The Correlation between Third Molar Eruptive Stages and Dental Age in Bosnian and Herzegovinian Children and Adolescents

Abstract

Cleft lip and palate is the most common congenital deformity affecting craniofacial structures. Orofacial clefts have great impact on the quality of life which includes aesthetics, function, psychological impact, dental development and facial growth. Incomplete fusion of facial prominences during the fourth to tenth week of gestation is the main cause. Cleft gaps are closed with alveolar bone grafts in surgical procedure called osteoplasty. Autogenic bone is taken from the iliac crest as the gold standard. The time of grafting can be divided into two stages: primary and secondary. The alveolar defect is usually reconstructured between 7 and 11 years and is often related to the development of the maxillary canine root. After successful osteoplasty, cleft defect is closed but there is still a lack of tooth. The space closure with orthodontic treatment has 50-75% success. If the orthodontic treatment is not possible, in order to replace the missing tooth there are three possibilities: adhesive bridgework, tooth transplantation and implants. Dental implant has the role of holding dental prosthesis, prevents pronounced bone atrophy and loads the augmentation material in the cleft area. Despite the fact that autologous bone from iliac crest is the gold standard, it is not a perfect source for reconstruction of the alveolar cleft. Bone morphogenic protein (BMP) is appropriate as an alternative graft material. The purpose of this review is to explain morphology of cleft defects, historical perspective, surgical techniques and possibilities of implant and prosthodontic rehabilitation.

Radiological Evaluation of Dental Age Assessment Based on the Development of Third Molars in Population of Bosnia and Herzegovina

“…Eruptive phases of third molars were classified according to 4 stages, from A to D, and analysed by Olze method ( 2 , 9 ). We have also analysed the calcification stages according to the mineralization diagrams proposed by Demirjian et al ( 11 , 12 ).…”

“…Dental age estimation is commonly used in pediatric dentistry, orthodontics, pediatric-endocrinology, dental paleopathology and in forensic dentistry ( 1 , 2 ).…”

“…Utilizing third molars for age prediction is vitally significant when there is a need to decide the minor or grown-up status of a person when no legitimate archive is accessible just as on account of patient experiencing amnesia and furthermore on examples of legal or anthropological significance ( 2 , 3 ). There are requirements for chronological age estimation related to school attendance, social benefits, employment and marriage as well ( 4 , 5 ) Furthermore, this procedure is sometimes necessary in cases of state administration: adoption, motorcycle driver licence, passport release etc ( 6 ).…”

Tissue Engineering Scaffolds Fabricated in Dissolvable 3D-Printed Molds for Patient-Specific Craniofacial Bone Regeneration

“…Typically, the palate bone separates the mouth from the nose; however, with cleft palate a part of this bone is missing [ 2 ]. These defects negatively affect the quality of life of the patient, specifically the facial growth, function, dental development, and aesthetics [ 3 ]. In addition to this, the cost of treatments and rehabilitation for patients with oral clefts can reach up to $100,000 [ 1 ].…”

“…In addition to this, the cost of treatments and rehabilitation for patients with oral clefts can reach up to $100,000 [ 1 ]. Currently, the standard treatment is an autologous bone graft taken from the iliac crest to reunite the cleft, resulting in another wound site, donor site morbidity, and greater discomfort for the patient [ 3 , 4 , 5 ]. In addition, pediatric patients have less bone mass and require an invasive procedure.…”