Morphology and dimensions of maxillary dental arch in individuals with bilateral cleft lip and palate: evaluation of the influence of primary plastic surgeries

Objective To investigate the effects of infant orthopedic treatment and lip adhesion on maxillary growth of patients with bilateral cleft lip and palate (BCLP). Design Prospective longitudinal study. Setting The present study was conducted at the Cleft Lip and Palate Center, Harapan Kita Children and Maternity Hospital, Indonesia, and the Department of Oral and Maxillofacial Surgery, Kyushu University Hospital, Japan. Subjects The study sample consisted of 53 patients with complete BCLP and 10 noncleft patients with other diseases. Patients with BCLP were divided into three groups: H (-), 11 patients treated without Hotz's plate; H (+), 24 treated with Hotz's plate; and LA-H, 18 treated with lip adhesion and Hotz's plate. Methods Serial dental casts were obtained from each BCLP child at the following four time points: first visit, labioplasty, palatoplasty, and 5 years of age. Each maxillary dental cast was scanned, and the linear and angular dimensions were measured. Results and Conclusion Lip adhesion showed a temporary negative effect. In all patients with BCLP, the surgeries affected the growth of the anterior arch width until the age of 5 years. Collapse of the premaxilla following labioplasty in the H (-) group affected the growth of dental arch length until the age of 5 years. Treatment using Hotz's plate prevented collapse of the premaxilla, and the growth of the arch length was comparable to that observed in the noncleft group.

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Upper dental arch morphology of adult unoperated complete bilateral cleft lip and palate

American Journal of Orthodontics and Dentofacial Orthopedics ◽

10.1053/od.1998.v114.a86380 ◽

1998 ◽

Vol 114 (2) ◽

pp. 154-161 ◽

Cited By ~ 31

Author(s):

Omar Gabriel da Silva Filho ◽

Fabricio Monteiro de Castro Machado ◽

Adriana Coelho de Andrade ◽

José Alberto de Souza Freitas ◽

Samir E. Bishara

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Bilateral Cleft Lip

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Use of Bauru Yardstick in Patients With Complete Bilateral Cleft Lip and Palate at an Indian Center

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665617730360 ◽

2017 ◽

Vol 55 (4) ◽

pp. 602-606

Author(s):

Puneet Batra ◽

Gopala Krishna Annavarapv ◽

Ashish Chopra ◽

Amit Srivastava ◽

Partha Sadhu ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Weighted Kappa ◽

Dental Arch ◽

Age Group ◽

Bilateral Cleft Lip ◽

Examiner Agreement ◽

Dental Cast ◽

Dental Arch Relationship ◽

Very High

Objective: To evaluate dental arch relationship in treated bilateral cleft lip and palate (BCLP) cases at an Indian cleft center using the Bauru yardstick. Patients and methods: Digital photographs of the dental cast of 50 consecutively treated patients (28 males and 22 females) with nonsyndromic BCLP at an Indian cleft center were rated by 2 examiners as per the Bauru yardstick for the 12-year-old age group. The average age group was 12 ± 0.62 years. All cases were treated with same surgical protocol. Results: The inter-examiner agreement between the 3 examiners was found to be very high, with weighted kappa values ranging from 0.894 to 0.951. The intraexaminer agreement between the 2 examinations for all the examiners was also found to be very high, with weighted kappa values ranging from 0.894 to 0.931. Seventy-eight percent of patients were rated with a Bauru yardstick score of 1+2. In addition, 10% of patients were rated with a score of 3, 8% as 4, and 4% as 5. The overall Bauru yardstick score for the center was 2.36. Conclusion: The protocol followed for the repair of BCLP cases by the center was found to be a good regimen in regard to the Bauru yardstick score.

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A New Yardstick for Rating Dental Arch Relationship in Patients with Complete Bilateral Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/09-122 ◽

2011 ◽

Vol 48 (2) ◽

pp. 167-172 ◽

Cited By ~ 18

Author(s):

Terumi Okada Ozawa ◽

William C. Shaw ◽

Christos Katsaros ◽

Anne Marie Kuijpers-Jagtman ◽

Catharina Hagberg ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Bilateral Cleft Lip ◽

Dental Arch Relationship

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Differences in the Alignment Pattern of the Maxillary Dental Arch Following Fixed Orthodontic Treatment in Patients With Bilateral Cleft Lip and Palate

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000004140 ◽

2018 ◽

Vol 29 (2) ◽

pp. 440-444 ◽

Cited By ~ 2

Author(s):

Mihee Hong ◽

Seung-Hak Baek

Keyword(s):

Orthodontic Treatment ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Bilateral Cleft Lip

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Treatment Outcome in Bilateral Cleft lip and Palate Patients Evaluated With the Huddart-Bodenham Scoring System and the Bilateral Cleft lip and Palate Yardstick: A Systematic Review

The Cleft Palate-Craniofacial Journal ◽

10.1177/10556656211041883 ◽

2021 ◽

pp. 105566562110418

Author(s):

Wenying Kuang ◽

Miranda Aarts ◽

Anne Marie Kuijpers-Jagtman ◽

Hong He ◽

Edwin M. Ongkosuwito

Keyword(s):

Treatment Outcome ◽

High Risk ◽

Scoring System ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Risk Of Bias ◽

Dental Arch ◽

Quality Of Evidence ◽

Bilateral Cleft Lip

Objectives To assess treatment outcome (transversal and sagittal dental arch relationships) and its determinants in complete bilateral cleft lip and palate (BCLP) evaluated with the modified Huddart-Bodenham scoring system and the BCLP Yardstick. Materials and methods Multiple electronic databases were searched without time limitation. Randomized clinical trials, cohort and case control studies using BCLP Yardstick and/or modified Huddart-Bodenham system to judge treatment outcome of patients with BCLP were included. The Risk of Bias in Nonrandomized Studies of Interventions tool and Grading of Recommendations, Assessment, Development, and Evaluation was used. Results Of the 528 studies identified by the electronic search, only eight retrospective studies met the inclusion criteria and were included. A total of 12 cleft centers were represented. All treatment protocols differed and background information was underreported. The results for the BCLP yardstick showed that all except the centers in New Zealand had a mean score lower than 3, indicating good treatment results. However, these studies had a moderate to high risk of bias. The modified Huddart-Bodenham scores were negative in all studies. No further meta-analysis was done due to heterogeneity and high risk of bias. The quality of evidence was graded as very low. Conclusion Results for the dental arch relationship of studies in complete BCLP and possible determinants were not synthesized due to very low quality of evidence. Clinical research for patients with BCLP should focus on sound methodological designs to enable evidence-based decision making to improve treatment for patients with BCLP and thereby hopefully their quality of life.

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Maxillary and Mandibular Dental-Arch Dimensions and Occlusion in Bilateral Cleft Lip and Palate Patients from 3 to 17 Years of Age

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1997_034_0021_mamdad_2.3.co_2 ◽

1997 ◽

Vol 34 (1) ◽

pp. 21-26 ◽

Cited By ~ 13

Author(s):

Kiki L.W.M. Heidbuchel ◽

Anne Marie Kuijpers-Jagtman

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Control Sample ◽

Fixed Time ◽

Control Group ◽

Dental Arch ◽

Normative Sample ◽

Time Intervals ◽

Arch Form ◽

Bilateral Cleft Lip

The aim of this study was to describe maxillary and mandibular dental-arch form and occlusion in bilateral cleft of the lip and palate (BCLP) from 3 to 17 years of age and to compare their characteristics with a normative sample. A sample of 22 patients with BCLP was investigated, with a noncleft control sample used for comparison. Dental-arch dimensions were studied on dental casts. A comparison between both groups was made at fixed time intervals. From 9 years of age, the cleft sample showed a significantly smaller maxillary depth. Maxillary dental-arch widths were also significantly smaller than in the control group over the whole age period. Mandibular dental-arch measurements were very similar In both groups, although smaller first-molar widths were noted in the BCLP group beginning at 12 years of age. A tendency for end-to-end occlusion was found, which became more clear with age and was most markedly in the canine region.

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