In an effort to contribute to proper dental planning and define possible dental phenotypes of nonsyndromic cleft lip and/or palate (CL/P), this study aimed to investigate the occurrence of taurodontism, root dilaceration, and tooth transposition in persons with nonsyndromic CL/P, specifically analyzing the differences among gender, cleft types, and the most affected teeth.
Design
This retrospective study analyzed 974 panoramic x-rays from nonsyndromic Brazilians older than 16 years and categorized into the following four groups: group 1, 250 persons with unilateral cleft lip and palate; group 2, 250 persons with unilateral cleft lip; group 3, 224 persons with cleft palate; and a control group of 250 persons without clefts. Radiographs were digitalized with a scanner and analyzed.
Results
In the Brazilian population studied, the prevalence of taurodontism was 60.4% in group 1, 62.4% in group 2, 67.0% in group 3, and 42.8% in the control group. Root dilacerations had a prevalence of 31.2% in group 1, 29.6% in group 2, 26.3% in group 3, and 27.2% in the control group. The teeth most affected by taurodontism were 17 and 27; whereas root dilacerations were most common in teeth 38 and 48. No tooth transpositions were found in any radiograph analyzed.
Conclusions
Taurodontism is significantly more prevalent in Brazilians with nonsyndromic CL/P than in persons without clefts; whereas the prevalence of root dilaceration no different from that in the control group. However, root dilacerations in anterior teeth were increased in groups 1 and 2 when compared to the control group.
AfifyA.R., ZawawiK.H.The prevalence of dental anomalies in the Western region of Saudi Arabia. ISRN Dent.2012; 2012: 1–5.
2.
AkcamM.O., EvirgenS., UsluO., MemikoĝluUTl. Dental anomalies in individuals with cleft lip and/or palate. Eur J Orthod.2010; 32: 207–213.
3.
Al-BataynehO.B.Tricho-dento-osseous syndrome: diagnosis and dental management. Int J Dent.2012; 2012: 1–9.
4.
Al JamalG.A., Hazza'aA.M., RawashdehM.A.Prevalence of dental anomalies in a population of cleft lip and palate patients. Cleft Palate Craniofac J.2010; 47: 413–420.
5.
AnderssonE.M., AxelssonS., GjølstadL.F., StorhaugK.Taurodontism: minor diagnostic criterion in Laurence-Moon/Bardet-Biedl syndromes. Acta Odontol Scand.2013; 71: 1671–1674.
6.
BaekS.H., KimN.Y.Congenital missing permanent teeth in Korean unilateral cleft lip and alveolus and unilateral cleft lip and palate patients. Angle Orthod.2007; 77: 88–93.
7.
BallullayaS.V., VemuriS., KumarP.R.Variable permanent mandibular first molar: review of literature. J Conserv Dent.2013; 16: 99–110.
8.
BartzelaT.N., CarelsC.E.L., BronkhorstE.M., RønningE., RizellS., Kuijpers-JagtmanA.M.Tooth agenesis patterns in bilateral cleft lip and palate. Eur J Oral Sci.2010; 118: 47–52.
9.
BhartiR., ChandraA., TikkuA.P., WadhwaniK.K.“Taurodontism” an endodontic challenge: a case report. J Oral Sci.2009; 51: 471–474.
10.
BronooshP., HaghnegahdarA., DehbozorgiM.Prevalence of taurodontism in premolars and molars in the south of Iran. J Dent Res Dent Clin Dent Prospects.2012; 6: 21–24.
11.
BürkleinS., BreuerD., SchäferE.Prevalence of taurodont and pyramidal molars in a German population. J Endod.2011; 37: 158–162.
12.
CelikogluM., BayramM., NurM.Patterns of third-molar agenesis and associated dental anomalies in an orthodontic population. Am J Orthod Dentofacial Orthop.2011; 140: 856–860.
13.
CelikogluM., MilogluO., OztekO.Investigation of tooth transposition in a non-syndromic Turkish Anatolian population: characteristic features and associated dental anomalies. Med Oral Patol Oral Cir Bucal.2010; 15: 716–720.
14.
ColakH., BayraktarY., HamidiM.M., TanE., ColakT.Prevalence of root dilacerations in Central Anatolian Turkish dental patients. West Indian Med J.2012; 6: 635–639.
15.
ColakH., TanE., BayraktarY., HamidiM.M., ColakT.Taurodontism in a Central Anatolian population. Dent Res J.2013; 10: 260–263.
16.
CostaC.H., DinizL.V., LacerdaR.H., ForteF.D., SampaioF.C.Prevalence of dental anomalies in patients with cleft lip and palate, Paraiba, Brazil: clinic and radiographic study. Acta Odontol Latinoam.2012; 25: 181–185.
17.
CostaL.E.D., DuarteR.C., PontualM.L.A., BeltrãoR.V., BeltrãoR.T.S.Transposição dentária: estudo de prevalência em escolares na cidade de João Pessoa, PB. Pesq Bras Odontopediatria Clin Integr.2010; 10: 107–112.
18.
DarwazehA.M., HamashaA.A., PillaiK.Prevalence of taurodontism in Jordanian dental patients. Dentomaxillofac Radiol.1998; 27: 163–165.
19.
GomesA.C., NevesL.T., GomideM.R.Enamel defects in maxillary central incisors of infants with unilateral cleft lip. Cleft Palate Craniofac J.2009; 46: 420–424.
20.
GomesR.R., HabckostC.D., JunqueiraL.G., LeiteA.F., FigueiredoP.T., PaulaL.M., AcevedoA.C.Taurodontism in Brazilian patients with tooth agenesis and first and second-degree relatives: a case-control study. Arch Oral Biol.2012; 8: 1064–1069.
21.
GuptaS.K., SaxenaP.Prevalence of taurodontism and its association with various oral conditions in an Indian population. Oral Health Prev Dent.2013; 11: 155–160.
22.
GuptaS.K., SaxenaP., JainS., JainD.Prevalence and distribution of selected developmental dental anomalies in an Indian population. J Oral Sci.2011; 53: 23–238.
23.
GuttalK.S., NaikmasurV.G., BhargavaP., BathiR.J.Frequency of developmental dental anomalies in the Indian population. Eur J Orthod.2010; 4: 263–269.
24.
HedgeV., AnegundiR.T., PravinchandraK.R.Biometric analysis—a reliable indicator for diagnosing taurodontism using panoramic radiographs. J Clin Diagn Res.2013; 7: 1779–1781.
25.
HeliovaraA., RantaR., RautioJ.Dental abnormalities in permanent dentition in children with submucous cleft palate. Acta Odontol Scand.2004; 62: 129–131.
26.
JafarzadehH., AbbottP.V.Dilaceration: review of an endodontic challenge. J Endod.2007; 33: 1025–1030.
27.
JafarzadehH., AzarpazhoohA., MayhallJ.T.Taurodontism: a review of the condition and endodontic treatment challenges. Int Endod J.2008; 41: 375–388.
28.
KüchlerE.C., De Andrade RisoP., De Castro CostaM., ModestoA., VieiraA.R.Assessing the proposed association between tooth agenesis and taurodontism in 975 paediatric subjects. Int J Paediatr Dent.2008; 3: 231–234.
29.
KüchlerE.C., da MottaL.G., VieiraA.R., GranjeiroJ.M.Side of dental anomalies and taurodontism as potential clinical markers for cleft subphenotypes. Cleft Palate Craniofac J.2011; 48: 103–108.
30.
LetraA., MenezesR., GranjeiroJ.M., VieiraA.R.Defining subphenotypes for oral clefts based on dental development. J Dent Res.2007; 86: 986–991.
31.
MalcićA., JukićS., BrzovićV., MiletićI., PelivanI., AnićI.Prevalence of root dilaceration in adult dental patients in Croatia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2006; 102: 104–109.
32.
MilogluO., CakiciF., CaglayanF., YilmazA.B., DemirkayaF.The prevalence of root dilacerations in a Turkish population. Med Oral Patol Oral Cir Bucal.2010; 115: 441–444.
33.
ParanaibaL.M., ColettaR.D., SwertsM.S., QuintinoR.P., de BarrosL.M., Martelli-JúniorH.Prevalence of dental anomalies in patients with nonsyndromic cleft lip and/or palate in a Brazilian population. Cleft Palate Craniofac J.2013; 50: 400–405.
34.
PatilS., DoniB., KaswanS., RahmanF.Prevalence of taurodontism in the North Indian population. J Clin Exp Dent.2013; 5: 179–182.
35.
QureshiW.A., BeiraghiS., Leon-SalazarV.Dental anomalies associated with unilateral and bilateral cleft lip and palate. J Dent Child.2012; 79: 69–73.
36.
RantaR., RintalaA.Tooth anomalies associated with congenital sinuses of the lower lip and cleft lip/palate. Angle Orthod.1982; 52: 212–221.
37.
RileyB.M., MansillaM.A., MaJ., Daack-HirschS., MaherB.S., RaffenspergerL.M., RussoE.T., VieiraA.R., DodéC., MohammadiM.. Impaired FGF signaling contributes to cleft lip and palate. Proc Natl Acad Sci U S A.2007; 104: 4512–4517.
38.
SeowW.K., LaiP.Y.Association of taurodontism with hypodontia: a controlled study. Pediatr Dent.1989; 11: 214–219.
39.
ShifmanA., ChanannelI.Prevalence of taurodontism found in radiographic dental examination of 1,200 young adult Israeli patients. Community Dent Oral Epidemiol.1978; 6: 200–203.
40.
SlaytonR.L., WilliamsL., MurrayJ.C., WheelerJ.J., LidralA.C., NishimuraC.J.Genetic association studies of cleft lip and/or palate with hypodontia outside the cleft region. Cleft Palate Craniofac J.2003; 40: 274–279.
41.
TortoraC., MeazziniM.C., GarattiniG., BrusatiR.Prevalence of abnormalities in dental structure, position, and eruption pattern in a population of unilateral and bilateral cleft lip and palate patients. Cleft Palate Craniofac J.2008; 45: 154–162.
42.
TrotmanC.A., CollettA.R., McNamaraJAJr., CohenS.R.Analyses of craniofacial and dental morphology in monozygotic twins discordant for cleft lip and unilateral cleft lip and palate. Angle Orthod.1993; 63: 135–139.
43.
VieiraA.R., MeiraR., ModestoA., MurrayJ.C.MSX1, PAX9 and TGFA contribute to tooth agenesis in humans. J Dent Res.2004; 83: 723–727.
44.
VieiraA.R., ModestoA., MeiraR., BarbosaA.R., LidralA.C., MurrayJ.C.Interferon regulatory factor 6 (IRF6) and fibroblast growth factor receptor 1 (FGFR1) contribute to human tooth agenesis. Am J Med Genet Part A.2007; 143: 538–545.
