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Publication
Anomalias dentárias em crianças com fissura palatina ou labial
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_19548 | 26.22 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
As anomalias dentárias podem ocorrer como resultado de fatores genéticos e
ambientais. Estas são geralmente causadas por defeitos em genes específicos, no
entanto, eventos pré e pós-natais têm também sido implicados em diferentes tipos de
anomalias dentárias.
Quando comparados com a população geral, os indivíduos que apresentam fenda labial
(FL) e fenda palatina (FP) demonstraram ter uma maior prevalência de anomalias
dentárias, tais como variações de número, posição e tamanho, que na sua maioria se
localizavam na área do defeito da fenda.
Com este trabalho, pretendeu-se então, realizar uma revisão narrativa sobre as várias
anomalias dentárias que podem estar associadas a FL ou FP, a sua prevalência e as
opções terapêuticas recomendadas.
Durante os meses de Dezembro de 2012 e Janeiro de 2013 foi realizada uma pesquisa
bibliográfica na base de dados Pubmed atendendo às seguintes palavras chave “dental
anomalies” AND “cleft lip and palate”; “oral health” AND “cleft lip and palate”. Na
pesquisa empregaram-se os seguintes limites, artigos publicados nos últimos cinco anos,
estudos em humanos, abstract disponível e artigos disponíveis em português, inglês e
espanhol.
Nesta pesquisa obteve-se um total de 50 artigos. Os artigos encontrados foram
seleccionados primeiramente pelo título, seguidamente pela leitura cuidadosa dos
abstracts e, finalmente, do artigo por inteiro, daí resultando um total de 17 artigos. Para
o melhor entendimento do tema a ser desenvolvido, foram ainda considerados artigos de
referência publicados em anos anteriores e livros de Odontopediatria e Genética
Orofacial.
As crianças com FL ou FP apresentam maior prevalência de anomalias dentárias de
forma, número, posição, erupção e estrutura dentária, com localização privilegiada na
área do defeito da fenda. Os pacientes portadores desta malformação congénita necessitam de intervenção
precoce e acompanhamento continuado ao longo de toda a infância e adolescência, por
uma equipa multidisciplinar que deverá incluir o pediatra, cirurgião maxilofacial,
médico dentista, terapeuta da fala, psicólogo e cirurgião plástico.
Dental anomalies can occur as a result of genetic and environmental factors. These are generally caused by defects in specific genes, however, pre and post-natal events have also been implicated in several types of teeth anomalies. When compared with the general population, individuals with cleft lip (CL) and cleft palate (CP) have demonstrated a higher prevalence of dental anomalies, such as variations in tooth number, position and size, located mostly in cleft defect area. This works objective was to conduct a narrative review of the various tooth abnormalities associated with CL or CP, its prevalence and treatment options. During December 2012 and January 2013, PubMed database was screened for Portuguese, Spanish and English abstract-free articles, published in the last 5 years by using the key words "dental anomalies" AND "cleft lip and palate," "oral health" AND "cleft lip and palate”. Fifty articles were found. Article selection was accomplished firstly by title and abstract reading and finally by full article analysis. A total of 17 articles were reviewed. For better understanding of the theme to developed, reference articles from previous years were also reviewed, and books on Pediatric Dentistry and Orofacial Genetics were consulted. Children with CL or CP present a higher prevalence of abnormalities in dental shape, structure, position, and eruption near the cleft defect area. Patients with this congenital malformation require early intervention and continuous monitoring throughout childhood and adolescence, by a multidisciplinary team including pediatrician, maxillofacial surgeon, pediatric dentist, orthodontist, speech therapist, psychologist and plastic surgeon.
Dental anomalies can occur as a result of genetic and environmental factors. These are generally caused by defects in specific genes, however, pre and post-natal events have also been implicated in several types of teeth anomalies. When compared with the general population, individuals with cleft lip (CL) and cleft palate (CP) have demonstrated a higher prevalence of dental anomalies, such as variations in tooth number, position and size, located mostly in cleft defect area. This works objective was to conduct a narrative review of the various tooth abnormalities associated with CL or CP, its prevalence and treatment options. During December 2012 and January 2013, PubMed database was screened for Portuguese, Spanish and English abstract-free articles, published in the last 5 years by using the key words "dental anomalies" AND "cleft lip and palate," "oral health" AND "cleft lip and palate”. Fifty articles were found. Article selection was accomplished firstly by title and abstract reading and finally by full article analysis. A total of 17 articles were reviewed. For better understanding of the theme to developed, reference articles from previous years were also reviewed, and books on Pediatric Dentistry and Orofacial Genetics were consulted. Children with CL or CP present a higher prevalence of abnormalities in dental shape, structure, position, and eruption near the cleft defect area. Patients with this congenital malformation require early intervention and continuous monitoring throughout childhood and adolescence, by a multidisciplinary team including pediatrician, maxillofacial surgeon, pediatric dentist, orthodontist, speech therapist, psychologist and plastic surgeon.
Description
Keywords
Dental anomalies Cleft lip and palate Oral health Cleft lip and palate