EVALUATION OF ASSOCIATION OF CLEFT LIP AND CLEFT PALATE WITH CERVICAL VERTEBRAL ANOMALIES: A LATERAL CEPHALOGRAPH STUDY

Authors

  • Dr Anju Jha Reader, Department of Pediatric and Preventive Dentistry, Patna Dental College, Patna, Bihar, India
  • Dr Sovendu Jha Associate Professor, Department of Orthodontics & Dentofacial Orthopaedic Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.
  • Dr Amit Kumar Lecture, Department of Oral and Maxillofacial Surgery, Patna Dental College, Patna, Bihar, India
  • Dr Madhushree Mukhopadhyay Assistant Professor, Department of Dentistry, KPC Medical College and Hospital, Kolkata, WB, India
  • Dr Anupriya Jha Private Practitioner, MDS, Pediatric and Preventive Dentistry, Patna, Bihar.
  • Dr Kumar Anand MDS (Orthodontics and Dentofacial Orthopaedics), PhD Scholar, IGIMS, Patna, Bihar, India

DOI:

https://doi.org/10.32553/ijmbs.v3i8.511

Keywords:

Cleft Lip and Cleft Palate, Cervical Vertebral Anomalies, Dehiscence, Fusion, Lateral Cephalograph

Abstract

The precise origin of cervical vertebral anomalies is still unstated, but it has been suggested that the association between abnormal development of cervical vertebrae and the maxilla and the mandible might be caused by a developmental fault of the mesenchyme as these structures might be dependent on the similar para-axial mesoderm. Hence it is appropriate to focus on this area of research and to consider the craniofacial morphology as an important diagnostic tool in Orthodontic treatment planning. The present study was planned to evaluate the association of Cleft lip and Cleft palate with cervical vertebral anomalies.

The present study was planned in Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences & Hospital, Patna, Bihar, India. Thirty cases of Cleft Lip and Cleft Palate (CLCP) patients were enrolled in the present study. The age of the patients ranged from 5 years to 15 years. The cleft sample were subdivided into patients with CP only, and unilateral cleft lip and palate (UCLP) and bilateral cleft lip and palate (BCLP). Radiographs were examined on a film viewer by a single examiner. The profile of first four cervical vertebrae and Atlanto Occipital Articulation were structurally traced on an acetate paper with 3H lead pencil under optimum illumination and Cervical Vertebral Anomalies (CVA) were registered and categorized into Posterior Arch Deficiencies - PAD (dehiscence and spina bifid) and fusion.

The present study concludes the association between cleft lip and palate and Cervical Vertebral Anomalies indicating that CVA may be implicated as the etiology of cleft lip and palate. The present study showed a specific relation between the Cleft Palate and cervical anomalies and the vertebral anomalies following a specific pattern in different types of cleft was found to be PAD which occurred more frequently in UCLP and CP only and fusion occurring significantly more often in BCLP.

Keywords: Cleft Lip and Cleft Palate; Cervical Vertebral Anomalies; Dehiscence; Fusion; Lateral Cephalograph

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Published

2019-09-05

How to Cite

Jha, D. A., Jha, D. S., Kumar, D. A., Mukhopadhyay, D. M., Jha, D. A., & Anand, D. K. (2019). EVALUATION OF ASSOCIATION OF CLEFT LIP AND CLEFT PALATE WITH CERVICAL VERTEBRAL ANOMALIES: A LATERAL CEPHALOGRAPH STUDY. International Journal of Medical and Biomedical Studies, 3(8), 271–276. https://doi.org/10.32553/ijmbs.v3i8.511

Issue

Vol. 3 No. 8 (2019)

Section

Research Articles