RESUMO
OBJECTIVE: The G/BBB syndrome is an X-linked recessive disorder characterized by eye anomalies, laryngotracheoesophageal cleft, congenital heart disease, genitourinary anomalies and gastrointestinal disorders. Patients may also present cleft lip and palate, high-arched palate and thin upper lip. This study aimed to investigate the occurrence of tooth abnormalities and soft tissue changes in patients with G/BBB syndrome. DESIGN: Cross-sectional. SUBJECTS AND METHODS: Twenty-one patients with G/BBB syndrome were analyzed as to the presence of tooth abnormalities and soft tissue alterations. MAIN OUTCOME MEASURES: The prevalence of tooth agenesis and supernumerary teeth was compared to patients without morphofunctional alterations, matched for gender and age. RESULTS: All patients had complete cleft lip and palate; 95.23% of patients presented tooth abnormalities, mainly hypoplastic alterations, with predominance of alterations of number, followed by alterations of structure, shape and position. The frequency of tooth agenesis and supernumerary teeth was significantly higher compared with the control group; 11 patients presented incisiform supernumerary teeth in the mandibular anterior region. Ankyloglossia was observed in 11 of 21 patients. CONCLUSION: The presence of mandibular anterior supernumerary teeth and ankyloglossia should be investigated in the clinical evaluation of patients with suspected diagnosis of the G/BBB syndrome.
Assuntos
Anormalidades Craniofaciais/epidemiologia , Anormalidades da Boca/epidemiologia , Anormalidades Dentárias/epidemiologia , Anormalidades Múltiplas , Adolescente , Adulto , Fatores Etários , Anodontia/epidemiologia , Dente Pré-Molar/patologia , Brasil/epidemiologia , Estudos de Casos e Controles , Criança , Fenda Labial/epidemiologia , Fissura Palatina/epidemiologia , Estudos Transversais , Dente Canino/patologia , Hipoplasia do Esmalte Dentário/patologia , Humanos , Incisivo/anormalidades , Masculino , Prevalência , Fatores Sexuais , Síndrome , Doenças da Língua/epidemiologia , Erupção Ectópica de Dente/epidemiologia , Dente Supranumerário/epidemiologia , Adulto JovemRESUMO
Many dentists refuse to offer dental assistance to cleft lip and palate patients because they lack understanding about this malformation and do not want to make a professional mistake with the anesthesia. The aim of this work is to guide clinical practitioners, who want to work with these patients about the anatomical features of the cleft lip and palate area and the implications in the anesthetic procedures.
