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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).
Cleft Palate Craniofac J 2003; 40(4):337-42CP

Abstract

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.

Authors+Show Affiliations

Department of Orthodontics and Oral Biology, University Medical Center St Radboud, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

12846598

Citation

Prahl, Charlotte, et al. "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)." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 40, no. 4, 2003, pp. 337-42.
Prahl C, Kuijpers-Jagtman AM, Van 't Hof MA, et al. 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). Cleft Palate Craniofac J. 2003;40(4):337-42.
Prahl, C., Kuijpers-Jagtman, A. M., Van 't Hof, M. A., & Prahl-Andersen, B. (2003). 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). The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 40(4), pp. 337-42.
Prahl C, et al. 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). Cleft Palate Craniofac J. 2003;40(4):337-42. PubMed PMID: 12846598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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). AU - Prahl,Charlotte, AU - Kuijpers-Jagtman,Anne M, AU - Van 't Hof,Martin A, AU - Prahl-Andersen,Birte, PY - 2003/7/9/pubmed PY - 2003/10/21/medline PY - 2003/7/9/entrez SP - 337 EP - 42 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 40 IS - 4 N2 - 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. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/12846598/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__ L2 - http://journals.sagepub.com/doi/full/10.1597/1545-1569_2003_040_0337_arpcto_2.0.co_2?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -