Association between Dental Arch Widths and Interarch Relationships in Children with Operated Unilateral Complete Cleft Lip and Palate

Objective A critical appraisal of cleft care in the United Kingdom. Design Retrospective comparative study. Setting All National Health Service cleft centers in the United Kingdom. Patients/Participants Children born with unilateral complete clefts of the lip and palate between April 1, 1982, and March 31, 1984 (12-year-olds), and April 1, 1989, and March 31, 1991 (5-year-olds). Newly appointed and senior cleft clinicians. Main Outcome Measures Skeletal pattern, dental arch relationship, success of alveolar bone grafting, dental health, facial appearance, oral health status, patient/parent satisfaction. Conclusions This paper highlights the poor outcomes for the fragmented cleft care in the United Kingdom, compared with European centers. There is an urgent need for a review of structure, organization, and training.

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Evaluation of dental arch relationship of patients with bilateral cleft lip and palate applying bilateral yardstick

Journal of Cleft Lip Palate and Craniofacial Anomalies ◽

10.4103/jclpca.jclpca_29_17 ◽

2017 ◽

Vol 4 (3) ◽

pp. 167 ◽

Cited By ~ 2

Author(s):

CristianeLucas de Farias Luz ◽

TerumiOkada Ozawa ◽

Rafael Arouca ◽

Amanda Ohashi ◽

Daiana Broll

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Bilateral Cleft Lip ◽

Relationship Of ◽

Dental Arch Relationship

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Longitudinal Study of Effect of Hotz's Plate and Lip Adhesion on Maxillary Growth in Bilateral Cleft Lip and Palate Patients

The Cleft Palate-Craniofacial Journal ◽

10.1597/10-042 ◽

2012 ◽

Vol 49 (2) ◽

pp. 230-236 ◽

Cited By ~ 5

Author(s):

Muhammad Syafrudin Hak ◽

Masaaki Sasaguri ◽

Farida Kamil Sulaiman ◽

Enny Tyasandarwati Hardono ◽

Akira Suzuki ◽

...

Keyword(s):

Longitudinal Study ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Maxillofacial Surgery ◽

University Hospital ◽

Dental Arch ◽

Prospective Longitudinal Study ◽

Bilateral Cleft Lip ◽

Maxillary Growth ◽

Prospective Longitudinal

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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Assessment of Dental Arch Relationships in Japanese Patients with Unilateral Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/04-117r.1 ◽

2006 ◽

Vol 43 (1) ◽

pp. 96-102 ◽

Cited By ~ 32

Author(s):

Takafumi Susami ◽

Yuji Ogihara ◽

Masako Matsuzaki ◽

Miyuki Sakiyama ◽

Tsuyoshi Takato ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Good Practice ◽

Weighted Kappa ◽

Japanese Patients ◽

Craniofacial Morphology ◽

Dental Arch ◽

Kappa Statistics ◽

Consecutive Series ◽

Alveolar Bone Grafting

Objective Evaluation of the dental arch relationships of Japanese patients with unilateral cleft lip and palate (UCLP) from the orthodontic clinic of the University of Tokyo Hospital (UTH) compared with patients treated by the Oslo Cleft Team, Norway. Design Retrospective study and comparison with previous reports. Materials Dental models of 24 patients with UCLP in UTH taken before orthodontic treatment and before alveolar bone grafting were included. Surgeons in many hospitals performed primary surgeries. These models were matched for age and gender with 24 models from a consecutive series of patients treated by the Oslo Cleft Team as part of the Eurocran Good Practice Archive. A total of 48 models were evaluated. Main Outcome Measure Dental arch relationship was rated with the Goslon Yardstick. The strength of agreement of rating was assessed with weighted kappa statistics. Results Intra- and interexaminer agreements evaluated by weighted kappa statistics were high, indicating good reproducibility. Almost 60% of the patients in UTH were classified into poor or very poor categories, and the mean Goslon score was 3.50. These results show a contrast to those in Oslo and were the poorest in comparison with previous reports. Conclusion Dental arch relationships in patients with UCLP in UTH were poor. This seemed to be attributable to surgical procedures, but a factor of racial difference in the craniofacial morphology was also considered. Further intercenter research is required to clarify this point.

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