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Dentoskeletal effects of facemask therapy in skeletal Class III cleft patients with or without bone graft.

Abstract The association between maxillary protraction and bone graft in patients with cleft lip and palate remains unclear. The purpose of this study was to investigate whether a secondary alveolar bone graft influences dentoskeletal effects of facemask therapy in unilateral cleft lip and palate patients with a skeletal Class III relationship.
PMID
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Authors

Mayor MeshTerms

Alveolar Ridge Augmentation

Bone Transplantation

Extraoral Traction Appliances

Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 29602346
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR  - 20180409
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 153
IP  - 4
DP  - 2018 Apr
TI  - Dentoskeletal effects of facemask therapy in skeletal Class III cleft patients
      with or without bone graft.
PG  - 542-549
LID - S0889-5406(17)31051-X [pii]
LID - 10.1016/j.ajodo.2017.07.024 [doi]
AB  - INTRODUCTION: The association between maxillary protraction and bone graft in
      patients with cleft lip and palate remains unclear. The purpose of this study was
      to investigate whether a secondary alveolar bone graft influences dentoskeletal
      effects of facemask therapy in unilateral cleft lip and palate patients with a
      skeletal Class III relationship. METHODS: In this prospective nonrandomized
      clinical trial, 61 consecutive boys with unilateral cleft lip and palate and
      skeletal Class III malocclusion were divided into 3 groups: grafted facemask
      group (n = 21), ungrafted facemask group (n = 20), and untreated control group (n
      = 20). Sixteen dentoskeletal measurements on lateral cephalometric radiographs
      were compared before and after therapy or observation with 1-way analysis of
      variance or the Mann-Whitney U test. RESULTS: After facemask therapy, the grafted
      group showed a statistically significantly greater advancement of Point A
      (S-Vert-A, 4.18 +/- 1.94 mm; SNA, 3.51 degrees +/- 2.21 degrees ) than did the
      ungrafted group (S-Vert-A, 2.64 +/- 1.58 mm; SNA, 1.92 degrees +/- 1.05 degrees
      ). Furthermore, significant SNB changes were found in the grafted group when
      compared with those in the ungrafted group (-0.38 degrees +/- 1.77 degrees vs
      -1.69 degrees +/- 1.34 degrees ; P <0.05). The changes in the mandibular plane
      angle (MP-SN, MP-FH) in the grafted group were less pronounced than in the
      ungrafted group by approximately 2 degrees (P <0.05). Flaring of the maxillary
      incisors was more pronounced in treated subjects than in untreated subjects. The 
      mandibular incisors proclined in both grafted (1.54 degrees +/- 4.21 degrees )
      and control (0.97 degrees +/- 3.71 degrees ) patients, and were retroclined in
      the ungrafted group (-2.13 degrees +/- 3.68 degrees ). CONCLUSIONS: Facemask
      therapy performed after an alveolar bone graft produced more anterior maxillary
      migration (90%) and less pronounced mandibular clockwise rotation (10%) than
      those in the ungrafted group (50%, 50%, respectively).
CI  - Copyright (c) 2018 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Zhang, Yixin
AU  - Zhang Y
AD  - Department of Orthodontics, Peking University School and Hospital of Stomatology,
      Beijing, P. R. China.
FAU - Jia, Haichao
AU  - Jia H
AD  - Department of Orthodontics, School of Stomatology, Capital Medical University,
      Beijing, P. R. China.
FAU - Fu, Zhen
AU  - Fu Z
AD  - Department of Orthodontics, Affiliated Hospital of Stomatology, School of
      Medicine, Zhejiang University, Hangzhou, P. R. China.
FAU - Huang, Yiping
AU  - Huang Y
AD  - Department of Orthodontics, Peking University School and Hospital of Stomatology,
      Beijing, P. R. China.
FAU - Wang, Zhizun
AU  - Wang Z
AD  - Department of Orthodontics, Peking University School and Hospital of Stomatology,
      Beijing, P. R. China.
FAU - Guo, Runzhi
AU  - Guo R
AD  - Department of Orthodontics, Peking University School and Hospital of Stomatology,
      Beijing, P. R. China.
FAU - Shen, Jiaan
AU  - Shen J
AD  - Department of Orthodontics, Peking University School and Hospital of Stomatology,
      Beijing, P. R. China.
FAU - Li, Weiran
AU  - Li W
AD  - Department of Orthodontics, Peking University School and Hospital of Stomatology,
      Beijing, P. R. China. Electronic address: [email protected]
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
SB  - D
SB  - IM
MH  - Alveolar Bone Grafting
MH  - *Alveolar Ridge Augmentation
MH  - Analysis of Variance
MH  - Anatomic Landmarks
MH  - *Bone Transplantation
MH  - Cephalometry
MH  - Child
MH  - China
MH  - Cleft Lip/classification/diagnostic imaging/surgery/*therapy
MH  - Cleft Palate/classification/diagnostic imaging/surgery/*therapy
MH  - *Extraoral Traction Appliances
MH  - Humans
MH  - Incisor
MH  - Male
MH  - Malocclusion, Angle Class III/diagnostic imaging/*surgery/*therapy
MH  - Mandible/anatomy & histology/diagnostic imaging
MH  - Maxilla/anatomy & histology/diagnostic imaging/surgery
MH  - Non-Randomized Controlled Trials as Topic
MH  - Palatal Expansion Technique
MH  - Prospective Studies
MH  - Rotation
MH  - Statistics, Nonparametric
MH  - Treatment Outcome
EDAT- 2018/04/01 06:00
MHDA- 2018/04/10 06:00
CRDT- 2018/04/01 06:00
PHST- 2017/02/01 00:00 [received]
PHST- 2017/07/01 00:00 [revised]
PHST- 2017/07/01 00:00 [accepted]
PHST- 2018/04/01 06:00 [entrez]
PHST- 2018/04/01 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
AID - S0889-5406(17)31051-X [pii]
AID - 10.1016/j.ajodo.2017.07.024 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2018 Apr;153(4):542-549. doi:
      10.1016/j.ajodo.2017.07.024.