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Upper dental arch morphology of adult unoperated complete bilateral cleft lip and palate.
Am J Orthod Dentofacial Orthop. 1998 Aug; 114(2):154-61.AJ

Abstract

Literature has shown that, even with the conservative nontraumatic surgical techniques, early repairing surgeries induce changes in the upper dental arch morphologic characteristics in patients with cleft lip and palate. The evaluation of unoperated adult cleft patients enables us to exclude the influence of treatment, emphasizing the morphologic characteristics inherent to the presence of the cleft and its functional counterbalances, that is, the morphologic pattern imposed by cleft. In this study, the maxillary dental casts of 31 unoperated adult complete bilateral cleft lip and palate patients (20 men and 11 women) were compared to a noncleft sample matched for gender. Intercanine, inter-first premolar, inter-second premolar and inter-first molar arch widths measurements as well as arch length were measured from xerox copies taken of the models. The findings indicate the presence of premaxillary prognathism and a progressive increase in the constriction of the dental arches. This constriction of the maxillary segments, even in the absence of surgical intervention, is a result of the absence of an intact palate between the two maxillary processes. Although gender significantly influenced the size of the maxillary arches in the noncleft patients, similar differences were not observed in the cleft group. It seems that the presence of the cleft in itself has the greater influence on the morphologic characteristics of the maxillary arch than gender.

Authors+Show Affiliations

Hospital for Research and Rehabilitation of Cleft Lip and Palate, São Paulo, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9714280

Citation

da Silva Filho, O G., et al. "Upper Dental Arch Morphology of Adult Unoperated Complete Bilateral 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. 114, no. 2, 1998, pp. 154-61.
da Silva Filho OG, de Castro Machado FM, de Andrade AC, et al. Upper dental arch morphology of adult unoperated complete bilateral cleft lip and palate. Am J Orthod Dentofacial Orthop. 1998;114(2):154-61.
da Silva Filho, O. G., de Castro Machado, F. M., de Andrade, A. C., de Souza Freitas, J. A., & Bishara, S. E. (1998). Upper dental arch morphology of adult unoperated complete bilateral 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, 114(2), 154-61.
da Silva Filho OG, et al. Upper Dental Arch Morphology of Adult Unoperated Complete Bilateral Cleft Lip and Palate. Am J Orthod Dentofacial Orthop. 1998;114(2):154-61. PubMed PMID: 9714280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Upper dental arch morphology of adult unoperated complete bilateral cleft lip and palate. AU - da Silva Filho,O G, AU - de Castro Machado,F M, AU - de Andrade,A C, AU - de Souza Freitas,J A, AU - Bishara,S E, PY - 1998/8/26/pubmed PY - 1998/8/26/medline PY - 1998/8/26/entrez SP - 154 EP - 61 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 - 114 IS - 2 N2 - Literature has shown that, even with the conservative nontraumatic surgical techniques, early repairing surgeries induce changes in the upper dental arch morphologic characteristics in patients with cleft lip and palate. The evaluation of unoperated adult cleft patients enables us to exclude the influence of treatment, emphasizing the morphologic characteristics inherent to the presence of the cleft and its functional counterbalances, that is, the morphologic pattern imposed by cleft. In this study, the maxillary dental casts of 31 unoperated adult complete bilateral cleft lip and palate patients (20 men and 11 women) were compared to a noncleft sample matched for gender. Intercanine, inter-first premolar, inter-second premolar and inter-first molar arch widths measurements as well as arch length were measured from xerox copies taken of the models. The findings indicate the presence of premaxillary prognathism and a progressive increase in the constriction of the dental arches. This constriction of the maxillary segments, even in the absence of surgical intervention, is a result of the absence of an intact palate between the two maxillary processes. Although gender significantly influenced the size of the maxillary arches in the noncleft patients, similar differences were not observed in the cleft group. It seems that the presence of the cleft in itself has the greater influence on the morphologic characteristics of the maxillary arch than gender. SN - 0889-5406 UR - https://www.unboundmedicine.com/medline/citation/9714280/Upper_dental_arch_morphology_of_adult_unoperated_complete_bilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0889-5406(98)00181-4 DB - PRIME DP - Unbound Medicine ER -