Archform in Cleft Palate – A Computerized Tomographic Classification

2006 ◽  
Vol 30 (2) ◽  
pp. 131-134
Author(s):  
S. Pandey ◽  
R. Pandey ◽  
S. Bhatnagar ◽  
K. Pradhan ◽  
R. Pradhan ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Prospective Study ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Pediatric Dentistry ◽  
Arch Form ◽  
Computer Tomograph ◽  
Medical College ◽  
Arch Forms ◽  
Maxillary Arch

This prospective study was conducted in King George's Medical College, Lucknow, India amongst fifty cleft lip and palate cases to study the various archforms. The maxillary arch form was traced from Computer Tomograph sections of all the cases pre and post-operatively. The various patterns of arch forms as observed from CT tracings exhibiting U & V shaped with sub-types denominated as posteriorly – convergent (c), divergent (d) and parallel (p). This simplified classification can be used in pediatric dentistry practice.

A Randomized Prospective Clinical Trial of the Effect of Infant Orthopedics in Unilateral Cleft Lip and Palate: Prevention of Collapse of the Alveolar Segments (Dutchcleft)

2003 ◽  
Vol 40 (4) ◽  
pp. 337-342 ◽  
Author(s):  
Charlotte Prahl ◽  
Anne M. Kuijpers-Jagtman ◽  
Martin A. van't Hof ◽  
Birte Prahl-Andersen
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Controlled Trial ◽  
Significant Group ◽  
Arch Form ◽  
Arch Forms ◽  
First Year Of Life ◽  
Infant Orthopedics ◽  
Maxillary Arch

Objective To study the effect of infant orthopedics (IO) on maxillary arch form and position of the alveolar segments. Design Prospective two-arm randomized, controlled trial in parallel with three participating academic cleft palate centers. Treatment was assigned by means of a computerized balanced allocation method. Setting Cleft palate centers of Amsterdam, Nijmegen, and Rotterdam, the Netherlands. Patients, Participants Infants with complete unilateral cleft lip and palate and no other malformations. Interventions One group (IO+) wore passive maxillary plates during the first year of life; the other group (IO−) did not. All other interventions were the same. Main Outcome Measure(s) The presence of contact and/or overlap (collapse) between the maxillary segments at maxillary casts made shortly after birth, at 15, 24, 48, 58, and 78 weeks. Survival experience of contact and collapse with time as well as the frequencies of different arch forms and severity of collapse were evaluated. Results Comparable arch forms with no contact or overlap of the maxillary segments were seen at birth in both groups. With time the frequency of collapse increased, with no significant differences between groups. No significant group differences were found with respect to the survival experience of contact and collapse or for the severity of collapse at the end of the observational period. Conclusions Infant orthopedics does not prevent collapse and can be abandoned as a tool to improve maxillary arch form.

Relapse Tendency in Maxillary Arch Width in Unilateral Cleft Lip and Palate Patients with Different Maxillary Arch Forms

2008 ◽  
Vol 45 (3) ◽  
pp. 278-283 ◽  
Author(s):  
Talat Al-Gunaid ◽  
Toshikazu Asahito ◽  
Masaki Yamaki ◽  
Kooji Hanada ◽  
Ritsuo Takagi ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Arch ◽  
Arch Form ◽  
Group A ◽  
The Stability ◽  
Arch Forms ◽  
Group B ◽  
Severe Degree ◽  
Maxillary Arch

Objective: The aim of this study was to investigate the relapse tendency in the maxillary dental arch widths in unilateral cleft lip and palate patients with different types of maxillary arch form. Subjects: Thirty-two unilateral cleft lip and palate patients treated by one-stage surgical palatal closure were included. The subjects were divided into three groups according to the types of the maxillary arch forms: group A, symmetrical arch form; group B, collapse of minor segment; group C, collapse of both segments. Methods: Using dental casts obtained at three different times, relapse in the intercanine, interpremolar, and intermolar widths in each group was assessed and differences between groups were investigated. Results: Patients in group A showed stable results in all measurements. Patients in group B showed posttreatment relapse in the intercanine width only, whereas patients in group C demonstrated significant posttreatment relapses in the interpremolar and intermolar widths. Comparison between groups showed more significant relapse in the interpremolar and intermolar widths of group C than in those of group B. Conclusion: The types of the maxillary arch forms in unilateral cleft lip and palate patients might play a stronger role in the stability of the maxillary dental arch widths after orthodontic treatment in patients with collapse of both segments and a severe degree of maxillary narrowness.

Infant Orthopedics Has No Effect on Maxillary Arch Dimensions in the Deciduous Dentition of Children with Complete Unilateral Cleft Lip and Palate (Dutchcleft)

2006 ◽  
Vol 43 (6) ◽  
pp. 665-672 ◽  
Author(s):  
Catharina A. M. Bongaarts ◽  
Martin A. van't Hof ◽  
Birte Prahl-Andersen ◽  
Iris V. Dirks ◽  
Anne M. Kuijpers-Jagtman
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Medical Center ◽  
Vertical Position ◽  
Controlled Clinical Trial ◽  
Deciduous Dentition ◽  
Surgical Closure ◽  
Infant Orthopedics ◽  
Maxillary Arch

Objective: Evaluation of the effect of infant orthopedics on maxillary arch dimensions in the deciduous dentition in patients with unilateral cleft lip and palate. Design: Prospective two-arm randomized controlled clinical trial with three participating cleft palate centers. Setting: Cleft palate centers of the Radboud University Nijmegen Medical Center, Academic Center of Dentistry Amsterdam, and University Medical Center Rotterdam, the Netherlands. Patients: Children with complete unilateral cleft lip and palate (n = 54) were included. Interventions: Patients were randomly divided into two groups. Half of the patients (IO+) had a presurgical orthopedic plate until surgical closure of the soft palate at the age of 52 weeks; the other half (IO−) did not undergo presurgical orthopedics. Mean outcome measures: Maxillary arch dimensions were assessed on dental casts at 4 and 6 years of age with measurements for arch width, arch depth, arch length, arch form, and the vertical position of the lesser segment. Contact and collapse were assessed also. Results: There were no clinically significant differences found between IO+ and IO− for any of the variables. Conclusions: Infant orthopedics had no observable effect on the maxillary arch dimensions or on the contact and collapse scores in the deciduous dentition at the ages of 4 and 6 years. Considering the Dutchcleft results to date, there is no need to perform infant orthopedics for unilateral cleft lip and palate patients.

scholarly journals A CLINICAL STUDY OF INCIDENCE AND DISTRIBUTION AND CO- RELATING FACTORS OF CLEFT LIP AND CLEFT PALATE AMONG KARNATAKA & KERALA POPULATION

2014 ◽  
Vol 04 (03) ◽  
pp. 066-069
Author(s):  
Soumi Samuel ◽  
B. Rajendra Prasad ◽  
Suchetha Kumari ◽  
S. Sandeep Tejaswi ◽  
Sanal T. S.
Keyword(s):  
Congenital Anomaly ◽  
Clinical Study ◽  
Cleft Palate ◽  
Prospective Study ◽  
Cleft Lip ◽  
Cleft Lip And Palate

AbstractThe aim of this prospective study is to determine the incidences of cleft lip and palate in Karnataka & Kerala population. It also highlights a part of embryological aspect and theories that help to correlate and understand the incidence of the congenital anomaly. This prospective study were conducted in 1000 patients having cleft lip and palate deformities and classified, incidences and types of patterns of occurrences were statistically analysed. It was observed that incidences of Cleft lip and palate is more common in males were 51.9% and that of Cleft palate is more prevelant in females were - 48.1%

scholarly journals Study of Anomalies Associated With Labiopalatine Clefting

2012 ◽  
Vol 01 (01) ◽  
pp. 014-018
Author(s):  
Pradipta Ray Choudhury ◽  
K.L. Talukdar ◽  
J. Sarma ◽  
Prabahita Baruah
Keyword(s):  
Heart Disease ◽  
Cleft Palate ◽  
Pediatric Surgery ◽  
Congenital Malformations ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
External Ear ◽  
Orofacial Cleft ◽  
Genitourinary System ◽  
Medical College

Abstract Background and aims: Cleft lip with or without cleft palate are the most common congenital malformations of the head and neck accounting for about 65% of all anomalies of this region. Approximately 70% of cleft cases are non-syndromic and occur as isolated condition, while remaining 30% cases are associated with systemic defects involving cardiovascular, musculoskeletal, genitourinary system and other structural anomalies. The purpose of this study is to assess the various anomalies associated with labiopalatine clefting. Materials and methods: Sixty four cases of cleft lip with or without cleft palate attending the OPD of Department of Plastic Surgery and Pediatric Surgery, Gauhati Medical College and Hospital, were studied. Among them three cases were found to be associated with other anomalies. Results: One case of cleft lip and palate presented with multiple anomalies like tongue tie, malformed external ear and micrognathia. Another one had acyanotic heart disease associated with cleft lip. A case of cleft lip and palate was also found to be associated with hydrocephalus. Conclusion : Proper knowledge and details of anomalies associated with orofacial cleft will help to provide necessary treatment and improve survival of these children.

scholarly journals Incidence of Heart Diseases in Children with Cleft Lip and Cleft Palate

2021 ◽  
pp. 200-204
Author(s):  
. Deepika ◽  
. Manasa ◽  
Framton Retna Bell
Keyword(s):  
Cleft Palate ◽  
Medical Records ◽  
Congenital Heart ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Heart Diseases ◽  
Cardiac Anomaly ◽  
Congenital Heart Diseases ◽  
Craniofacial Malformations ◽  
Medical College

Introduction:  Cleft lip and cleft palate are one of the most common craniofacial malformations that occur in children. Congenital heart diseases are more prevalent among children with cleft lip and cleft palate. Early intervention is necessary to improve the survival and for proper development of children. Materials and Methods: A retrospective study is conducted at Paediatrics Department in Saveetha medical College for a period of one year. In the present study medical records of patients with cleft lip and palate are evaluated and analysed for the incidence of heart diseases. Results: In the present study medical records of patients with cleft lip and palate are evaluated and analysed for the incidence of heart diseases. Out of 163 children with cleft lip and cleft palate, 56 children (71.42% male and 28.57% female) had cleft lip, 30 children (66.66% male and 33.33% female) had cleft palate, 77 children (66.23% male and 33.76% female) had both cleft lip and cleft palate.VSD is reported as the most common cardiac anomaly (42.86%) in children with cleft lip and cleft palate. Conclusion:  There is an increased incidence of congenital heart diseases in children with cleft lip and cleft palate. Echocardiography is an important investigation done for early identification and proper management.

Technique of Rapid Expansion in Patients with Cleft Lip and Palate

1980 ◽  
Vol 7 (2) ◽  
pp. 65-67 ◽  
Author(s):  
P. I. Townend
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Rapid Expansion ◽  
New Device ◽  
Maxillary Arch

A new device for rapid expansion of the maxillary arch in cleft palate patients, is described. Its main advantages are that it is designed to prevent uncontrolled relapse while the expansion screw is changed and while a retaining arch is fabricated. The buccal retaining arch leaves the alveolus and cleft accessible for surgery.

scholarly journals Maxillary Arch Dimensions in 6-Year-Old Cleft Children in Northern Finland: A Cross-Sectional Study

2021 ◽  
Vol 18 (14) ◽  
pp. 7432
Author(s):  
Mirjami Corcoran ◽  
Saujanya Karki ◽  
Leena Ylikontiola ◽  
Riitta Lithovius ◽  
George Sándor ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Significant Difference ◽  
Student’S T ◽  
The Right ◽  
Maxillary Arch

The aim was to cross-sectionally examine the maxillary arch dimensions in 6-year-old children with cleft lip and/or palate and to compare them with the initial cleft sizes among patients with cleft palate. The study included 89 patients with clefts treated at the Oulu University Hospital. The subjects were divided into three groups: cleft palate, cleft lip, and cleft lip and palate. Study casts were scanned, and the maxillary arch dimensions were examined using a 3D program (3Shape Orthoanalyzer, Copenhagen, Denmark). The statistical methods Student’s t-test and one-way ANOVA were used to compare the means (SD) between the groups. Spearman’s correlation coefficient was used to determine the correlation between cleft severity and maxillary dimensions. A significant difference was found between different initial cleft sizes in terms of distance between the second deciduous molar and the first incisor on the right side. The intermolar width showed a negative correlation with the initial cleft size. The dimensions were shorter for clefts affecting the palate and largest for clefts affecting only the lip. Larger clefts resulted in a shorter maxilla on the right side. Many dimensions became shorter when the initial cleft was larger. Clefts of the palate resulted in smaller maxillas.

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