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Dental arch relationships following palatoplasty for cleft lip and palate repair.
J Dent Res. 2012 Jan; 91(1):47-51.JD

Abstract

Palatal scarring is assumed to be a primary cause of facial growth derangement in cleft lip and palate. Evidence supporting this hypothesis is confounded by the clinical involvement of various surgeons, and therefore definitive conclusions are not possible. In this study, we investigated the dental arch relationship in two groups, Exposed (47 children; 11.2 yrs) and Unexposed (61 children; 11.2 yrs), with a unilateral cleft lip and palate operated on by the same surgeon. The technique of hard palate repair differed between the two groups. In the Exposed group, palatal bone of the non-cleft side only was left denuded, inducing scar formation. In the Unexposed group, a vomerplasty with tight closure of the soft tissues was applied. Three raters graded the dental arch relationship and palatal morphology using the EUROCRAN Index. The dental arch relationship in the Exposed group was less favorable than in the Unexposed group (p = 0.009). Palatal morphology in both groups was comparable (p = 0.323). This study demonstrates that reduction of denuded bony areas on the palate after palatal repair with a vomer flap had a favorable effect on the dental arch relationship. For palatal morphology, no effect of the type of palatal repair was found.

Authors+Show Affiliations

Department of Orthodontics and Craniofacial Biology, Kasprzaka Str. 17a, Warsaw, Poland. p.fudalej@dent.umcn.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21984705

Citation

Fudalej, P, et al. "Dental Arch Relationships Following Palatoplasty for Cleft Lip and Palate Repair." Journal of Dental Research, vol. 91, no. 1, 2012, pp. 47-51.
Fudalej P, Katsaros C, Dudkiewicz Z, et al. Dental arch relationships following palatoplasty for cleft lip and palate repair. J Dent Res. 2012;91(1):47-51.
Fudalej, P., Katsaros, C., Dudkiewicz, Z., Offert, B., Piwowar, W., Kuijpers, M., & Kuijpers-Jagtman, A. M. (2012). Dental arch relationships following palatoplasty for cleft lip and palate repair. Journal of Dental Research, 91(1), 47-51. https://doi.org/10.1177/0022034511425674
Fudalej P, et al. Dental Arch Relationships Following Palatoplasty for Cleft Lip and Palate Repair. J Dent Res. 2012;91(1):47-51. PubMed PMID: 21984705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dental arch relationships following palatoplasty for cleft lip and palate repair. AU - Fudalej,P, AU - Katsaros,C, AU - Dudkiewicz,Z, AU - Offert,B, AU - Piwowar,W, AU - Kuijpers,M, AU - Kuijpers-Jagtman,A M, Y1 - 2011/10/07/ PY - 2011/10/11/entrez PY - 2011/10/11/pubmed PY - 2012/1/31/medline SP - 47 EP - 51 JF - Journal of dental research JO - J. Dent. Res. VL - 91 IS - 1 N2 - Palatal scarring is assumed to be a primary cause of facial growth derangement in cleft lip and palate. Evidence supporting this hypothesis is confounded by the clinical involvement of various surgeons, and therefore definitive conclusions are not possible. In this study, we investigated the dental arch relationship in two groups, Exposed (47 children; 11.2 yrs) and Unexposed (61 children; 11.2 yrs), with a unilateral cleft lip and palate operated on by the same surgeon. The technique of hard palate repair differed between the two groups. In the Exposed group, palatal bone of the non-cleft side only was left denuded, inducing scar formation. In the Unexposed group, a vomerplasty with tight closure of the soft tissues was applied. Three raters graded the dental arch relationship and palatal morphology using the EUROCRAN Index. The dental arch relationship in the Exposed group was less favorable than in the Unexposed group (p = 0.009). Palatal morphology in both groups was comparable (p = 0.323). This study demonstrates that reduction of denuded bony areas on the palate after palatal repair with a vomer flap had a favorable effect on the dental arch relationship. For palatal morphology, no effect of the type of palatal repair was found. SN - 1544-0591 UR - https://www.unboundmedicine.com/medline/citation/21984705/Dental_arch_relationships_following_palatoplasty_for_cleft_lip_and_palate_repair_ L2 - http://journals.sagepub.com/doi/full/10.1177/0022034511425674?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -