{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T18:09:40Z","timestamp":1765994980432,"version":"3.38.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:00:00Z","timestamp":1648080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthod"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p> The maxillary permanent central incisor (MPCI) has been reported to be rotated in up to 96% of cleft patients. A severely rotated MPCI is highly visible when smiling, drawing attention to a repaired cleft lip, and is often the main presenting complaint of a patient with cleft lip and palate attending for orthodontic treatment. The benefit of interceptive orthodontic treatment to alleviate these concerns must be weighed up against the consequences of adding to the already substantial orthodontic burden likely to be faced by these patients. <\/jats:p><jats:p> Despite the high prevalence of this dental abnormality among cleft patients, there is little published in the literature regarding this type of malocclusion. This paper explores the aetiology, presentation and management of this condition, using examples from cases treated within our department. In addition, the commonly found pre-existing anomaly of a short root length is discussed, in combination with the implications this may have upon orthodontic treatment planning for a rotated MPCI. <\/jats:p>","DOI":"10.1177\/14653125221087753","type":"journal-article","created":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T22:23:30Z","timestamp":1648160610000},"page":"431-438","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Cleft complications: Severely rotated maxillary permanent central incisors"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5944-842X","authenticated-orcid":false,"given":"Othman","family":"Hameed","sequence":"first","affiliation":[{"name":"King\u2019s College Hospital, St Thomas\u2019 Hospital & Whipps\u2019 Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Good","sequence":"additional","affiliation":[{"name":"St Thomas\u2019 Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,24]]},"reference":[{"key":"bibr1-14653125221087753","first-page":"680","volume":"36","author":"Amm E","year":"2002","journal-title":"Journal of Clinical Orthodontics"},{"key":"bibr2-14653125221087753","doi-asserted-by":"publisher","DOI":"10.1597\/14-274"},{"key":"bibr3-14653125221087753","volume-title":"Oral Anatomy, Histology and Embryology","author":"Berkovitz BKB","year":"2009","edition":"4"},{"key":"bibr4-14653125221087753","doi-asserted-by":"publisher","DOI":"10.1159\/000262366"},{"key":"bibr5-14653125221087753","first-page":"37","volume":"5","author":"Brook AH","year":"1974","journal-title":"Journal of the International Association of Dentistry for 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