Abstract
The aim of this study was to assess the magnitude of occlusal changes in individuals with unilateral cleft lip and palate (CLP). The study was conducted on study cast models of 25 subjects, 14 men and 11 women aged from 7 to 20 years, without previous orthodontic treatment and with surgical repair carried out at São Marcos Hospital, Teresina, Piauí State, Brazil. The cast models were assessed by three orthodontists based on the occlusal scores established by Atack et al., whose scores range from 1 to 5, according to the magnitude of transverse and sagittal changes. Intra and inter-observer reproducibility of occlusal scores was satisfactory and statistically significant according to the Spearman correlation test with significance level set at 5%. With regard to the distribution of occlusal scores, 30.67% of the subjects achieved scores 1 and 2, 22% score 3 and 47.53% achieved scores 4 and 5. Four was the score most frequently assigned by the observers, disclosing a high degree of transverse and sagittal disorders in the occlusion of patients.
Highlights
Individuals with cleft lip and palate exhibit functional and morphological changes and may, in some cases, manifest psychosocial changes given that the affected region is highly visible, causing a negative esthetic impact
In Brazil, clefts are currently classified on the basis of a system proposed by Spina,[18] which uses the incisive foramen, the only single structure connecting the primary and secondary palates during intrauterine life, as anatomical reference
Lip and palate clefts are a congenital defect with diverse clinical manifestations
Summary
Individuals with cleft lip and palate exhibit functional and morphological changes and may, in some cases, manifest psychosocial changes given that the affected region is highly visible, causing a negative esthetic impact. In Brazil, clefts are currently classified on the basis of a system proposed by Spina,[18] which uses the incisive foramen, the only single structure connecting the primary and secondary palates during intrauterine life, as anatomical reference.
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