Gingival recession in maxillary canines and central incisors of individuals with clefts

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jan;109(1):37-45. doi: 10.1016/j.tripleo.2009.08.020. Epub 2009 Oct 14.

Abstract

Background: Mucogingival alterations are inherent to clefts and may be worsened by the several plastic surgeries required in these individuals.

Objective: The aim of this study was to evaluate the prevalence, severity, and some possible etiologic factors of gingival recessions in teeth adjacent to the cleft.

Study design: A total of 641 teeth (maxillary canines and central incisors) of 193 individuals with cleft lip and/or palate were examined. A generalized linear model was used, and the Wilcoxon test was used to compare the recession with cleft types.

Results: Comparison among cleft types as to the presence of recession revealed a statistically significant positive relationship for the maxillary right and left central incisors only in the group with left cleft lip, alveolus, and palate (P = .034). The most frequently affected tooth was the right maxillary canine (26.16%).

Conclusion: The prevalence of recession in teeth close to the cleft was higher, although it was not very severe.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Bone Transplantation
  • Case-Control Studies
  • Cleft Lip / complications*
  • Cleft Palate / complications*
  • Cuspid
  • Female
  • Gingival Recession / etiology*
  • Gingival Recession / pathology
  • Humans
  • Incisor
  • Linear Models
  • Male
  • Maxilla
  • Middle Aged
  • Orthodontic Appliances / adverse effects
  • Statistics, Nonparametric
  • Young Adult