Occlusal Relationship in Patients With Bilateral Cleft Lip and Palate During the Mixed Dentition Stage: Does Neonatal Maxillary Arch Configuration Predetermine Outcome?

2002 ◽  
Vol 39 (3) ◽  
pp. 317-321 ◽  
Author(s):  
Chad A. Perlyn ◽  
Jeffrey N. Brownstein ◽  
Donald V. Huebener ◽  
Jeffrey L. Marsh ◽  
Richard J. Nissen ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mixed Dentition ◽  
Bilateral Cleft Lip ◽  
Maxillary Arch

Occlusal Relationship in Patients with Bilateral Cleft Lip and Palate during the Mixed Dentition Stage: Does Neonatal Maxillary Arch Configuration Predetermine Outcome?

2002 ◽  
Vol 39 (3) ◽  
pp. 317-321 ◽  
Author(s):  
Chad A. Perlyn ◽  
Jeffrey N. Brownstein ◽  
Donald V. Huebner ◽  
Jeffrey L. Marsh ◽  
Richard J. Nissen ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Mixed Dentition ◽  
Class Iii ◽  
Maxillary Expansion ◽  
Alveolar Bone Grafting ◽  
Bilateral Cleft Lip ◽  
Maxillary Arch

Objective: To determine whether there is any correlation between initial maxillary arch dysmorphology patterns in complete bilateral cleft lip/palate (BCLP) and the subsequent occlusal relationship in early mixed dentition. Design: This retrospective study evaluated 41 consecutive patients with complete BCLP who were managed by a single tertiary cleft team between 1983 and 1992. All patients had bilateral synchronous lip adhesions with placement of a passive alveolar molding appliance at 4 to 8 weeks of age; definitive modified Manchester lip repair at 6 to 8 months of age; and a one-stage “two-flap” palatoplasty at 14 months of age. Neither gingivoperiosteoplasty nor early alveolar bone grafting was performed. Four patients required early surgical premaxillary setback because of adverse social reactions to a very protrusive premaxilla. All patients (7 to 9 years) were assessed prior to initiation of first-phase orthodontics (maxillary expansion) in anticipation of alveolar bone grafting. Cleft team records were reviewed to determine initial maxillary arch dysmorphology, treatment, and occlusal relationships in early mixed dentition stage. The initial maxillary dysmorphology was classified using a new grouping based on orientation of the vomer, the intercanine distance, and its symmetry. Patterns of mixed dentition occlusion were then compared with group type, and predication tables were generated. Because midface retrusion is the major dentoskeletal morbidity in cleft patients, angle Class I and II occlusions were designated as “favorable” and Class III as “unfavorable.” Results: In early mixed dentition, approximately three-fourths of patients with complete BCLP had favorable occlusion and one-fourth unfavorable occlusion. The occlusal status seemed unrelated to the initial maxillary arch dysmorphology, the use of early passive alveolar molding appliance, or surgical premaxillary setback. Conclusion: Patterns of variation within the initial dysmorphology of the maxillary arch in infants with complete BCLP cannot be used to predetermine subsequent molar occlusal relationships in the mixed dentition.

Surgical and orthodontic approach for a patient with a severely constricted maxillary arch caused by bilateral cleft lip and palate

2020 ◽  
Vol 79 (2-3) ◽  
pp. 127-134
Author(s):  
Ayaka Oka ◽  
Hiroshi Kurosaka ◽  
Kohei Nakatsugawa ◽  
Takashi Yamashiro
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Bilateral Cleft Lip ◽  
Maxillary Arch

Effect of an Intraoral Retrusion Plate on Maxillary Arch Dimensions in Complete Bilateral Cleft Lip and Palate Patients

2005 ◽  
Vol 42 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Barbara C. M. Oosterkamp ◽  
Robert P. van Oort ◽  
Pieter U. Dijkstra ◽  
Kees Stellingsma ◽  
Michiel W. J. Bierman ◽  
...  
Keyword(s):  
Active Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Average Increase ◽  
Dependent Observations ◽  
Bilateral Cleft Lip ◽  
Left And Right ◽  
Student’S T ◽  
Maxillary Arch ◽  
Student’S T Test

Objective The aim of this study was to analyze maxillary arch dimensions in patients with complete bilateral cleft lip and palate treated with an intraoral retrusion plate prior to lip closure. Patients The effects of the intraoral retrusion plate were evaluated on serially obtained maxillary casts of 14 patients with complete bilateral cleft lip and palate. Results The Student's t test for dependent observations showed a significant decrease in distance between the premaxilla and the cleft lateral segments during active treatment. This decrease correlated with an increase in deviation of the premaxilla in relation to the vomer. For each millimeter decrease in distance between the premaxilla and the cleft lateral segments, an average increase in deviation of 4.0 degrees was found. Left and right cleft widths decreased significantly, premaxillary width increased significantly, and transverse dimensions did not change significantly. Conclusion From this study it can be concluded that active presurgical treatment with an intraoral retrusion plate induces a significant decrease in distance between the premaxilla and the lateral segments. This decrease is frequently accompanied by an increase in deviation of the premaxilla relative to the vomer.

scholarly journals Modern aspects of interdisciplinary treatment in children with bilateral cleft lip and palate

2020 ◽  
Vol 15 (4) ◽  
pp. 75-80
Author(s):  
О.V. Dudnik ◽  
◽  
Ad.A. Mamedov ◽  
A.A. Skakodub ◽  
A.B. Maklennan ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Hard Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mixed Dentition ◽  
Interdisciplinary Treatment ◽  
World Health ◽  
Treatment Methods ◽  
Reconstructive Operations ◽  
Bilateral Cleft Lip

According to the World Health Organization incidence of cleft lip and palate ranges from 0.6-1.6 cases per 1000 newborns per year. Thus, bilateral full cleft lip and palate occurs less frequently around 15–25%. Purpose: to analyze treatment methods for children with bilateral cleft lip and palate during the period of a removable bite. A review of 51 literature sources from 1951 to 2019 was carried out. Occlusion development features in bilateral cleft lip and palate patients during mixed dentition period were analysed. Main anatomical features of the maxillofacial region in children with bilateral cleft lip and palate during mixed dentition period is narrowing of the upper and lower dental arches as well as presence soft tissues scars of the upper lip. The main methods of treatment for such children is surgical reconstructive operations, including the elimination of the anatomical defect of the hard palate using mucoperiosteal flaps from the lateral parts of the hard palate combined with orthodontic treatment methods. Thus, an integral method of treating children with bilateral cleft lip and palate during mixed dentition period is a comprehensive approach, including surgical reconstructive operations, as well as orthodontic treatment, the main purpose of which is to expand and extend dental arch, which results in normal occlusion therefore eliminating myofunctional disorders. Key words: cleft lip, cleft palate, mixed dentition, occlusion features, orthodontic treatment

Maxillary Arch Dimensions in Bilateral Cleft Lip and Palate from Birth until Four Years of Age in Boys

1998 ◽  
Vol 35 (3) ◽  
pp. 233-239 ◽  
Author(s):  
Kiki L.W.M. Heidbuchel ◽  
Anne M. Kuijpers-Jagtman ◽  
Gem J.C. Kramer ◽  
Birte Prahl-Andersen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
University Hospital ◽  
Control Group ◽  
Posterior Arch ◽  
Anterior Arch ◽  
Arch Width ◽  
Bilateral Cleft Lip ◽  
The University ◽  
Maxillary Arch

Objective To describe the development of maxillary arch dimensions in children with bilateral cleft lip and palate (BCLP) during the first 4 years of life and to compare it with that in noncleft children. Design This was a retrospective, mixed-longitudinal study. Setting The study was conducted at the Cleft Palate Center of the University Hospital of Nijmegen. Subjects The sample consisted of 26 boys with BCLP who were born between 1976 and 1990 and treated at the University Hospital of Nijmegen. Data for a control group of 34 noncleft boys were collected at the University Hospital of Amsterdam. Method Palatal arch dimensions were digitized on dental casts. A comparison between BCLP and noncleft dimensions was made at fixed time intervals. Results At birth, anterior and posterior arch widths as well as arch depths were significantly larger in children with BCLP. After 7 months (lip closure), anterior arch width and arch depth diminished considerably in the cleft group. After 12 months (palatoplasty), a slight decrease in posterior arch width was observed, and arch depths showed slight catch-up growth. At 4 years of age, anterior arch width was significantly narrower and anterior arch depth was shorter in children with BCLP than in control subjects. Posterior arch width was significantly wider. Conclusions During the first 4 years of life, maxillary arch dimensions in children with BCLP show a unique development that is significantly different from that in noncleft children.

Maxillary Arch Dimensions in Bilateral Cleft Lip and Palate from Birth until Four Years of Age in Boys

1998 ◽  
Vol 35 (3) ◽  
pp. 233-239 ◽  
Author(s):  
Kiki L. W. M. Heidbuchel ◽  
Anne M. Kuijpers-Jagtman ◽  
Gem J. C. Kramer ◽  
Birte Prahl-Andersen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Bilateral Cleft Lip ◽  
Maxillary Arch

Alveolar Bone Morphology in Patients with Bilateral Complete Cleft Lip and Palate in the Mixed Dentition: Cone Beam Computed Tomography Evaluation

2012 ◽  
Vol 49 (2) ◽  
pp. 208-214 ◽  
Author(s):  
Daniela Gamba Garib ◽  
Marília Sayako Yatabe ◽  
Terumi Okada Ozawa ◽  
Omar Gabriel da Silva Filho
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Mixed Dentition ◽  
Bone Plate ◽  
Cone Beam ◽  
Axial Section ◽  
Bilateral Cleft Lip

Objectives To verify the thickness and level of alveolar bone around the teeth adjacent to the cleft by means of cone beam computed tomography (CBCT) in patients with complete bilateral cleft lip and palate prior to bone graft surgery and orthodontic intervention. Method The sample comprised 10 patients with complete bilateral cleft lip and palate (five boys and five girls) in the mixed dentition. The mean age was 9.5 years, and all subjects showed a G3 interarch relationship according to the Bauru index. The thickness of alveolar bone surrounding the maxillary incisors and the maxillary canines was measured in CBCT axial section using the software iCAT Xoran System. The distance between the alveolar bone crest and the cement-enamel junction (CEJ) was measured in cross sections. Results The tomography images showed a thin alveolar bone plate around teeth adjacent to clefts. No bone dehiscence was observed in teeth adjacent to clefts during the mixed dentition. A slight increase in the distance between the alveolar bone crest and the CEJ was observed in the mesial and lingual aspects of canines adjacent to cleft. Conclusion In patients with BCLP in the mixed dentition, teeth adjacent to the alveolar cleft are covered by a thin alveolar bone plate. However, the level of alveolar bone crest around these teeth seems to be normal, and no bone dehiscence was identified at this age.

scholarly journals Facial profile and maxillary arch dimensions in unilateral cleft lip and palate children in the mixed dentition stage

2017 ◽  
Vol 11 (01) ◽  
pp. 076-082 ◽  
Author(s):  
Vellore Kannan Gopinath ◽  
Ab Rani Samsudin ◽  
Siti Noor Fazliah Mohd Noor ◽  
Hady Youssef Mohamed Sharab
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cranial Base ◽  
Mixed Dentition ◽  
Dental Arch ◽  
Base Length ◽  
Facial Profile ◽  
Arch Width ◽  
Significant Difference ◽  
Maxillary Arch

ABSTRACT Objectives: The aim of this study was to evaluate the vertical and sagittal facial profile and maxillary arch width, depth, and length of patients with unilateral cleft lip and palate (UCLP) and to compare them with healthy noncleft children in the mixed dentition stage (7–13 years). Materials and Methods: This study is conducted at Hospital Universiti Sains Malaysia. UCLP group comprised 48 patients with nonsyndromic UCLP who have had the lip and palate repaired, whereas the control group comprised 48 healthy noncleft cases. The lateral cephalometrics measurements were used to determine the vertical height, sagittal depth of the face, and cranial base length and angle. Maxillary arch dimensions were measured on the study cast including arch width, depth, and length. Results: Vertical facial height and sagittal depth measurements showed a significant decrease (P < 0.05) in the mean growth pattern in UCLP group. The anterior cranial base length (S-N) was shorter in UCLP children (P < 0.001), while Ba-N length had no significant difference (P = 0.639). Nasion-Sella Tursica-Basion angle was significantly higher in the UCLP group (P = 0.016). Dental arch width with reference to canine-to-canine and first premolar-to- first premolar distance was significantly larger in control (P = 0.001). Conclusion: Mean vertical and sagittal facial dimensions in the UCLP children who do not undergo orthodontic treatment are significantly lesser in all directions of growth than healthy noncleft children. The maxillary dental arch had a normal depth but constricted in width and arch length.

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