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Severity of alveolar cleft before palatoplasty affects vertical maxillofacial growth in 6-year-old patients with complete unilateral cleft lip and palate.
Am J Orthod Dentofacial Orthop. 2012 Apr; 141(4 Suppl):S102-9.AJ

Abstract

INTRODUCTION

In this study, we investigated the association between the severity of alveolar clefts in infants and the succeeding maxillofacial growth in patients affected by complete unilateral cleft lip and palate.

METHODS

The subjects were 35 nonsyndromic patients affected by unilateral cleft lip and palate (n = 27) or bilateral cleft lip and palate (n = 8). Plaster models and lateral cephalograms taken at 6 years of age were analyzed and compared with the Japanese norms. In the unilateral cleft lip and palate patients, the relationship between the width of the alveolar cleft before palatoplasty and the skeletal characteristics was also explored.

RESULTS

Significant deficiencies of the posterior maxilla and steep palatal planes were noted in both the unilateral and bilateral cleft lip and palate patients. However, they were not clearly observed in the unilateral cleft lip and palate patients born with a small alveolar cleft and were correlated with the severity of alveolar cleft in infancy. Neither cleft type nor the severity of the alveolar cleft was implicated in the maxillary arch form in childhood, but the growth of the alveolar height on the cleft side was less in the unilateral cleft lip and palate patients born with a large alveolar cleft.

CONCLUSIONS

The severity of the alveolar cleft before palatoplasty affects the succeeding vertical maxillofacial growth in patients affected by unilateral cleft lip and palate; this suggests the necessity of a different diagnosis and treatment in unilateral cleft lip and palate patients according to the severity of the alveolar cleft in infancy.

Authors+Show Affiliations

Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Oral Sciences, University of Tokushima, Tokushima, Japan.No 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

Language

eng

PubMed ID

22449590

Citation

Tomita, Yuko, et al. "Severity of Alveolar Cleft Before Palatoplasty Affects Vertical Maxillofacial Growth in 6-year-old Patients With Complete Unilateral Cleft Lip and Palate." American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, vol. 141, no. 4 Suppl, 2012, pp. S102-9.
Tomita Y, Kuroda S, Katsura T, et al. Severity of alveolar cleft before palatoplasty affects vertical maxillofacial growth in 6-year-old patients with complete unilateral cleft lip and palate. Am J Orthod Dentofacial Orthop. 2012;141(4 Suppl):S102-9.
Tomita, Y., Kuroda, S., Katsura, T., Watanabe, T., Watanabe, K., Fujihara, S., & Tanaka, E. (2012). Severity of alveolar cleft before palatoplasty affects vertical maxillofacial growth in 6-year-old patients with complete unilateral cleft lip and palate. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 141(4 Suppl), S102-9. https://doi.org/10.1016/j.ajodo.2011.09.010
Tomita Y, et al. Severity of Alveolar Cleft Before Palatoplasty Affects Vertical Maxillofacial Growth in 6-year-old Patients With Complete Unilateral Cleft Lip and Palate. Am J Orthod Dentofacial Orthop. 2012;141(4 Suppl):S102-9. PubMed PMID: 22449590.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severity of alveolar cleft before palatoplasty affects vertical maxillofacial growth in 6-year-old patients with complete unilateral cleft lip and palate. AU - Tomita,Yuko, AU - Kuroda,Shingo, AU - Katsura,Tomoko, AU - Watanabe,Teppei, AU - Watanabe,Keiichiro, AU - Fujihara,Shinji, AU - Tanaka,Eiji, PY - 2011/01/01/received PY - 2011/09/01/revised PY - 2011/09/01/accepted PY - 2012/3/28/entrez PY - 2012/4/4/pubmed PY - 2012/5/12/medline SP - S102 EP - 9 JF - American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics JO - Am J Orthod Dentofacial Orthop VL - 141 IS - 4 Suppl N2 - INTRODUCTION: In this study, we investigated the association between the severity of alveolar clefts in infants and the succeeding maxillofacial growth in patients affected by complete unilateral cleft lip and palate. METHODS: The subjects were 35 nonsyndromic patients affected by unilateral cleft lip and palate (n = 27) or bilateral cleft lip and palate (n = 8). Plaster models and lateral cephalograms taken at 6 years of age were analyzed and compared with the Japanese norms. In the unilateral cleft lip and palate patients, the relationship between the width of the alveolar cleft before palatoplasty and the skeletal characteristics was also explored. RESULTS: Significant deficiencies of the posterior maxilla and steep palatal planes were noted in both the unilateral and bilateral cleft lip and palate patients. However, they were not clearly observed in the unilateral cleft lip and palate patients born with a small alveolar cleft and were correlated with the severity of alveolar cleft in infancy. Neither cleft type nor the severity of the alveolar cleft was implicated in the maxillary arch form in childhood, but the growth of the alveolar height on the cleft side was less in the unilateral cleft lip and palate patients born with a large alveolar cleft. CONCLUSIONS: The severity of the alveolar cleft before palatoplasty affects the succeeding vertical maxillofacial growth in patients affected by unilateral cleft lip and palate; this suggests the necessity of a different diagnosis and treatment in unilateral cleft lip and palate patients according to the severity of the alveolar cleft in infancy. SN - 1097-6752 UR - https://www.unboundmedicine.com/medline/citation/22449590/Severity_of_alveolar_cleft_before_palatoplasty_affects_vertical_maxillofacial_growth_in_6_year_old_patients_with_complete_unilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0889-5406(11)01162-0 DB - PRIME DP - Unbound Medicine ER -