Hipodontia associada à fissura unilateral de lábio e palato em paciente não sindrômico: relato de caso

Abstract

Hypodontia is a form of tooth agenesis consisting of congenital absence of one to six teeth. Tooth agenesis is frequently described in combination with cleft lip and/or palate (CL/P). The aim of this work is to present a clinical case of hypodontia associated with right sided and complete cleft palate in a 16 years-old melanodermic non-syndromic young male. He was attended at the dentistry service of the Special Patients Center of the University of the State of Amazon. At clinical exam was verified the previous accomplishment of cheiloplasty and palatoplasty, besides decay lesion in the elements 36 and 46. Tooth agenesis of the teeth 25, 18, 38 and 48 was detected at radiographic exam. Restoring procedures were accomplished at the carious elements with oxide of zinc and eugenol and the patient was referred to another health unit to perform the permanent restorations and dental care. A pattern, commonly described for this type of cleft was not observed in this case, demonstrating that a strong and independent genetic basis might play an important role in tooth agenesis, despite the presence of CL/P.