Teeth in a Brazilian Subpopulation. J Contemp Dent Pract. 2014;15(4):209-213. https://doi.org/10.5005/jp-journals-10024-1516

Manjunatha BS, Chikkaramaiah S, Panja P, Koratagere N. Impacted maxillary second premolars: A report of four cases. BMJ Case Rep. 2014;2014(9):2-5. https://doi.org/10.1136/bcr-2014-205206

Al-turaihi BA, Ali IH, Alhamdani GM. Patterns of Maxillary Canine Impaction in Iraqi Population. Pesqui Bras Odontopediatria Clin Integr. 2020;20(5266):1-12. https://doi.org/10.1590/pboci.2020.120

Alhammadi M, Asiri H, Almashraqi A. Incidence , severity and orthodontic treatment difficulty index of impacted canines in Saudi population. J Clin Exp Dent. 2018;10(4):327-334. https://doi.org/10.4317/jced.54385

Olsen SH. Ectopic and normal maxillary canine eruption: maxillary incisor root resorption and interceptive treatment. 2019.

Braga BMR, Leal CR, Carvalho RM, Dalben GS. Outcomes of permanent canines on the cleft side after secondary alveolar grafting using different materials in complete unilateral cleft lip and palate Abstract. J Appl Oral Sci. 2023;31(478):1-8.https://doi.org/10.1590/1678-7757-2022-0478

Al-abdallah M, Alhadidi A, Hammad M, Dar-odeh N. What factors affect the severity of permanent tooth impaction ? BMC Oral Health. 2018;18(184):1-7. https://doi.org/10.1186/s12903-018-0649-5

Baidas LF, Alshihah N, Alabdulaly R, Mutaieb S. Severity and Treatment Difficulty of Impacted Maxillary Canine among Orthodontic Patients in Riyadh , Saudi Arabia. Int J Enviromental Res Public Heal. 2022;19(10680):1-13. https://doi.org/10.3390/ijerph191710680




DOI: https://doi.org/10.24198/pjd.vol36no2.54341

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