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Infant orthopedics has no effect on maxillary arch dimensions in the deciduous dentition of children with complete unilateral cleft lip and palate (Dutchcleft).
Cleft Palate Craniofac J 2006; 43(6):665-72CP

Abstract

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.

Authors+Show Affiliations

Department of Orthodontics and Oral Biology, Radboud University Nijmegen Medical Center, 309 Tandheelkunde, 6500 HB Nijmegen, the Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

17105327

Citation

Bongaarts, Catharina A M., et al. "Infant Orthopedics Has No Effect On Maxillary Arch Dimensions in the Deciduous Dentition of Children With Complete Unilateral Cleft Lip and Palate (Dutchcleft)." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 43, no. 6, 2006, pp. 665-72.
Bongaarts CA, van 't Hof MA, Prahl-Andersen B, et al. Infant orthopedics has no effect on maxillary arch dimensions in the deciduous dentition of children with complete unilateral cleft lip and palate (Dutchcleft). Cleft Palate Craniofac J. 2006;43(6):665-72.
Bongaarts, C. A., van 't Hof, M. A., Prahl-Andersen, B., Dirks, I. V., & Kuijpers-Jagtman, A. M. (2006). Infant orthopedics has no effect on maxillary arch dimensions in the deciduous dentition of children with complete unilateral cleft lip and palate (Dutchcleft). The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 43(6), pp. 665-72.
Bongaarts CA, et al. Infant Orthopedics Has No Effect On Maxillary Arch Dimensions in the Deciduous Dentition of Children With Complete Unilateral Cleft Lip and Palate (Dutchcleft). Cleft Palate Craniofac J. 2006;43(6):665-72. PubMed PMID: 17105327.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infant orthopedics has no effect on maxillary arch dimensions in the deciduous dentition of children with complete unilateral cleft lip and palate (Dutchcleft). AU - Bongaarts,Catharina A M, AU - van 't Hof,Martin A, AU - Prahl-Andersen,Birte, AU - Dirks,Iris V, AU - Kuijpers-Jagtman,Anne M, PY - 2006/11/16/pubmed PY - 2007/1/31/medline PY - 2006/11/16/entrez SP - 665 EP - 72 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 43 IS - 6 N2 - 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. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/17105327/Infant_orthopedics_has_no_effect_on_maxillary_arch_dimensions_in_the_deciduous_dentition_of_children_with_complete_unilateral_cleft_lip_and_palate__Dutchcleft__ L2 - http://journals.sagepub.com/doi/full/10.1597/05-129?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -