Mohsen Shirazi; Homa Farhadifard; Meisam Moradi; Hamid Golshahi
Abstract
Introduction: Cleft lip and palate (CLP) is the most common congenital facial anomaly. Its incidence varies according to epidemiologic studies but is usually between 1 and 1.82 for each 1000 births. The etiology of this malformation is complex and includes both genetic and environmental factors.
Case ...
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Introduction: Cleft lip and palate (CLP) is the most common congenital facial anomaly. Its incidence varies according to epidemiologic studies but is usually between 1 and 1.82 for each 1000 births. The etiology of this malformation is complex and includes both genetic and environmental factors.
Case Presentation: In this article a 13-year-old girl with CLP is presented. She was treated with expansion of maxillary arch form, bone grafting, pre surgical orthodontics, orthognathic surgery and minor esthetic surgical procedure.
Conclusions: Satisfactory results regarding functional occlusion, dental esthetics, and facial esthetics were achieved in the patient.
Nasrin Farhadian; Zahra Shahrokhi
Abstract
Background and aim: Cleft lip and palate is a common craniofacial congenital malformation. Treatment of this deformity has always been a matter of great concern for physicians and specialists. Data on the incidence and prevalence rate of this condition can help medical authorities plan for the healthcare ...
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Background and aim: Cleft lip and palate is a common craniofacial congenital malformation. Treatment of this deformity has always been a matter of great concern for physicians and specialists. Data on the incidence and prevalence rate of this condition can help medical authorities plan for the healthcare of these patients. Present study aimed to determine the incidence rate and related risk factors of cleft lip and palate in Hamadan province in 2007.
Materials and methods: In this study, 29,822 newborns were evaluated in Hamadan Province hospitals, Iran. Variables such as neonatal gender, parents’ occupations, place of residence, family background, parental consanguinity, and neonatal co-occurring disorders, as well as maternal factors such as age at pregnancy, diseases during pregnancy, medications, drug abuse, smoking, alcohol consumption, radiography, and radiotherapy during pregnancy were recorded. Finally, the data were analyzed using SPSS version 13. Results: 25 neonates (14 male and 11 female subjects) were born with various forms of cleft lip and cleft palate. The incidence rate was 0.83 per 1000 live births. Cleft lip and palate (bi or unilateral) and isolated cleft palate were the most and least frequently reported cases, respectively. In total, 28% of the newborns presented with other co-occurring disorders. Consanguineous marriage was reported in approximately 28% of the neonates’ parents and 12% of the mothers used medications such as phenytoin, imipramine, and trifluoperazine during pregnancy. Conclusion: The incidence rate of cleft lip and palate was close to the average global rate and reports in European and East Asian countries. The incidence rate of clefts was higher in males, compared to females. According to the results, parental consanguinity and mother’s medication, especially at the beginning of pregnancy, are regarded as risk factors for cleft lip and palate.
Abu-hussein Muhamad
Abstract
Apert syndrome is a congenital disorder characterized by craniosynostosis, maxillary hypoplasia, mental retardation, mid-facial malformations, and syndactyly. The developmental disorder is inherited in an autosomal dominant manner, though most cases are sporadic. Approximately 75 percent of Apert's patients ...
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Apert syndrome is a congenital disorder characterized by craniosynostosis, maxillary hypoplasia, mental retardation, mid-facial malformations, and syndactyly. The developmental disorder is inherited in an autosomal dominant manner, though most cases are sporadic. Approximately 75 percent of Apert's patients suffering from dental anomalies suffer from cleft palate or bifid uvula. Cleft palates are common congenital disorders of the upper mouth, and occur when the palatal plates fails to join together during the second month of fetal development. This research paper focuses on the roles played by the craniofacial team in the management of secondary palates in children with Apert's syndrome.The consequences of Apert's disorders can be severe, long lasting, and sometimes incomprehensible even to the sufferers. But this study has aptly shown that the suffering can be averted, especially if proper corrective strategies are taken as early as possible. However, these strategies must fundamentally revolve around a multidisciplinary approach to sufferers of Apert's syndrome. This study looks into the roles played by the craniofacial team in the management of Apert-related complications such as Cleft lips and palates. The team is made up of the geneticist, speech language pathologist, audiologist, plastic surgeon, dentist, and orthodontist
Ayesha Anwar; Hameedullah Jan; Madeeha Sattar; Saima Qadir
Abstract
Aim: Cleft lip and palate is a social and functionally crippling problem. It is necessary to assess the degree of this problem in our society. The goal of thin study was to assess the number of cleft lip and palate patients in orthodontic patients reporting to Armed Forces institute of Dentistry (AFID), ...
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Aim: Cleft lip and palate is a social and functionally crippling problem. It is necessary to assess the degree of this problem in our society. The goal of thin study was to assess the number of cleft lip and palate patients in orthodontic patients reporting to Armed Forces institute of Dentistry (AFID), Rawalpindi, from 2001 through 2006.
Materials and Methods: 1118 consecutive patients reporting to AFID were included in the study. 18 were excluded based on inadequate records. Records were evaluated for the presence of clefts, impacted and missing teeth.
Results: 1% patients were found to have various kinds of clefts. 72.7% were female and the rest were male. Their mean age was 16.5 years. Bilateral clefts were more common. Reverse overjet and missing maxillary lateral incisors were strongly associated with cleft lip and palate.
Conclusion: Cleft lip and palate is reasonably prevalent in our society. Genetic predisposition and environmental factors are equally important in governing its occurrence. Both these issues have to be considered to reduce the incidence of this problem in a developing country such as ours WO 2006; 1:154-7).
