RESUMO
OBJECTIVE: To determine the presence of specific patterns of dental defects in a group of individuals born with clefts. DESIGN: Case-control. SETTING: Nossa Senhora do Loreto Municipal Hospital and Federal University of Rio de Janeiro Pediatric Dentistry Clinics, Rio de Janeiro, Brazil. PATIENTS: 642 radiographic and clinical records were evaluated for 321 cases and 321 controls. RESULTS: Individuals born with clefts presented considerably more dental anomalies in comparison with controls (p â=â .0001). The most frequent was tooth agenesis (n â=â 53; p â=â .001), followed by supernumerary teeth (n â=â 14; p â=â .11) and tooth malposition (n â=â 11; p â=â .33). Regarding tooth agenesis, the upper lateral incisors were more frequently absent in the cleft group (31/86), and control individuals presented more agenesis of the mandibular second premolars (19/45). CONCLUSIONS: The higher prevalence of dental anomalies, especially number anomalies, opposite the cleft area, in individuals born with cleft lip and/or palate is the most common associated dental anomaly outside the cleft area.
Assuntos
Fenda Labial/epidemiologia , Fissura Palatina/epidemiologia , Anormalidades Dentárias/epidemiologia , Adolescente , Brasil/epidemiologia , Estudos de Casos e Controles , Criança , Fenda Labial/diagnóstico por imagem , Feminino , Humanos , Masculino , Prevalência , Radiografia , Anormalidades Dentárias/diagnóstico por imagemRESUMO
This article describes the case of a boy who had a fracture of the mandibular parasymphysis region associated with a fracture of the contralateral condyle. Panoramic and computed tomography images were used to monitor bone remodeling.