Baltic Dental and Maxillofacial Journal | ||||||||||
September, 2017, Vol. 19, No. 3 CONTENTS SCIENTIFIC ARTICLES CASE REPORT © 2017 Stomatologija |
Stomatologija 2017; 19 (3):78-83 33 KB Family history and risk factors for cleft lip and palate patients and their associated anomalies Abdolreza Jamilian 1 , Farzin Sarkarat2, Mehrdad Jafari3, Morteza Neshandar4, Ehsan Amini5, Saeed Khosravi6, Alireza Ghassemi7 Summary Background and aims. Several environmental and genetic issues have been suspected as risk factors for oral clefts; and many studies have been conducted in this regard; however, large socioeconomic impacts of cleft lip and or palate (CL/P) justifies the need for further multifactorial researches. Current study aimed to assess parental risk factors for CL/P and its associated malformations. Material and Methods. Hospital records of 187 consecutive syndromic and non-syndromic children with cleft lip and or palate (103 boys and 84 girls) with a mean age of 1.7 (SD 2.2) years and 190 consecutive non-cleft children (103 boys and 87 girls) with a mean age of 2.8 (SD 2.2) years formed this study. Parental risk factors and abnormalities and physical problems and anomalies were evaluated in all subjects. Results. Family history of clefts (OR 7.4; 95% CI), folic acid consumption (OR 7.3; 95% CI) and consanguineous marriage (OR 3.2; 95% CI) were quite strongly associated with increased risk of CL/P. In addition, all congenital abnormalities and physical problems had significantly higher incidence in CL/P patients. Conclusions. The findings of this study suggest that expecting mothers of consanguineous marriage and families with a history of CL/P should be extra cautious about the occurrence of CL/P. Key words: family history, risk factors, cleft lip and palate. Received: 21 06 2016 Accepted for publishing: 28 09 2017 1Orthodontic department, Craniomaxillofacial research center, Tehran Dental Branch, Islamic Azad University, Tehran, Iran 2Oral and maxillofacial surgery department, Craniomaxillofacial research center, Tehran Dental Branch, Islamic Azad University, Tehran, Iran 3ENT department, Tehran University of Medical Sciences, Medical Center of Imam Khomeini Hospital, Tehran, Iran 4Department of prosthodontics, Craniomaxillofacial research center, Tehran Dental Branch, Islamic Azad University, Tehran, Iran 5Craniomaxillofacial research center, Tehran Dental Branch, Islamic Azad University, Tehran, Iran 6Department of languages, Tehran University of Medical Sciences, Tehran, Iran 7Department of Oral, Maxillofacial Plastic and Reconstructive Surgery, University Hospital, Aachen, Germany
Address correspondence to Dr Abdolreza Jamilian. No 14, Pesiyan St., Vali Asr St. Tehran 1986944768, Iran. E-mail address: info@jamilian.net |
|||||||||