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A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft).
Eur J Oral Sci 2001; 109(5):297-305EJ

Abstract

Aim of the study was to evaluate the effect of infant orthopaedics (IO) on maxillary dimensions in infants with unilateral cleft lip and palate (UCLP). The study design was a prospective two-arm randomised controlled trial in parallel with three participating academic Cleft Palate Centres. Treatment was assigned by means of a computerised balanced allocation method. One group (IO+) wore passive maxillary plates during the first year of life, the other group (IO-) did not. Maxillary casts, made at birth, and at 15, 24, 48, 78 wk were digitised three-dimensionally. Before lip closure alveolar, midpalatal and posterior cleft width reduced significantly more in IO(+) than in IO(-). After lip closure, the alveolar cleft width reduced significantly more in IO(-). Until soft palate closure the slope of the palatal vault flattened significantly by IO. It is concluded that IO only has a temporary effect on maxillary arch dimensions that does not last beyond surgical soft palate closure. Therefore, infant orthopaedics as a tool to improve maxillary arch form could be abandoned. However, other outcome variables like facial and dental appearance, speech outcome, and cost-effectiveness need to be investigated further in order to assess the comprehensive effect of infant orthopaedics.

Authors+Show Affiliations

Department of Orthodontics, University of Nijmegen, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11695749

Citation

Prahl, C, et al. "A Randomised Prospective Clinical Trial Into the Effect of Infant Orthopaedics On Maxillary Arch Dimensions in Unilateral Cleft Lip and Palate (Dutchcleft)." European Journal of Oral Sciences, vol. 109, no. 5, 2001, pp. 297-305.
Prahl C, Kuijpers-Jagtman AM, van't Hof MA, et al. A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft). Eur J Oral Sci. 2001;109(5):297-305.
Prahl, C., Kuijpers-Jagtman, A. M., van't Hof, M. A., & Prahl-Andersen, B. (2001). A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft). European Journal of Oral Sciences, 109(5), pp. 297-305.
Prahl C, et al. A Randomised Prospective Clinical Trial Into the Effect of Infant Orthopaedics On Maxillary Arch Dimensions in Unilateral Cleft Lip and Palate (Dutchcleft). Eur J Oral Sci. 2001;109(5):297-305. PubMed PMID: 11695749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft). AU - Prahl,C, AU - Kuijpers-Jagtman,A M, AU - van't Hof,M A, AU - Prahl-Andersen,B, PY - 2001/11/7/pubmed PY - 2002/2/7/medline PY - 2001/11/7/entrez SP - 297 EP - 305 JF - European journal of oral sciences JO - Eur. J. Oral Sci. VL - 109 IS - 5 N2 - Aim of the study was to evaluate the effect of infant orthopaedics (IO) on maxillary dimensions in infants with unilateral cleft lip and palate (UCLP). The study design was a prospective two-arm randomised controlled trial in parallel with three participating academic Cleft Palate Centres. Treatment was assigned by means of a computerised balanced allocation method. One group (IO+) wore passive maxillary plates during the first year of life, the other group (IO-) did not. Maxillary casts, made at birth, and at 15, 24, 48, 78 wk were digitised three-dimensionally. Before lip closure alveolar, midpalatal and posterior cleft width reduced significantly more in IO(+) than in IO(-). After lip closure, the alveolar cleft width reduced significantly more in IO(-). Until soft palate closure the slope of the palatal vault flattened significantly by IO. It is concluded that IO only has a temporary effect on maxillary arch dimensions that does not last beyond surgical soft palate closure. Therefore, infant orthopaedics as a tool to improve maxillary arch form could be abandoned. However, other outcome variables like facial and dental appearance, speech outcome, and cost-effectiveness need to be investigated further in order to assess the comprehensive effect of infant orthopaedics. SN - 0909-8836 UR - https://www.unboundmedicine.com/medline/citation/11695749/A_randomised_prospective_clinical_trial_into_the_effect_of_infant_orthopaedics_on_maxillary_arch_dimensions_in_unilateral_cleft_lip_and_palate__Dutchcleft__ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0909-8836&date=2001&volume=109&issue=5&spage=297 DB - PRIME DP - Unbound Medicine ER -