Abstract:Objective: The aim of this study was to evaluate the facial profile esthetics of rehabilitated children with complete bilateral cleft lip and palate (BCLP), comparing the judgment of professionals related and not related to cleft rehabilitation and laypersons. Methods:Thirty children in the mixed dentition (24 male; 6 female) with a mean age of 7.8 years were evaluated using facial profile photographs by 25 examiners: 5 orthodontists and 5 plastic surgeons with experience in cleft care, 5 orthodontists and 5 p… Show more
“…Lauris et al evaluated the esthetics of the facial profile of children rehabilitated with CLP, comparing the judgment of professionals related and unrelated to the rehabilitation of clefts and laypeople, and the results revealed that professionals related to cleft rehabilitation were kinder and those unrelated to cleft treatment were stricter about facial esthetics than laypeople. [12] In the studies by Alhayek et al and the professionals were more satisfied than laypeople, corroborating that there are differences in perception between health professionals and laypeople, and the discrepancies between professional groups can be attributed to different treatment modalities and protocols. [13,14] According to Papamanou et al (2012), this can be explained as a result of the education and experience of specialists, which can lead to an assessment of facial From the perspective of parents and patients, low satisfaction with esthetics was correlated with the increase in self-reported influence of the cleft on the social activity and professional life of patients, as well as their high expectations with the results.…”
Since the Resolution 198/2019 of Brazilian Dental Council, which regulates orofacial harmonization as a dental specialty, and the advent of various uses of facial fillers, such as hyaluronic acid (HA), it is possible to perform both esthetic and functional corrections in individuals. Individuals with cleft lip and palate (CLP) present lip irregularities even after orofacial rehabilitation with an interdisciplinary team with several corrective surgeries, interfering with the esthetics, which can cause problems in self-esteem and social insertion. Thus, facial filling is an innovation that, together with dentistry, contributes to the individual's esthetics and well-being. Considering the patient safety and health, more research is progressively being conducted to make such procedures less invasive. This work conducted a literature review on the use of HA as a facial filler to correct lip scars in patients with CLP. By a literature and transverse search in Scientific Electronic Library Online and PubMed databases using specific descriptors, the studies that met the inclusion criteria were selected, from 1990 to 2020. It can be concluded that the use of HA as a facial filling material in the correction of lip scars from reparative surgeries related to CLP has been shown to be effective both for correction of facial asymmetry and to improve the quality of life of patients who used the procedure.
“…Lauris et al evaluated the esthetics of the facial profile of children rehabilitated with CLP, comparing the judgment of professionals related and unrelated to the rehabilitation of clefts and laypeople, and the results revealed that professionals related to cleft rehabilitation were kinder and those unrelated to cleft treatment were stricter about facial esthetics than laypeople. [12] In the studies by Alhayek et al and the professionals were more satisfied than laypeople, corroborating that there are differences in perception between health professionals and laypeople, and the discrepancies between professional groups can be attributed to different treatment modalities and protocols. [13,14] According to Papamanou et al (2012), this can be explained as a result of the education and experience of specialists, which can lead to an assessment of facial From the perspective of parents and patients, low satisfaction with esthetics was correlated with the increase in self-reported influence of the cleft on the social activity and professional life of patients, as well as their high expectations with the results.…”
Since the Resolution 198/2019 of Brazilian Dental Council, which regulates orofacial harmonization as a dental specialty, and the advent of various uses of facial fillers, such as hyaluronic acid (HA), it is possible to perform both esthetic and functional corrections in individuals. Individuals with cleft lip and palate (CLP) present lip irregularities even after orofacial rehabilitation with an interdisciplinary team with several corrective surgeries, interfering with the esthetics, which can cause problems in self-esteem and social insertion. Thus, facial filling is an innovation that, together with dentistry, contributes to the individual's esthetics and well-being. Considering the patient safety and health, more research is progressively being conducted to make such procedures less invasive. This work conducted a literature review on the use of HA as a facial filler to correct lip scars in patients with CLP. By a literature and transverse search in Scientific Electronic Library Online and PubMed databases using specific descriptors, the studies that met the inclusion criteria were selected, from 1990 to 2020. It can be concluded that the use of HA as a facial filling material in the correction of lip scars from reparative surgeries related to CLP has been shown to be effective both for correction of facial asymmetry and to improve the quality of life of patients who used the procedure.
“…Absence of the lateral incisor is often associated with cleft lip and palate, and the orthodontist along with the rehabilitation team should define the best treatment option in this region. 1,2,[4][5][6]18 Even after a successful secondary graft in the cleft region, there is a tendency to remain a vertical defect in this region, which in most situations contraindicates rehabilitation through implant and prosthesis. 2,5,19 In addition, implant and prosthesis rehabilitation in the long term tends to have a greater aesthetic compromise due to non-vertical physiological migration of the implant, which would imply the need for a new rehabilitation to original article Souza RM, Oliveira HT, Farret MM restore vertical symmetry in this region.…”
Introduction: The cleft lip and palate is the most frequent craniofacial anomaly and as a consequence of this malformation some inadequate occlusal relationship between the arches are observed. Furthermore, dental absences, individual positioning changes of teeth as rotations, and in more rare situations the transpositions may be found as well. Description: In this context, in this article is reported a case of a 9-year-old patient with unilateral cleft lip and palate, with anterior and posterior crossbite on the left side, absence of the maxillary left lateral incisor, and transposition of the maxillary left canine and first premolar. The patient was treated with slow maxillary expansion, secondary graft and fixed orthodontic appliance, transposition maintenance and closing of the lateral incisor space with the first premolar, by means of mesialization of the posterior teeth. Results: At the end of the treatment, good intercuspation and an important aesthetic gain for the patient were achieved. The analysis three years after treatment revealed a good stability of the results obtained.
“…Considering the multifactorial nature of facial attractiveness, its assessment is a complex task and cannot be quantified by a simple measurement. Complete BCLP represents the most severe subtype of oral clefts and accounts for 14% of all types of oral clefts (Lauris et al, 2017). Bilateral CLP causes serious esthetical, functional, anatomic, and psychosocial disorders, a substantial challenge for its surgical and clinical management (Lauris et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
“…Complete BCLP represents the most severe subtype of oral clefts and accounts for 14% of all types of oral clefts (Lauris et al, 2017). Bilateral CLP causes serious esthetical, functional, anatomic, and psychosocial disorders, a substantial challenge for its surgical and clinical management (Lauris et al, 2017). Several studies have evaluated soft tissue morphology in patients with CLP.…”
Objective: To evaluate the soft tissue profile and frontal photographs of 8- to 12-year-old patients with repaired complete bilateral cleft lip and palate (BCLP). Methods: The profile and frontal photographs obtained from 31 nonsyndromic BCLP children (aged 8-12 years: 14 boys and 17 girls) were analyzed and compared with an age- and sex-matched normal population (18 boys and 32 girls). In each patient, 12 soft tissue angular and proportional parameters on the frontal photograph and 12 angular parameters for the profile photographs were developed and measured. Student t test was used to compare the mean value of the parameters between both sexes. Results: In the frontal view, there was a significant difference between the 2 study groups in the facial symmetry angle ( P < .001), lower facial height proportion ( P < .001), upper lip proportion ( P < .001), and interalar width/distance between the inner canthus of the eyes ( P < .001). In the profile view, there was a significant difference between the control group and the patients with cleft lip and palate in terms of nasofrontal angle ( P < .001), nasal angle ( P < .001), angle of the inferior facial third ( P = .032), head position angle ( P < .001), facial convexity angle ( P < .001), total facial convexity angle ( P < .001), and vertical nasal angle ( P < .001). Conclusion: In comparison with the normal population, the face of patients with repaired BCLP showed several soft tissue deformities, especially in the nasofrontal region, even after a surgical repair.
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