Prognosis of Maxillary Central Incisors in Patients with Bilateral Cleft Lip/Palate.

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Cleft Palate-Craniofacial Journal Pub Date : 2024-09-01 Epub Date: 2023-05-09 DOI:10.1177/10556656231175337

Mark A Green, Collin Ritchie, Sarah Flanagan, Laura Nuzzi, Bonnie L Padwa

{"title":"Prognosis of Maxillary Central Incisors in Patients with Bilateral Cleft Lip/Palate.","authors":"Mark A Green, Collin Ritchie, Sarah Flanagan, Laura Nuzzi, Bonnie L Padwa","doi":"10.1177/10556656231175337","DOIUrl":null,"url":null,"abstract":"Evaluate periodontal bone support of maxillary central incisors (MCI) in patients with bilateral complete cleft lip and palate (BCCLP). Determine if syndromic diagnosis, age at time of alveolar bone graft (ABG), presence of maxillary lateral incisor (MLI), history of dentofacial orthopedics, maxillary expansion, and pre-maxillary osteotomy are associated with the periodontal bone support of MCI.Retrospective radiographic study.Tertiary care children's hospital.One hundred seventy-nine patients with BCCLP (22 syndromic) who had post-operative ABG cone beam computed tomography (CBCT) scans taken between 2002-2018.Crown to root (C/R) ratio of MCI measured on CBCT scans.The C/R ratio in 65% of MCI indicated periodontally compromised teeth. Presence of a MLI improved bone support on adjacent MCI when compared to those missing a MLI (51.4% vs 28.4%, P = .010). There was no significant difference in C/R ratios for syndromic diagnosis, age at ABG, history of dentofacial orthopedics, maxillary expansion, and pre-maxillary osteotomy.The majority of MCI in patients with BCCLP are periodontally compromised but bone support is improved when cleft adjacent lateral incisors are present.","PeriodicalId":55255,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cleft Palate-Craniofacial Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656231175337","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/5/9 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Evaluate periodontal bone support of maxillary central incisors (MCI) in patients with bilateral complete cleft lip and palate (BCCLP). Determine if syndromic diagnosis, age at time of alveolar bone graft (ABG), presence of maxillary lateral incisor (MLI), history of dentofacial orthopedics, maxillary expansion, and pre-maxillary osteotomy are associated with the periodontal bone support of MCI.

Retrospective radiographic study.

Tertiary care children's hospital.

One hundred seventy-nine patients with BCCLP (22 syndromic) who had post-operative ABG cone beam computed tomography (CBCT) scans taken between 2002-2018.

Crown to root (C/R) ratio of MCI measured on CBCT scans.

The C/R ratio in 65% of MCI indicated periodontally compromised teeth. Presence of a MLI improved bone support on adjacent MCI when compared to those missing a MLI (51.4% vs 28.4%, P = .010). There was no significant difference in C/R ratios for syndromic diagnosis, age at ABG, history of dentofacial orthopedics, maxillary expansion, and pre-maxillary osteotomy.

The majority of MCI in patients with BCCLP are periodontally compromised but bone support is improved when cleft adjacent lateral incisors are present.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

双侧唇腭裂患者上颌中切牙的预后。

评估双侧完全唇腭裂（BCCLP）患者上颌中切牙（MCI）的牙周骨支持情况。确定综合征诊断、牙槽骨移植（ABG）时的年龄、上颌侧切牙（MLI）的存在、颌面矫形史、上颌扩展和上颌前截骨术是否与 MCI 的牙周骨支持有关。在 2002-2018 年间，179 名 BCCLP 患者（22 名综合征患者）接受了术后 ABG 锥形束计算机断层扫描（CBCT），CBCT 扫描测量了 MCI 的冠根比（C/R）。与缺少MLI的MCI相比，有MLI的MCI改善了相邻MCI的骨支持（51.4% vs 28.4%，P = .010）。综合征诊断、ABG年龄、颌面矫形史、上颌骨扩张和上颌骨截骨术前的C/R比值没有明显差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.