TODENTJ-25-03-2019_TODENTJ-12-510
1553507414
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
07
31
2018
12
1
The Association between Ponticulus Posticus and Dental Agenesis: A Retrospective Study
Alessandra
Putrino
Rosa Maria
Leonardi
Ersilia
Barbato
Gabriella
Galluccio
Objective:
Neural tube defects may increase the risk of an abnormal development of skull, vertebral column and teeth formation, including dental agenesis in non syndromic patients. The association between the presence of a congenital Dental Agenesis (DA) and the Atlantooccipital Ligament (AOL) calcification, known as “Ponticulus Posticus” (PP), as possible links can be investigated.
Design:
After a systematic review of the scientific literature on this topic, two independent examiners assessed the AOL calcification in lateral cephalograms of 350 non syndromic patients(7-21 years old). The results were compared with a control group (non syndromic patients, without congenital missing teeth).
Results:
The 16.3% of the population studied by cephalometric analysis revealed a prevalence rate of PP (both complete and partial) with a slight male predominance is seen, not statistically significant (χ square test = 0.09; p= 0.76). In both sexes complete PP is more observed. In the patients affected by DA the frequency of PP is the 66.6% (both complete than partial). The χ square test with Yates correction showed a significative difference(χ= 66.20; p value= 0.00) between PP in patients with DA compared to not affected by DA.
Conclusions:
PP is not an uncommon anomaly. Since orofacial pain like migraine and other symptoms are often associated to PP, during routine radiographic examination, if detected, it should be documented in patients’ health record and with symptoms, further investigation should be sought for. These findings encourage to think there’s an association between DA in non syndromic patients and neuro-crestal cells defects.
07
31
2018
510
519
TODENTJ-12-510
1
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2018-6-25
2018-7-16
2018-07-31
https://creativecommons.org/licenses/by/4.0/legalcode
10.2174/1874210601812010510
1553507414
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