Dentoalveolar Effects of Early Orthodontic Treatment in Patients With Cleft Lip and Palate

doi:10.1097/SCS.0000000000003854

Paper

Dentoalveolar Effects of Early Orthodontic Treatment in Patients With Cleft Lip and Palate

Published Sep 7, 2017 · D. Cassi, A. Di Blasio, Mauro Gandolfinini

The Journal of Craniofacial Surgery

UNKNOWN SJR score

16

Citations

1

Influential Citations

Full textSemantic Scholar

Abstract

Abstract No agreement exists on the most appropriate timing of orthodontic treatment in patients with cleft lip and palate. The aim of this study is to investigate the effect of early orthodontic treatment on development of the dental arches and alveolar bone. A dental casts analysis was performed on 28 children with cleft lip and palate before orthodontic treatment (T0; mean age, 6.5 ± 1.7) and at the end of active treatment (T1; mean age, 9.2 ± 2.1 years). The considered variables were: intercanine and intermolar distances; dental arch relationships, evaluated according to the modified Huddart/Bodenham system. The study group was divided into 2 samples according to the age at T0: Group A (age < 6 years) and Group B (age ≥ 6 years). A statistical comparison of the treatment effects between the 2 samples was performed. Patients in Group A exhibited a greater increase of intercanine distance (8 mm versus 2.7 mm; P<0.001), intermolar distance (7.2 mm versus 5 mm; P = 0.06), and Huddart/Bodenham score (7.1 versus 3; P < 0.05) when compared with patients in Group B. Early orthodontic treatment strongly improved the dental arch relationship, since subjects starting the therapy before the age of 6 had a better response in terms of anterior maxillary expansion.

Non-RCT

Study Snapshot

Early orthodontic treatment in patients with cleft lip and palate significantly improves dental arch relationships and anterior maxillary expansion compared to patients starting therapy after 6.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

Sign up to use Study Snapshot

Consensus is limited without an account. Create an account or sign in to get more searches and use the Study Snapshot.

Create an account

Paper

Dentoalveolar Effects of Early Orthodontic Treatment in Patients With Cleft Lip and Palate

Sign up to use Study Snapshot

References

Understanding masticatory function in unilateral crossbites

This book provides a comprehensive understanding of masticatory function in unilateral crossbites, aiding in diagnosis and treatment planning for orthodontic treatment.

Analysis of the maxillary dental arch after rapid maxillary expansion in patients with unilateral complete cleft lip and palate.

Rapid maxillary expansion produced similar changes in children with unilateral complete cleft lip and palate compared to noncleft patients, except for decreased arch length and palatal depth.

Analysis of the dentoalveolar effects of slow and rapid maxillary expansion in complete bilateral cleft lip and palate patients: a randomized clinical trial

Both slow and rapid maxillary expansions effectively correct maxillary arch constriction in patients with complete bilateral cleft lip and palate, with slow expansion requiring longer therapy time.

The role of rapid maxillary expansion in the promotion of oral and general health

Rapid maxillary expansion (RME) can improve nasal airway resistance and respiratory pattern in growing patients, potentially reducing obstructive sleep apnea symptoms and preventing facial skeletal asymmetry.

Overview of orthodontic care for children with cleft lip and palate, 1915-2015.

Orthodontic care for children with cleft lip and palate has advanced over the past 100 years, with a coordinated team approach and increased patient and caregiver involvement in treatment decisions.

Citations

Effect of Maxillary Expansion on the Maxillary Arch Width in Patients with Bilateral Cleft Palate: A Review

Both slow and rapid maxillary expansion can achieve similar amounts of maxillary expansion in patients with bilateral cleft palate.

Planning the Aesthetics of the Mandibular Angles in Orthognathic Surgery: Traditional vs. Virtual 3D Articulators

Traditional programming based on model surgery is inadequate for predicting the aesthetics of mandibular angles in orthognathic surgery, compared to CT reconstruction.

Clinical Evaluation of Surgical Orthodontic Procedure with Bone Grafts for Patients with Cleft Palate during Adolescence

Presurgical orthodontics before delayed bone-grafting in cleft palate patients improves facial balance and stability, with all fistulas remaining closed.

Treatment Outcome in Bilateral Cleft lip and Palate Patients Evaluated With the Huddart-Bodenham Scoring System and the Bilateral Cleft lip and Palate Yardstick: A Systematic Review

Good treatment results in complete bilateral cleft lip and palate patients were observed, but the quality of evidence is very low, requiring further research on sound methodological designs for evidence-based decision making.

Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults

3D-virtual surgical planning and microvascular tissue transfers effectively reconstruct the cleft maxilla with highly functional and aesthetic results in adolescents and young adults.

Craniofacial Growth Analysis of Individuals With and Without Cleft Lip and Palate in Colombia

Patients with cleft lip and palate benefit from orthopedic and orthodontic treatment, as their growth alterations require specific attention.

An Investigation of 3D Maxillary Arch Morphometry of Children With Unilateral Cleft Lip and Palate.

Multiple factors (congenital and postnatal treatment) show no significant association with maxillary arch dimensions in children with unilateral cleft lip and palate.

Photobiomodulation therapy for the management of recurrent aphthous stomatitis in children: clinical effectiveness and parental satisfaction

Photobiomodulation therapy (PBMT) effectively reduces pain and lesion size in children with minor recurrent aphthous stomatitis, and is well-accepted by their parents.

Effects of Multiple Factors on Treatment Outcome in the Three-Dimensional Maxillary Arch Morphometry of Children With Unilateral Cleft Lip and Palate.

Modified Millard techniques of cheiloplasty and Bardach technique of palatoplasty have unfavorable effects on maxillary arch dimension in Malaysian UCLP children.