Evaluation of Alveolar Bone Support Around Incisors in Patients with Unilateral Cleft Lip, Alveolus, and Palate in Late Mixed Dentition Using Cone Beam Computed Tomography

Overview

Journal Angle Orthod

Specialty Dentistry

Date 2018 Feb 1

PMID 29384701

Citations 1

Authors

Yingdan Pan

Yunting Zeng

Zeyu Zhang

Yiqin Liu

Yi Jing

Liwei Xiao

Affiliations

Soon will be listed here.

Abstract

Objectives: To evaluate alveolar bone support around cleft-adjacent maxillary central incisors (U1) in patients with unilateral cleft lip, alveolus and palate (UCLAP) in the late mixed dentition and to investigate the correlation between the alveolar bone thickness (ABT) and tooth inclination.

Materials And Methods: Cone beam computed tomography scans of 45 subjects with UCLAP (29 boys, 16 girls; mean age = 10.74 ± 1.08 years) were assessed. The distance between the cementoenamel junction (CEJ) and alveolar bone crest (AC), and the ABTs at 3 mm, 6 mm, and the apex were measured on the labial, lingual and distal surfaces of U1. The cleft and normal sides were compared using a paired t-test and Pearson's χ test. Pearson's correlation was used to explore the association between the ABT and tooth inclination of cleft-adjacent U1 in the labiolingual and mesiodistal dimensions.

Results: The CEJ-AC distances were significantly greater in cleft-adjacent U1 ( P < .01), with more bone height reduction observed labially and distally ( P < .001). The labial, lingual, and apico-distal ABTs were decreased on the cleft side ( P < .01). A positive correlation was found between the apico-labial ABT and the labiolingual inclination ( r = 0.568, P < .01).

Conclusions: Patients with UCLAP have reduced alveolar bone support around the cleft-adjacent U1, and the apico-labial ABT tends to decrease with increasing lingual tooth inclination; however, the correlation was weak.

Citing Articles

Frontal and Axial Evaluation of Craniofacial Morphology in Repaired Unilateral Cleft Lip and Palate Patients Utilizing Cone Beam Computed Tomography; An Observational Study.

Kochhar A, Sidhu M, Prabhakar M, Bhasin R, Kochhar G, Dadlani H Int J Environ Res Public Health. 2020; 17(21).

PMID: 33114340 PMC: 7663310. DOI: 10.3390/ijerph17217786.

References

Perdikogianni H, Papaioannou W, Nakou M, Oulis C, Papagiannoulis L . Periodontal and microbiological parameters in children and adolescents with cleft lip and /or palate. Int J Paediatr Dent. 2009; 19(6):455-67. DOI: 10.1111/j.1365-263X.2009.01020.x. View

Quirynen M, Dewinter G, Avontroodt P, Heidbuchel K, Verdonck A, Carels C . A split-mouth study on periodontal and microbial parameters in children with complete unilateral cleft lip and palate. J Clin Periodontol. 2003; 30(1):49-56. DOI: 10.1034/j.1600-051x.2003.300108.x. View

Shibasaki Y, Ross R . Facial growth in children with isolated cleft palate. Cleft Palate J. 1969; 6:290-302. View

Thongudomporn U, Charoemratrote C, Jearapongpakorn S . Changes of anterior maxillary alveolar bone thickness following incisor proclination and extrusion. Angle Orthod. 2014; 85(4):549-54. PMC: 8611752. DOI: 10.2319/051614-352.1. View

Zhang W, Shen G, Wang X, Yu H, Fan L . Evaluation of alveolar bone grafting using limited cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 113(4):542-8. DOI: 10.1016/j.oooo.2011.10.001. View

Damstra J, Fourie Z, De Wit M, Ren Y . A three-dimensional comparison of a morphometric and conventional cephalometric midsagittal planes for craniofacial asymmetry. Clin Oral Investig. 2011; 16(1):285-94. PMC: 3259389. DOI: 10.1007/s00784-011-0512-4. View

Molen A . Considerations in the use of cone-beam computed tomography for buccal bone measurements. Am J Orthod Dentofacial Orthop. 2010; 137(4 Suppl):S130-5. DOI: 10.1016/j.ajodo.2010.01.015. View

Liu R, Lu D, Wamalwa P, Li C, Hu H, Zou S . Craniofacial morphology characteristics of operated unilateral complete cleft lip and palate patients in mixed dentition. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 112(6):e16-25. DOI: 10.1016/j.tripleo.2011.04.011. View

Nahas-Scocate A, de Siqueira Brandao A, Patel M, Lipiec-Ximenez M, Chilvarquer I, do Valle-Corotti K . Bone tissue amount related to upper incisors inclination. Angle Orthod. 2013; 84(2):279-85. PMC: 8673802. DOI: 10.2319/031213-211.1. View

10.

Maeda-Iino A, Furukawa M, Kwon S, Marutani K, Nakagawa S, Fuchigami T . Evaluation of maxillary central incisors on the noncleft and cleft sides in patients with unilateral cleft lip and palate-Part 2: Relationship between root resorption, horizontal tooth movement, and quantity of grafted autogenous bone. Angle Orthod. 2017; 87(6):863-870. PMC: 8317554. DOI: 10.2319/031317-189.1. View

11.

Tian Y, Liu F, Sun H, Lv P, Cao Y, Yu M . Alveolar bone thickness around maxillary central incisors of different inclination assessed with cone-beam computed tomography. Korean J Orthod. 2015; 45(5):245-52. PMC: 4593869. DOI: 10.4041/kjod.2015.45.5.245. View

12.

Stec M, Szczepanska J, Pypec J, Hirschfelder U . Periodontal status and oral hygiene in two populations of cleft patients. Cleft Palate Craniofac J. 2007; 44(1):73-8. DOI: 10.1597/05-137. View

13.

Plakwicz P, Wyrebek B, Gorska R, Cudzilo D . Periodontal Indices and Status in 34 Growing Patients with Unilateral Cleft Lip and Palate: A Split-Mouth Study. Int J Periodontics Restorative Dent. 2017; 37(6):e344-e353. DOI: 10.11607/prd.3461. View

14.

Ercan E, Celikoglu M, Buyuk S, Sekerci A . Assessment of the alveolar bone support of patients with unilateral cleft lip and palate: a cone-beam computed tomography study. Angle Orthod. 2015; 85(6):1003-8. PMC: 8612053. DOI: 10.2319/092614-691.1. View

15.

Chang C, Wallace C, Hsiao Y, Chiu Y, Chien-Jung Pai B, Chen I . Difference in the Surgical Outcome of Unilateral Cleft Lip and Palate Patients with and without Pre-Alveolar Bone Graft Orthodontic Treatment. Sci Rep. 2016; 6:23597. PMC: 4819291. DOI: 10.1038/srep23597. View

16.

Garib D, Yatabe M, Ozawa T, Silva Filho O . Alveolar bone morphology in patients with bilateral complete cleft lip and palate in the mixed dentition: cone beam computed tomography evaluation. Cleft Palate Craniofac J. 2011; 49(2):208-14. DOI: 10.1597/10-198. View

17.

Luque-Martin E, Tobella-Camps M, Rivera-Baro A . Alveolar graft in the cleft lip and palate patient: review of 104 cases. Med Oral Patol Oral Cir Bucal. 2014; 19(5):e531-7. PMC: 4192580. DOI: 10.4317/medoral.19413. View

18.

Zhu S, Chen Z . Association between gingival recession and proclination of maxillary central incisors near the cleft in patients with unilateral cleft lip and palate: A retrospective case-control study. Am J Orthod Dentofacial Orthop. 2013; 143(3):364-70. DOI: 10.1016/j.ajodo.2012.10.021. View

19.

Teja Z, Persson R, Omnell M . Periodontal status of teeth adjacent to nongrafted unilateral alveolar clefts. Cleft Palate Craniofac J. 1992; 29(4):357-62. DOI: 10.1597/1545-1569_1992_029_0357_psotat_2.3.co_2. View

20.

Sun Z, Smith T, Kortam S, Kim D, Tee B, Fields H . Effect of bone thickness on alveolar bone-height measurements from cone-beam computed tomography images. Am J Orthod Dentofacial Orthop. 2011; 139(2):e117-27. DOI: 10.1016/j.ajodo.2010.08.016. View