Abstract
This study aimed at monitoring the maxillary growth of children with cleft lip/palate in the first two years of life, and to evaluate the effects of primary surgeries on dental arch dimensions. The sample consisted of the three-dimensional digital models of 25 subjects with unilateral complete cleft lip and palate (UCLP) and 29 subjects with isolated cleft palate (CP). Maxillary arch dimensions were measured at 3 months (before lip repair), 1 year (before palate repair), and at 2 years of age. Student's ttest was used for comparison between the groups. Repeated measures ANOVA followed by Tukey's test was used to compare different treatment phases in the UCLP group. Paired ttest was used to compare different treatment phases in the CP group. P<0.05 was considered statistically significant. Decreased intercanine distance and anterior arch length were observed after lip repair in UCLP. After palate repair, maxillary dimensions increased significantly, except for the intercanine distance in UCLP and the intertuberosity distance in both groups. At the time of palate repair and at two years of age, the maxillary dimensions were very similar in both groups. It can be concluded that the maxillary arches of children with UCLP and CP changed as a result of primary surgery.
Highlights
Submitted: Mar 21, 2016 Accepted for publication: Mar 27, 2017 Last revision: Apr 25, 2017Children with orofacial clefts undergo surgical and non-surgical multidisciplinary procedures that frequently cause adverse psychological consequences to the individuals and their families.[1]
Some studies suggest that repair surgeries play an important role in altering craniofacial growth and development.t3,4,5 At the same time, other factors are related to modifications in maxillo-mandibular growth: cleft width, amount of tissue present at birth, individual growth potential,[6] surgical technique employed in the primary repair surgeries,[7] surgical
This study aimed at monitoring the maxillary growth of children with unilateral complete cleft lip and palate and isolated cleft palate in the first two years of life, and to evaluate the effects of primary surgeries on the dental arch dimensions
Summary
Children with orofacial clefts undergo surgical and non-surgical multidisciplinary procedures that frequently cause adverse psychological consequences to the individuals and their families.[1] The treatment of individuals with cleft lip/palate is complex, and its outcome is judged by obtaining a balance among factors of esthetics, speech, and facial growth. Some studies suggest that repair surgeries play an important role in altering craniofacial growth and development.t3,4,5 At the same time, other factors are related to modifications in maxillo-mandibular growth: cleft width, amount of tissue present at birth, individual growth potential,[6] surgical technique employed in the primary repair surgeries,[7] surgical. This study aimed at monitoring the maxillary growth of children with unilateral complete cleft lip and palate and isolated cleft palate in the first two years of life, and to evaluate the effects of primary surgeries on the dental arch dimensions
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