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What operative or anatomic factors affect dental arch development in the cleft patient?
J Oral Maxillofac Surg. 2013 May; 71(5):929-37.JO

Abstract

PURPOSE

There has been dispute about the exact factors influencing dental arch development in adult cleft palate patients, so we designed this study to investigate the effects of operative and anatomic factors on the development of dental arch morphology.

PATIENTS AND METHODS

A retrospective cohort study was conducted among 3 groups of patients (operated, unoperated, and normal) from West China College of Stomatology, Sichuan University, Chengdu, China. The differences in dental arch morphology, including length and width of the upper and lower dental arches, inclination of the palatal shelf, and palatal height, were analyzed by variance analysis with SPSS software, version 13.0 (IBM, Armonk, NY).

RESULTS

We enrolled 90 individuals: 30 unoperated adults with bilateral cleft lip and palate, 30 adults with operated bilateral cleft lip and palate, and 30 normal adults. The widths of all upper and posterior lower arches, lengths of the anterior upper arch, palatal height, and palatal shelf inclination in the operated group were smaller than those in the unoperated group; the lengths and widths of the anterior upper arch were smaller whereas the widths of the posterior upper and lower arches, palatal height, and palatal shelf inclination were greater in the unoperated group compared with the normal group.

CONCLUSIONS

Operated cleft patients show the most severe deformation of the maxillary arch, especially in the anterior part. There is an intrinsic palatal tissue deficiency in cleft patients, whereas the maxillary arch deformation in unoperated cleft patients is limited to the anterior region only.

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Authors+Show Affiliations

Yang Y
Center of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Wang Y
No affiliation info available
Wu Y
No affiliation info available
Gu Y
No affiliation info available
Shi B
No affiliation info available
Yin H
No affiliation info available
Zheng Q
No affiliation info available

MeSH

AdolescentAdultAge FactorsBicuspidCephalometryCleft LipCleft PalateCohort StudiesCuspidDental ArchFemaleFollow-Up StudiesHumansMaleMandibleMaxillaMolarPalatePalate, HardRetrospective StudiesYoung Adult

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23375076

Citation

Yang, Yunqiang, et al. "What Operative or Anatomic Factors Affect Dental Arch Development in the Cleft Patient?" Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 71, no. 5, 2013, pp. 929-37.
Yang Y, Wang Y, Wu Y, et al. What operative or anatomic factors affect dental arch development in the cleft patient? J Oral Maxillofac Surg. 2013;71(5):929-37.
Yang, Y., Wang, Y., Wu, Y., Gu, Y., Shi, B., Yin, H., & Zheng, Q. (2013). What operative or anatomic factors affect dental arch development in the cleft patient? Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 71(5), 929-37. https://doi.org/10.1016/j.joms.2012.11.009
Yang Y, et al. What Operative or Anatomic Factors Affect Dental Arch Development in the Cleft Patient. J Oral Maxillofac Surg. 2013;71(5):929-37. PubMed PMID: 23375076.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What operative or anatomic factors affect dental arch development in the cleft patient? AU - Yang,Yunqiang, AU - Wang,Yan, AU - Wu,Yeke, AU - Gu,Yifei, AU - Shi,Bing, AU - Yin,Heng, AU - Zheng,Qian, Y1 - 2013/01/29/ PY - 2011/12/30/received PY - 2012/11/09/revised PY - 2012/11/12/accepted PY - 2013/2/5/entrez PY - 2013/2/5/pubmed PY - 2013/7/31/medline SP - 929 EP - 37 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J Oral Maxillofac Surg VL - 71 IS - 5 N2 - PURPOSE: There has been dispute about the exact factors influencing dental arch development in adult cleft palate patients, so we designed this study to investigate the effects of operative and anatomic factors on the development of dental arch morphology. PATIENTS AND METHODS: A retrospective cohort study was conducted among 3 groups of patients (operated, unoperated, and normal) from West China College of Stomatology, Sichuan University, Chengdu, China. The differences in dental arch morphology, including length and width of the upper and lower dental arches, inclination of the palatal shelf, and palatal height, were analyzed by variance analysis with SPSS software, version 13.0 (IBM, Armonk, NY). RESULTS: We enrolled 90 individuals: 30 unoperated adults with bilateral cleft lip and palate, 30 adults with operated bilateral cleft lip and palate, and 30 normal adults. The widths of all upper and posterior lower arches, lengths of the anterior upper arch, palatal height, and palatal shelf inclination in the operated group were smaller than those in the unoperated group; the lengths and widths of the anterior upper arch were smaller whereas the widths of the posterior upper and lower arches, palatal height, and palatal shelf inclination were greater in the unoperated group compared with the normal group. CONCLUSIONS: Operated cleft patients show the most severe deformation of the maxillary arch, especially in the anterior part. There is an intrinsic palatal tissue deficiency in cleft patients, whereas the maxillary arch deformation in unoperated cleft patients is limited to the anterior region only. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/23375076/What_operative_or_anatomic_factors_affect_dental_arch_development_in_the_cleft_patient L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(12)01624-2 DB - PRIME DP - Unbound Medicine ER -