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Pojavnost zgornjega stranskega stalnega sekalca pri otrocih z orofacialnimi shizami = The permanent upper lateral incisor in children with orofacial clefts
Matek, Ivo ; Koželj, Vesna
Background: In our experience children with orofacial clefts have a higher prevalence of supernumerary upper lateral incisors than children without a cleft. Operations undertaken to repair a cleft ...can damage tooth germs. Methods: In a retrospective study, the clinical records of 705 children with orofacial clefts treated at the Department of Maxillofacial and Oral Surgery in Ljubljana were analysed for the presence and number of upper lateral incisors. The children were divided into groups according to the type of clefts. Results and conclusions: Normal presence of upper lateral incisors wasseen most frequently with isolated cleft palate, followed by unilateral cleft lip and alveolus, cleft tip, and incomplete cleft lip and alveolus. Supernumerary upper lateral incisors occurred mainly with clefts interrupting the continuity of the alveolar ridge; their prevalence in children with isolated cleft palate was the same as in the general population. Absence of lateral incisors was associated mainly with complete bilateral cleft lip, alveolus and palate; it was somewhat less frequent in children with complete unilateral cleft lip, alveolus and palate. Operations that involved lifting a palatal flap in the area of a developing tooth germ resulted in loss of the tooth in 10% of cases. The likelihood of tooth germs being damaged during surgery depended on the extent of the procedure. In operations of isolated cleft palate, fewer tooth germs were damaged if a modified palatal flep was employed, compared to the standard procedure (p<0.001).
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