Frequency of cleft lip and palate and associated dental anomalies at Islamic international dental hospital, Islamabad

The purpose of this study was to determine the frequency of cleft lip and palate [CL and P] patients and their associated dental anomalies in orthodontics department. The data were retrieved from file records of orthodontics department at Islamic International Dental Hospital, Islamabad [IIDH]. All the cleft patients were included in this study who visited orthodontics department, IIDH during the year 2009. The records included history and examination, radiographs [lateral cephalogram, Orthopantamogram, Upper occlusal], Study casts, Photographs [intra oral and extra oral] of the patients. Sixteen patients [10 females, 6 males] were included, 43.8% had left unilateral CL and P and 56.3% had bilateral CL and P. 43.8% had bilateral impacted maxillary canine, 31.3 showed left while 12.5% showed right side impaction. 75% had erupted maxillary lateral incisor. 31.3% had palatal fistula. One patient had a supernumerary tooth. More anterior crowding [75%; n=12] was evident. Crossbites were evident in both anterior [56.3%; n=9] and posterior [68.8%; n=11] segments. Maxillary deciduous canine was retained in 75% of cases. Short lip was also a common finding [75%; n=12]. Associated dental anomalies are very common in patients with cleft lip and palate though frequency varies with the cleft type

Orthodontic treatment need in 13 - 30 years patients by using the index of orthodontic treatment need

To evaluate the orthodontic treatment need a study was conducted at orthodontic department of Islamic International Dental Hospital [IIDH]. Index of Orthodontic Treatment Need [IOTN] was applied in a sample of 300 patients. Data was analyzed using SPSS version 10.0. Out of 300 subjects 114 were males and 186 females with mean age of 18 +/- 4.8 years were reported. Dental Health Component showed 19% [Grade 5], 57% [Grade 4], 18% [Grade 3], 5% [Grade 2] and 2% [Grade1] results respectively and Aesthetic Component showed percentages as 31.66% [Scale 1-4], 32% [Scale 5-7] and 36.3% [Scale 8-10]. Strong association was found between aesthetic component and dental health component [p=.000]. According to Dental Health Component 75% of the population was found to be in definite treatment need and only 36.3% of the population was in definite treatment need according to Aesthetic Component. No significant gender difference was found for treatment need