RESUMEN
Objective: Congenital defects, including cleft lip and palate, increase the morbidity and mortality in the affected population. This study aimed to determine the prevalence of cleft lip and palate in the city of Bauru, Brazil, by evaluation of registry in the Brazilian Livebirth Certificate (DNV) and the Information System on Livebirths (SINASC), and analyzed the concordance of diagnosis compared with registries of the Hospital for Rehabilitation of Craniofacial Anomalies (HRAC/USP), located in the same city. Material and Methods: This retrospective observational study comprised analysis of all DNVs and identification of individuals with clefts born and living in Bauru, comparing with data from HRAC/USP. The prevalence was calculated by dividing the number of children born with clefts in the study period by the total number of livebirths registered. The reporting of different types of clefts was compared by the chi-square test. Results: Overall, 50,898 DNV were evaluated, among which there were 25 reported cases of cleft lip and/or palate. In the same period, HRAC/USP registered 77 cases born in Bauru, representing 67.5% of underreporting of the occurrence of clefts. Cleft palate was the most prevalent (34.9%), followed by cleft lip and palate (31.7%) and cleft lip (30.2%), mostly affecting males (58.5%). The reporting of cleft palate (16.12%) was lower compared to cleft lip (43.75%) and cleft lip and palate (54.54%). Conclusion: The study revealed predominance of cleft palate, with significant underreporting of clefts in the public health system, especially for cleft palate as compared to cleft lip and cleft lip and palate (AU)
Objetivo: Os defeitos congênitos, incluindo fenda labial e palatina, aumentam a morbidade e mortalidade na população afetada. Este estudo teve como objetivo determinar a prevalência de fissura labiopalatina na cidade de Bauru, Brasil, por meio da avaliação do registro na Certidão de Nascimento de Vivos (DNV) e no Sistema de Informação de Nascidos Vivos (SINASC), e analisar a concordância do diagnóstico em comparação com registros do Hospital de Reabilitação de Anomalias Craniofaciais (HRAC / USP), localizado na mesma cidade. Material e Métodos: Este estudo observacional retrospectivo compreendeu a análise de todas as DNVs e a identificação dos indivíduos com fissuras nascidos e residentes em Bauru, comparando com os dados do HRAC / USP. A prevalência foi calculada dividindo-se o número de filhos nascidos com fissura no período do estudo pelo total de nascidos vivos registrados. O relato de diferentes tipos de fissuras foi comparado pelo teste do qui-quadrado. Resultados: No geral, foram avaliadas 50.898 DNV, entre as quais houve 25 casos notificados de fenda labial e / ou palatina. No mesmo período, o HRAC / USP registrou 77 casos nascidos em Bauru, representando 67,5% de subnotificação da ocorrência de fissuras. A fenda palatina foi a mais prevalente (34,9%), seguida da fenda labiopalatina (31,7%) e fenda labial (30,2%), ocorrendo principalmente no sexo masculino (58,5%). O relato de fissura palatina (16,12%) foi menor em comparação com fissura labial (43,75%) e fissura labiopalatina (54,54%). Conclusão: O estudo revelou predomínio de fissura palatina, com subnotificação significativa de fissuras no sistema público de saúde, principalmente para fenda palatina em relação à fenda labial e labiopalatina. (AU)
Asunto(s)
Humanos , Masculino , Femenino , Epidemiología , Prevalencia , Labio Leporino , Fisura del PaladarRESUMEN
Abstract Objective This study analyzed the maintenance of lateral incisors in the dental rehabilitation of individuals with cleft lip and palate. Material and Methods The study was conducted on a tertiary craniofacial center and comprised retrospective analysis of panoramic and periapical radiographs of Caucasoid individuals with non-syndromic complete unilateral cleft lip and palate, analyzing all radiographs available on the records of each individual, from the first to the last up to 12 years of age. Overall, 2,826 records were reviewed to achieve a sample of 1,000 individuals. Among these, 487 individuals presented the permanent lateral incisors on both cleft and non-cleft sides, which were included in this study. Results The results were evaluated in percentages and by descriptive statistics. The association between maintenance of the lateral incisor and timing of alveolar bone graft were analyzed by the t test. Among the 487 individuals, 265 had not completed treatment, 62 presented insufficient information, and 44 concluded the treatment elsewhere. Among the remaining 116 individuals, the lateral incisor was extracted from 88 (75.86%) of them on the cleft side (CS) and from 23 (19.83%) people on the non-cleft side (NCS). The age at accomplishment of alveolar bone graft was significantly associated with maintenance of the lateral incisor on the cleft side (p<0.01). Most extractions were indicated because of the inadequate positioning on the CS and for midline correction on the NCS. Rehabilitation was primarily completed by orthodontic movement (53 individuals on the CS and 13 individuals on the NCS). Conclusion In conclusion, the lateral incisor on the cleft side was not maintained in most individuals. Positive relationship was observed between extraction of the lateral incisor and age at accomplishment of the alveolar bone graft, suggesting the need to anticipate the initial radiographic evaluation to enhance its maintenance and reduce the procedures required for rehabilitation.