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  1. Article ; Online: Association of Site-specific Tooth Absence with Severity of Oral Health-related Quality of Life Impacts in Girls Having Nonsyndromic Oligodontia.

    Suri, Sunjay / Jung, Hyejung / Carmichael, Robert / Lou, Wendy

    Pediatric dentistry

    2023  Volume 45, Issue 1, Page(s) 20–23

    Abstract: Purpose: The purpose of this cross-sectional observational investigation was to explore associations of site-specific tooth absences (SSTA, edentate sites resulting from dental agenesis where no primary or permanent teeth exist at the sites of permanent ...

    Abstract Purpose: The purpose of this cross-sectional observational investigation was to explore associations of site-specific tooth absences (SSTA, edentate sites resulting from dental agenesis where no primary or permanent teeth exist at the sites of permanent tooth agenesis) with the severity of oral health-related quality of life (OHRQoL) impacts in girls having nonsyndromic oligodontia.
    Methods: Data collected from 22 girls (mean aged 12.0±2.9, standard deviation years) having nonsyndromic oligodontia (mean permanent tooth agenesis equals 11.6±3.6; mean SSTA equals 1.9±2.5) who completed a 17-item short format Child Perceptions Questionnaire (CPQ
    Results: OHRQoL impacts were reported to be "often" or "every day/almost every day" by 63.6 percent of the sample. The mean total CPQ
    Conclusion: Clinicians should remain attentive to the wellbeing of the child with SSTA, and include the affected child in the treatment planning.
    MeSH term(s) Child ; Female ; Humans ; Adolescent ; Cross-Sectional Studies ; Quality of Life ; Molar
    Language English
    Publishing date 2023-03-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604709-9
    ISSN 1942-5473 ; 0164-1263
    ISSN (online) 1942-5473
    ISSN 0164-1263
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  2. Article ; Online: Infective endocarditis and orthodontic implications in children: A review of the literature.

    Vandersluis, Yona R / Suri, Sunjay

    American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics

    2020  Volume 157, Issue 1, Page(s) 19–28

    Abstract: Introduction: Owing to access to high-quality medical care, more medically compromised patients are seeking orthodontic therapy, including those at risk of developing infective endocarditis (IE). The current guidelines for orthodontic therapy and IE are ...

    Abstract Introduction: Owing to access to high-quality medical care, more medically compromised patients are seeking orthodontic therapy, including those at risk of developing infective endocarditis (IE). The current guidelines for orthodontic therapy and IE are few. The objective of this review is to provide an evidence-based update on the relationship between orthodontic procedures and IE in children.
    Methods: A comprehensive review of the English language literature available through PubMed, Ovid Medline, and Google Scholar without any limits of years of publication was conducted to analyze the evidence regarding IE and orthodontics.
    Literature review: A necessary prerequisite for IE is bacteremia. Although the only orthodontic procedure included in the current American Heart Association guidelines is the placement of bands, placement of separators has also been found to lead to significant bacteremia. Procedures with possible clinical significance include removal of expanders, placement of separators, and placement of bands. Because of the unavailability of high-quality evidence, elective invasive procedures prone to causing bacteremia should be avoided.
    Conclusions: Evidence regarding orthodontic treatment and IE is limited because of ethical considerations of conducting trials in patients who are at risk for IE. Clinical interpretation based on a comprehensive review of the available literature is therefore essential.
    Clinical implications: Before initiating orthodontic therapy in cardiac patients, the patient's IE risk is best determined by referring to the current American Heart Association guidelines and through consultation with the patient's cardiologist. Procedures that can lead to tissue injury or bacteremia should be avoided. Oral hygiene must be reinforced because inflammation influences bacteremia.
    MeSH term(s) Antibiotic Prophylaxis ; Bacteremia ; Child ; Dental Care ; Endocarditis ; Endocarditis, Bacterial ; Humans ; United States
    Language English
    Publishing date 2020-01-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 356699-7
    ISSN 1097-6752 ; 0889-5406 ; 0002-9416
    ISSN (online) 1097-6752
    ISSN 0889-5406 ; 0002-9416
    DOI 10.1016/j.ajodo.2019.03.027
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  3. Article ; Online: The Impact of Fan-Type Rapid Palatal Expanders on Speech in Patients With Unilateral Cleft Lip and Palate.

    Bertucci, Virginia / Stevens, Kyle / Sidhu, Nicole / Suri, Sunjay / Bressmann, Tim

    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    2022  Volume 60, Issue 7, Page(s) 875–887

    Abstract: Rapid palatal expanders (RPEs) are commonly used in patients with cleft lip and palate (CLP) prior to secondary alveolar bone grafting (SABG). Their position and size can impede tongue movement and affect speech. This study assessed changes in perception ...

    Abstract Rapid palatal expanders (RPEs) are commonly used in patients with cleft lip and palate (CLP) prior to secondary alveolar bone grafting (SABG). Their position and size can impede tongue movement and affect speech. This study assessed changes in perception and production of speech over the course of RPE treatment.
    Prospective longitudinal.
    Tertiary university-affiliated hospital.
    Twenty-five patients with unilateral CLP treated with Fan-type RPEs, and their parents.
    Patient and parent speech questionnaires and patient speech recordings were collected at baseline before RPE insertion (T1), directly after RPE insertion (T2), during RPE expansion (T3), during RPE retention (T4), directly after RPE removal but before SABG (T5), and at short-term follow-up after RPE removal and SABG (T6).
    Ratings for patient and parent questionnaires, first (F1) and second (F2) formants for vowels /a/, /i/, and /u/, and nasalance scores for non-nasal and nasal sentences, were obtained and analyzed using mixed model analyses of variance.
    Ratings worsened at T2. For the vowel /a/, F1 and F2 were unchanged at T2. For the vowel /i/, F1 increased and F2 decreased at T2. For the vowel /u/, F1 was unchanged and F2 decreased at T2. Nasalance was unchanged at T2. All outcome measures returned to T1 levels by T4.
    RPE insertion resulted in initial adverse effects on speech perception and production, which decreased to baseline prior to removal. Information regarding transient speech dysfunction and distress may help prepare patients for treatment.
    MeSH term(s) Humans ; Cleft Lip/surgery ; Speech ; Cleft Palate/surgery ; Prospective Studies
    Language English
    Publishing date 2022-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1069409-2
    ISSN 1545-1569 ; 0009-8701 ; 1055-6656
    ISSN (online) 1545-1569
    ISSN 0009-8701 ; 1055-6656
    DOI 10.1177/10556656221084541
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    Zs.A 451: Show issues Location:
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  4. Article ; Online: Eruption path of permanent maxillary canines after secondary alveolar bone graft in patients with nonsyndromic complete unilateral cleft lip and palate.

    Caceres Manfio, Aura Sofia / Suri, Sunjay / Dupuis, Annie / Stevens, Kyle

    American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics

    2022  Volume 161, Issue 5, Page(s) e416–e428

    Abstract: Introduction: Successful eruption of the maxillary canine after secondary alveolar bone grafting (SABG) improves dentoalveolar outcomes in the final occlusal rehabilitation of patients with cleft lip and palate (CLP). We aimed to study eruptive ... ...

    Abstract Introduction: Successful eruption of the maxillary canine after secondary alveolar bone grafting (SABG) improves dentoalveolar outcomes in the final occlusal rehabilitation of patients with cleft lip and palate (CLP). We aimed to study eruptive positions of the maxillary canine in CLP post-SABG.
    Methods: This retrospective longitudinal study included 27 patients with complete unilateral CLP who received standardized SABG from the same surgeon. Rigorous selection criteria enabled a relatively homogeneous sample. Using panoramic radiographs, angulation, horizontal and vertical positions of the maxillary canines were recorded 3 times. Linear proportions along with sectorial methods were used. Linear regression and t tests were performed to assess and compare the position of the canine on the cleft side (CS) and noncleft side from pre-SABG (T1) to a minimum 2 years post-SABG (T3); to evaluate its displacement and identify predictors for its impaction, and to analyze the characteristics of the impacted canines vs the nonimpacted canines at T3.
    Results: The CS maxillary canine was more acutely angulated and more apically positioned than the noncleft side canine at all times. It was relatively more distally positioned at T1 and exhibited significantly greater mesial movement from T1 to T3 (P <0.0001). Canine impaction on the CS was associated with a more apical position at 1-year post-SABG (P = 0.022) and a more acute angulation of this tooth.
    Conclusion: More acute angulation and more apical position of the CS maxillary canine before SABG may be associated with an increased risk of its impaction after SABG.
    MeSH term(s) Alveolar Bone Grafting/methods ; Brain/abnormalities ; Cleft Lip/complications ; Cleft Lip/surgery ; Cleft Palate/complications ; Cleft Palate/surgery ; Cuspid/diagnostic imaging ; Humans ; Longitudinal Studies ; Maxilla/diagnostic imaging ; Maxilla/surgery ; Retrospective Studies ; Tooth, Impacted/complications
    Language English
    Publishing date 2022-03-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 356699-7
    ISSN 1097-6752 ; 0889-5406 ; 0002-9416
    ISSN (online) 1097-6752
    ISSN 0889-5406 ; 0002-9416
    DOI 10.1016/j.ajodo.2021.06.019
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  5. Article ; Online: A Retrospective Longitudinal Treatment Review of Multidisciplinary Interventions in Nonsyndromic Robin Sequence With Cleft Palate.

    Palaska, Pinelopi K / Antonarakis, Gregory S / Suri, Sunjay

    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    2021  Volume 59, Issue 7, Page(s) 882–890

    Abstract: Objective: To document and analyze the overall longitudinal institutional treatment experience of children with nonsyndromic Robin sequence (RS) from infancy to early adulthood.: Design: Retrospective longitudinal treatment review.: Setting: A ... ...

    Abstract Objective: To document and analyze the overall longitudinal institutional treatment experience of children with nonsyndromic Robin sequence (RS) from infancy to early adulthood.
    Design: Retrospective longitudinal treatment review.
    Setting: A tertiary-care, referral, teaching hospital.
    Patients: Children with nonsyndromic RS and cleft palate (N = 117) born between December, 1985, and January, 2012.
    Interventions: Data regarding airway management, nutritional management, audiological interventions, orthodontic treatment, and surgical interventions were documented and analyzed in different growth/developmental stages. Comparative data from other international centers were collected from the literature.
    Results: Airway management during infancy involved prone positioning (92%), nasopharyngeal airway (6%), tracheostomy (2%), and mandibular distraction osteogenesis (1%). Feeding with nasogastric, gastrostomy, and/or gastrojejunostomy tubes was used in 44%, Haberman feeders in 53%, and Mead Johnson feeders in 3%. Gastroesophageal reflux disease was documented in 6% of the sample. During childhood and early adolescent years, pharyngeal flap surgery was carried out in 22% of the children, while 11% had secondary palatal surgery. Audiological management included the use of tympanostomy tubes in 62%, with several children needing multiple tube replacements. At least 18% were diagnosed with obstructive sleep apnea. Adenoidectomy or adenotonsillectomy was undertaken in 4%. Analysis of data pertaining to middle childhood and adolescent years showed that orthodontic treatment was conducted for most children for crowding, tooth agenesis, and skeletal and/or dental dysplasia. Orthognathic surgery frequency (<18%) was low.
    Conclusions: Institutional treatment experience of children with nonsyndromic RS involves multidisciplinary care at different ages and stages of their development.
    MeSH term(s) Adolescent ; Adult ; Child ; Cleft Palate/complications ; Cleft Palate/surgery ; Humans ; Infant ; Mandible/surgery ; Osteogenesis, Distraction ; Pierre Robin Syndrome/complications ; Pierre Robin Syndrome/surgery ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-07-02
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1069409-2
    ISSN 1545-1569 ; 0009-8701 ; 1055-6656
    ISSN (online) 1545-1569
    ISSN 0009-8701 ; 1055-6656
    DOI 10.1177/10556656211026477
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    Zs.A 451: Show issues Location:
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  6. Article ; Online: Root development differences between cleft-adjacent teeth on the cleft side in comparison to their analogs on the noncleft side in patients with nonsyndromic cleft lip and palate who received secondary alveolar bone grafting.

    Vandersluis-Solomon, Yona R / Suri, Sunjay / Fisher, David M / Stevens, Kyle / Tompson, Bryan D / Lou, Wendy

    The Angle orthodontist

    2023  Volume 94, Issue 1, Page(s) 75–82

    Abstract: Objective: To assess differences in root development between the cleft side (CS) and noncleft side (NCS) for permanent maxillary central incisor and canine longitudinally in patients with nonsyndromic complete unilateral cleft lip and palate (cUCLP) who ...

    Abstract Objective: To assess differences in root development between the cleft side (CS) and noncleft side (NCS) for permanent maxillary central incisor and canine longitudinally in patients with nonsyndromic complete unilateral cleft lip and palate (cUCLP) who received secondary alveolar bone grafting (SABG) and to evaluate the effects of SABG on the acceleration of root development of these teeth.
    Materials and methods: Permanent maxillary central incisors and canines of 44 subjects with nonsyndromic cUCLP who had all their cleft-related surgeries performed by the same surgeon were analyzed retrospectively from chart notes and radiographs. Panoramic and periapical radiographs at time point 1 (T1) (age, 7.55 years), at SABG (time point 2 [T2], 10.13 years), and a minimum of 2 years after SABG were studied. Root development rating scores on the NCS and CS were compared using paired t-tests and analyses of proportions.
    Results: Mean root development score differences (NCS - CS) for canines and central incisors were greatest at T2 but diminished at time point 3 (T3). A larger proportion of teeth on the CS trailed the teeth on the NCS by at least 1 point at T2 than at T1 or T3, with the smallest proportion being observed at T3. The change in root development scores from T1 to T2 and from T2 to T3 showed relative CS acceleration from T2 to T3, indicating a catch-up of root development of cleft-adjacent teeth after SABG.
    Conclusions: Root development of cleft-adjacent central incisors and canines is slow in comparison with their noncleft analogs. Root development of these teeth accelerates following SABG.
    MeSH term(s) Humans ; Child ; Cleft Lip/surgery ; Alveolar Bone Grafting ; Cleft Palate/surgery ; Retrospective Studies ; Incisor/diagnostic imaging
    Language English
    Publishing date 2023-09-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 390289-4
    ISSN 1945-7103 ; 0003-3219
    ISSN (online) 1945-7103
    ISSN 0003-3219
    DOI 10.2319/041923-286.1
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  7. Article ; Online: Optimal timing for nasal cartilage molding in presurgical nasoalveolar molding.

    Suri, Sunjay

    Plastic and reconstructive surgery

    2010  Volume 125, Issue 3, Page(s) 112e–3e

    MeSH term(s) Child ; Cleft Lip/surgery ; Cleft Palate/surgery ; Humans ; Nasal Cartilages/abnormalities ; Nasal Cartilages/surgery ; Preoperative Care/methods
    Language English
    Publishing date 2010-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0b013e3181cb66e0
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    Uk I Zs.142: Show issues Location:
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    Zs.MO 293: Show issues

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  8. Article ; Online: Design features and simple methods of incorporating nasal stents in presurgical nasoalveolar molding appliances.

    Suri, Sunjay

    The Journal of craniofacial surgery

    2009  Volume 20 Suppl 2, Page(s) 1889–1894

    Abstract: Presurgical nasoalveolar molding (NAM) in the orofacial orthopedic treatment of unilateral clefts of the lip and palate aims to align and approximate the maxillary hemialveolar segments and simultaneously support and mold the deformed nasal cartilages, ... ...

    Abstract Presurgical nasoalveolar molding (NAM) in the orofacial orthopedic treatment of unilateral clefts of the lip and palate aims to align and approximate the maxillary hemialveolar segments and simultaneously support and mold the deformed nasal cartilages, correct and center nasal tip projection, and lengthen the deficient cleft-side columella in early infancy, before the primary reparative lip surgery. A number of techniques of achieving these objectives have been described in the literature and are increasingly being practiced by cleft care teams around the world. However, a detailed description of the nasal stent is lacking in the literature and needs to be elucidated to facilitate greater usage of presurgical NAM in contemporary practice. This report fills this void by providing an analytical description of the different parts of the nasal stent; clarifies their desirable design features, anatomic correlations, and clinical importance; and illustrates in a step-by-step manner simple direct and indirect methods of incorporating a nasal stent, improvised by the author in his practice, that can be used with any of the contemporary NAM appliances and techniques. From the simple methods described, clinicians will be enabled to select one that may be most easily adaptable to their preferred appliance and clinical setting.
    MeSH term(s) Cleft Lip/therapy ; Cleft Palate/therapy ; Humans ; Infant ; Nose/abnormalities ; Nose/surgery ; Palatal Obturators ; Prostheses and Implants ; Prosthesis Design ; Prosthesis Fitting ; Stents
    Language English
    Publishing date 2009-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1159501-2
    ISSN 1536-3732 ; 1049-2275
    ISSN (online) 1536-3732
    ISSN 1049-2275
    DOI 10.1097/SCS.0b013e3181b6c74a
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  9. Article ; Online: Anterior open bite due to idiopathic condylar resorption during orthodontic retention of a Class II Division 1 malocclusion.

    Park, Jae Hyun / Park, Jung Joo / Papademetriou, Michael / Suri, Sunjay

    American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics

    2019  Volume 156, Issue 4, Page(s) 555–565

    Abstract: A common dilemma when treating anterior open bite is understanding its etiology. Idiopathic condylar resorption (ICR) can cause open bite in affected individuals. Although it is prudent to not treat patients with ICR until active resorption has ceased, ... ...

    Abstract A common dilemma when treating anterior open bite is understanding its etiology. Idiopathic condylar resorption (ICR) can cause open bite in affected individuals. Although it is prudent to not treat patients with ICR until active resorption has ceased, orthodontists may begin treating them because anterior open bite from ICR may not appear before or during their orthodontic treatment. This article reports a 12-year-old female who was diagnosed with ICR 10 months after completion of her orthodontic treatment for a Class II Division 1 malocclusion. When a young patient with a high mandibular angle and previous skeletal or dental Class II malocclusion returns with an open bite during the retention phase, the patient's condyles must be carefully examined to determine whether any temporomandibular joint disorder, such as ICR, is present. Currently, the controversy over the cause and the cure for ICR is continuing to challenge orthodontists in diagnoses and treatments. Orthodontists should closely monitor and offer informed treatment options to patients with risk factors for ICR or signs of its pathology that might develop at any stage of orthodontic treatment, including the retention period.
    MeSH term(s) Bone Resorption/complications ; Bone Resorption/diagnostic imaging ; Bone Resorption/therapy ; Cephalometry ; Child ; Combined Modality Therapy ; Esthetics, Dental ; Female ; Humans ; Malocclusion, Angle Class II/diagnostic imaging ; Malocclusion, Angle Class II/therapy ; Mandibular Condyle/pathology ; Mandibular Diseases/diagnostic imaging ; Mandibular Diseases/pathology ; Mandibular Diseases/therapy ; Open Bite/diagnostic imaging ; Open Bite/etiology ; Open Bite/therapy ; Orthodontics, Corrective/methods ; Temporomandibular Joint Disorders/diagnostic imaging ; Temporomandibular Joint Disorders/therapy ; Treatment Outcome
    Language English
    Publishing date 2019-08-26
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 356699-7
    ISSN 1097-6752 ; 0889-5406 ; 0002-9416
    ISSN (online) 1097-6752
    ISSN 0889-5406 ; 0002-9416
    DOI 10.1016/j.ajodo.2019.05.010
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  10. Article ; Online: Clinical orthodontic management during the COVID-19 pandemic.

    Suri, Sunjay / Vandersluis, Yona R / Kochhar, Anuraj S / Bhasin, Ritasha / Abdallah, Mohamed-Nur

    The Angle orthodontist

    2020  Volume 90, Issue 4, Page(s) 473–484

    Abstract: Objectives: To provide a comprehensive summary of the implications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and coronavirus disease 2019 (COVID-19) on orthodontic treatment, contingency management, and provision of ... ...

    Abstract Objectives: To provide a comprehensive summary of the implications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and coronavirus disease 2019 (COVID-19) on orthodontic treatment, contingency management, and provision of emergency orthodontic treatment, using currently available data and literature.
    Materials and methods: Orthodontically relevant sources of information were searched using electronic databases including PubMed and Google Scholar and current reports from major health bodies such as Centers for Disease Control and Prevention, World Health Organization, National Institutes of Health, and major national orthodontic associations.
    Results: Where available, peer-reviewed and more recent publications were given priority. Due to the rapidly evolving nature of COVID-19 and limitations in quality of evidence, a narrative synthesis was undertaken. Relevant to orthodontics, human-to human transmission of SARS-CoV-2 occurs predominantly through the respiratory tract via droplets, secretions (cough, sneeze), and or direct contact, where the virus enters the mucous membrane of the mouth, nose, and eyes. The virus can remain stable for days on plastic and stainless steel. Most infected persons experience a mild form of disease, but those with advanced age or underlying comorbidities may suffer severe respiratory and multiorgan complications.
    Conclusions: During the spread of the COVID-19 pandemic, elective orthodontic treatment should be suspended and resumed only when permitted by federal, provincial, and local health regulatory authorities. Emergency orthodontic treatment can be provided by following a contingency plan founded on effective communication and triage. Treatment advice should be delivered remotely first when possible, and where necessary, in-person treatment can be performed in a well-prepared operatory following the necessary precautions and infection prevention and control (IPAC) protocol.
    MeSH term(s) COVID-19 ; Humans ; Orthodontics ; Pandemics ; Respiratory System ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 390289-4
    ISSN 1945-7103 ; 0003-3219
    ISSN (online) 1945-7103
    ISSN 0003-3219
    DOI 10.2319/033120-236.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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