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Tooth Agenesis Patterns in Orofacial Clefting Using Tooth Agenesis Code: A Meta-Analysis
Journal article   Open access   Peer reviewed

Tooth Agenesis Patterns in Orofacial Clefting Using Tooth Agenesis Code: A Meta-Analysis

Brian J. Howe, Chandler Pendleton, Miyuraj Harishchandra Hikkaduwa Withanage, Christopher A. Childs, Erliang Zeng, Arjen van Wijk, Ruurd Hermus, Carmencita Padilla, Jacqueline T. Hecht, Fernando A. Poletta, …
Dentistry journal, Vol.10(128), p.128
07/01/2022
DOI: 10.3390/dj10070128
PMCID: PMC9323030
PMID: 35877402
url
https://doi.org/10.3390/dj10070128View
Published (Version of record) Open Access

Abstract

Individuals with orofacial clefting (OFC) have a higher prevalence of tooth agenesis (TA) overall. Neither the precise etiology of TA, nor whether TA occurs in patterns that differ by gender or cleft type is yet known. This meta-analysis aims to identify the spectrum of tooth agenesis patterns in subjects with non-syndromic OFC and controls using the Tooth Agenesis Code (TAC) program. An indexed search of databases (PubMed, EMBASE, and CINAHL) along with cross-referencing and hand searches were completed from May to June 2019 and re-run in February 2022. Additionally, unpublished TAC data from 914 individuals with OFC and 932 controls were included. TAC pattern frequencies per study were analyzed using a random effects meta-analysis model. A thorough review of 45 records retrieved resulted in 4 articles meeting eligibility criteria, comprising 2182 subjects with OFC and 3171 controls. No TA (0.0.0.0) was seen in 51% of OFC cases and 97% of controls. TAC patterns 0.2.0.0, 2.0.0.0, and 2.2.0.0 indicating uni- or bi-lateral missing upper laterals, and 16.0.0.0 indicating missing upper right second premolar, were more common in subjects with OFC. Subjects with OFC have unique TA patterns and defining these patterns will help increase our understanding of the complex etiology underlying TA.
Machine Learning Phenotype cleft lip and palate hypodontia

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