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3D analysis of effects of primary surgeries in cleft lip/palate children during the first two years of life.

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.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title brazilian oral research
Publication Year Start




PMID- 28591242
OWN - NLM
STAT- MEDLINE
DA  - 20170607
DCOM- 20170628
LR  - 20170628
IS  - 1807-3107 (Electronic)
IS  - 1806-8324 (Linking)
VI  - 31
DP  - 2017 Jun 05
TI  - 3D analysis of effects of primary surgeries in cleft lip/palate children during
      the first two years of life.
PG  - e46
LID - S1806-83242017000100243 [pii]
LID - 10.1590/1807-3107BOR-2017.vol31.0046 [doi]
AB  - 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&lt;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.
FAU - Sakoda, Karine Laskos
AU  - Sakoda KL
AD  - Universidade de Sao Paulo - USP, Bauru Dental School, Department of Pediatric
      Dentistry, Bauru, Sao Paulo, Brazil.
FAU - Jorge, Paula Karine
AU  - Jorge PK
AD  - Universidade de Sao Paulo - USP, Bauru Dental School, Department of Pediatric
      Dentistry, Bauru, Sao Paulo, Brazil.
FAU - Carrara, Cleide Felicio Carvalho
AU  - Carrara CFC
AD  - Universidade de Sao Paulo - USP, Hospital for Rehabilitation of Craniofacial
      Anomalies, Department of Pediatric Dentistry, Bauru, Sao Paulo, Brazil.
FAU - Machado, Maria Aparecida de Andrade Moreira
AU  - Machado MAAM
AD  - Universidade de Sao Paulo - USP, Bauru Dental School, Department of Pediatric
      Dentistry, Bauru, Sao Paulo, Brazil.
FAU - Valarelli, Fabricio Pinelli
AU  - Valarelli FP
AD  - Universidade Inga, Department of Orthodontics, Maringa, Parana, Brazil.
FAU - Pinzan, Arnaldo
AU  - Pinzan A
AD  - Universidade de Sao Paulo - USP, Bauru Dental School, Department of Pediatric
      Dentistry, Bauru, Sao Paulo, Brazil.
FAU - Oliveira, Thais Marchini
AU  - Oliveira TM
AD  - Universidade de Sao Paulo - USP, Bauru Dental School, Department of Pediatric
      Dentistry, Bauru, Sao Paulo, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20170605
PL  - Brazil
TA  - Braz Oral Res
JT  - Brazilian oral research
JID - 101307187
SB  - D
SB  - IM
MH  - Age Factors
MH  - Analysis of Variance
MH  - Anatomic Landmarks
MH  - Cephalometry
MH  - Child, Preschool
MH  - Cleft Lip/rehabilitation/*surgery
MH  - Cleft Palate/rehabilitation/*surgery
MH  - Dental Arch/*growth &amp; development/pathology
MH  - Female
MH  - Humans
MH  - Imaging, Three-Dimensional/*methods
MH  - Infant
MH  - Male
MH  - Maxilla/*growth &amp; development
MH  - Medical Illustration
MH  - Reference Values
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2017/06/08 06:00
MHDA- 2017/06/29 06:00
CRDT- 2017/06/08 06:00
PHST- 2016/03/21 [received]
PHST- 2017/03/27 [accepted]
PHST- 2017/04/25 [received]
AID - S1806-83242017000100243 [pii]
AID - 10.1590/1807-3107BOR-2017.vol31.0046 [doi]
PST - epublish
SO  - Braz Oral Res. 2017 Jun 5;31:e46. doi: 10.1590/1807-3107BOR-2017.vol31.0046.