Tooth agenesis patterns in bilateral cleft lip and palate

• Published in: European journal of oral sciences Vol. 118; no. 1; pp. 47 - 52
• Main Authors: Bartzela, Theodosia N., Carels, Carine E.L., Bronkhorst, Ewald M., Rønning, Elisabeth, Rizell, Sara, Kuijpers-Jagtman, Anne Marie
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.02.2010
• Subjects: Adolescent; Anodontia; Anodontia - etiology; bilateral cleft lip and palate; Chi-Square Distribution; Child; Cleft Lip; Cleft Lip - complications; Cleft Palate; Cleft Palate - complications; complications; dental agenesis; Dentistry; etiology; Female; Humans; Male; Observer Variation; Odontologi; prevalence; Retrospective Studies
• ISSN: 0909-8836; 1600-0722; 1600-0722
• DOI: 10.1111/j.1600-0722.2009.00698.x

Bartzela TN, Carels CEL, Bronkhorst EM, Rønning E, Rizell S, Kuijpers‐Jagtman AM. Tooth agenesis patterns in bilateral cleft lip and palate. Eur J Oral Sci 2010; 118: 47–52. © 2010 The Authors. Journal compilation© 2010 Eur J Oral Sci Individuals with cleft lip and palate present significantly more dental anomalies, even outside the cleft area, than do individuals without clefts. Our aim was to evaluate the prevalence of tooth agenesis and patterns of hypodontia in a large sample of patients with complete bilateral cleft lip and palate (BCLP). Serial panoramic radiographs (the first radiograph was taken at 10.5–13.5 yr of age) of 240 patients with BCLP (172 male patients, 68 female patients) were examined. Third molars were not included in the evaluation. Agenesis of at least one tooth was present in 59.8% of patients. Upper laterals and upper and lower second premolars were missing most frequently. Using the tooth agenesis code (TAC), 52 different agenesis patterns were identified, of which simultaneous agenesis of 12, 22, 15, 25, 35, and 45 was the most frequent pattern. Nine of the 240 patients showed combined BCLP and oligodontia.