Abstract

3D Assessment of the Correlation between Neonatal Morphology and Occlusal Outcomes in 5-Year-Old Patients with Complete Unilateral Cleft Lip and Palate

Highlights

  • In patients with cleft lip and palate (CLP), its width at birth and the extent of the tissue defect are factors that influence the surgical difficulties and, indirectly, the results of corrective surgery

  • Objective: To exploit 3D measurement technology to determine any correlation between neonatal palate morphology and occlusal outcomes at five years in patients receiving surgery for unilateral cleft lip and palate (CLP)

  • There is no correlation between neonatal morphological characteristics and occlusal outcomes at 5 years in CLP patients treated via the surgical protocol considered

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Summary

Introduction

In patients with cleft lip and palate (CLP), its width at birth and the extent of the tissue defect are factors that influence the surgical difficulties and, indirectly, the results of corrective surgery. Maxillary growth in patients with CLP has been investigated by numerous authors, and Liao and Mars [1] have published two reviews, both of which have highlighted that if left untreated during infancy, the upper jaw growth of individuals with CLP is normal, or even protrusive. This is because the maxilla is subject to both the centripetal force exerted by the upper lip [2] and the centrifugal force exerted by the tongue, which pushes the anterior sector forward during speech and swallowing. Post-surgical contraction at the site of CLP repair may be the first link in a chain of events leading to secondary skeletal deformities in these patients

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