Fetal dental panorama on three-dimensional ultrasound imaging of cleft lip and palate and other facial anomalies

Nicot, Romain; Rotten, D.; Opdenakker, Yasmin; Kverneland, Bothild; Ferri, Joël; Couly, G; Levaillant, Jean‐Marc

doi:10.1007/s00784-018-2586-8

Cited by 7 publications

(5 citation statements)

References 29 publications

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“…3 To increase the display rate of the fetal palate and improve fetal palate screening, related scholars have been exploring two-or three-dimensional ultrasound for many years. [10][11][12][13][14][15][16][17][18] Nevertheless, being affected by factors such as the low display rate of the fetal palate and difficulties during scanning, a unified standard or The design of this program focused on the elements of deliberate practice, including motivated learners, well-defined tasks and objectives, focused repetitive practice, reliable measurements, feedback and error correction, and evaluation and skill advancement. 19 This program combined the advantages of problem-based learning (PBL) and error exposure training, decomposed learning goals, and the promotion of learning by application.…”

Section: Discussionmentioning

confidence: 99%

“…However, due to the dome‐shaped structure of the fetal palate and coverage of the bony structure of the face, scanning the secondary palate can be difficult, resulting in a higher missed diagnosis rate for the isolated cleft palate than for orofacial cleft 3 . To increase the display rate of the fetal palate and improve fetal palate screening, related scholars have been exploring two‐ or three‐dimensional ultrasound for many years 10–18 . Nevertheless, being affected by factors such as the low display rate of the fetal palate and difficulties during scanning, a unified standard or consensus has not yet been formed; consequently, fetal palate screening has not yet been adopted in essential aspects of prenatal ultrasound screening.…”

Section: Discussionmentioning

confidence: 99%

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A Deliberate Practice‐Based Ultrasound Training Program for Fetal Palate Screening Using a Sequential Sector Scan Through the Oral Fissure

Wan

Zhou

et al. 2022

J of Ultrasound Medicine

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Objectives To introduce an ultrasound training program for fetal palate screening by using a sequential sector scan through the oral fissure to train less experienced doctors and to investigate its effectiveness. Methods Twenty doctors and several women at approximately 20–28 weeks of gestation with singleton pregnancies who provided informed consent were enrolled. The training program consisted of theory and practice training, several tests, and two surveys. Trainees were tested before training and immediately after training; for the latter, each item with a score that was less than 60% of the full score was again used for training with a reconstructed plan. Finally, a post‐training test was completed. Results The median theory scores, median practice scores, median language competence scores, and median self‐assessment scores all increased significantly from the pre‐training to post‐training tests (P < .01). The median completion time for fetal palate scans decreased significantly from the pre‐training to post‐training tests (P < .01). The median questionnaire scores were 5.00 for pragmatism, 4.00 for content, 4.00 for scientific nature, and 5.00 for effectiveness. Conclusions The training program for fetal palate screening can effectively standardize and improve doctors' scans for fetal palates. In addition, the program feasibly allows for the incorporation of the scan sequence into fetal palate screening.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Deliberate Practice‐Based Ultrasound Training Program for Fetal Palate Screening Using a Sequential Sector Scan Through the Oral Fissure

Wan

Zhou

et al. 2022

J of Ultrasound Medicine

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“…Reformatting technology can be used in combination with VCI, 35,36 which displays a thin slice of the acquired volume; the slice thickness can be adjusted to improve contrast resolution.…”

Section: Clinical Value and Limitations Of 2d-us In Diagnosis Of CLmentioning

confidence: 99%

The application of three‐dimensional ultrasound with reformatting technique in the diagnosis of fetal cleft lip/palate

Yin

et al. 2021

J of Clinical Ultrasound

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Objective: To evaluate the clinical value of three-dimensional ultrasound (3D-US) with reformatting technique in the diagnosis of fetal cleft lip/palate (CL/P), especially those involving the secondary palate.Methods: A total of 113 fetuses suspected with cleft lip (CL) on two-dimensional ultrasound (2D-US) were further evaluated by 2D-US and 3D-US with reformatting technique, in order to clarify the type of oral cleft. Lesions were classified as cleft lip (CL), cleft lip and alveolus (CLA), and cleft lip and palate (CLP) (including primary and secondary palate). All fetuses were followed until birth or termination of pregnancy.The diagnostic accuracies of 2D-US and 3D-US with reformatting technology were compared.Results: Both 2D-US and 3D-US with reformatting successfully detected CLs in the final 103 participants. Among these, 29, 25, and 49 cases were confirmed to have CL, CLA, and CLP, respectively. CL, CLA, and CLP were diagnosed by 2D-US in 34, 66, and 3 cases, respectively, and by 3D-US with reformatting technology in 31, 27, and 45 cases, respectively. The sensitivities of 2D-US and 3D-US with reformatting technology in the diagnosis of CLA were 80% (20/25) and 92.0% (23/25), respectively, and the difference was not statistically significant. For CLP, however, the sensitivities were 6.1% (3/49) and 91.8% (45/49), respectively (P < .001). Conclusions: Both 2D-US and 3D-US with reformatting technique have high diag-nostic accuracy for CL and CLA. However, 3D-US has a much higher diagnostic accuracy for CLP. K E Y W O R D Scleft lip/palate, reformatting technique, secondary palate, three-dimensional ultrasound, twodimensional ultrasound | INTRODUCTIONFetuses with cleft palate (CP) are known to be at greater risk of other anatomical anomalies, such as chromosomal disorders, 1-3 neonatal feeding difficulities, 4 language disorders, 5 respiratory tract infections, and other postnatal issues. 6 Furthermore, the surgical repair of CP is more complex than that of isolated cleft lip (CL). 7 Children with CP and their families also exhibit long-term psychological effects. 8 Hence, early detection of fetal CP is very important.Prenatal sonography (US) has been utilized to diagnose fetal CL since the 1980s. 9 Through efforts by healthcare providers and technology enhancement of modern real-time ultrasound equipment, the # These authors contributed equally to this manuscript.

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“…These psychosocial impacts are due to the presence of facial disfigurement along with dental malformation. Due to new approaches to craniofacial rehabilitation, the healthcare community can assess facial as well as dental abnormalities at the fetal stage via fetal dental panorama [15]. The main objective of this study is to comprehend dental anomalies associated with specific clefts so, that prior treatment planning of dental deformity can be assessed and managed before eruption of teeth.…”

Section: Introductionmentioning

confidence: 99%

Frequency of Different Dental Irregularities Associated With Cleft Lip and Palate in a Tertiary Care Dental Hospital

Huda

Shahzad

Noor³

et al. 2021

Cureus

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BackgroundOro-facial clefts (OFCs) are formed due to a combination of genetic factors and environmental factors. Treatment is usually extensive and lasts till adult age. The treatment also includes a large portion of dental rehabilitation. ObjectiveThis study aims to look at the different dental anomalies associated with OFCs. MethodsA total of 100 participants with OFCs were randomly selected from Clap centre Lahore. They were categorized into cleft lip (CL), cleft palate (CP), and both. Dental anomalies were recorded clinically and family history for OFCs was also recorded. ResultsOut of the 100 participants, 15 had CL only, 37 had a CP, and 48 had both CL and CP. Missing teeth and hypodontia were significantly associated with all OFCs (p-value > 0.05). Supernumerary teeth were only significantly associated with CP (p-value: 0.04). Other dental anomalies were not significant for OFCs. ConclusionOFCs in all its three forms are associated with dental irregularities. They can either be missing teeth or extra teeth. There is a strong need for dentists to be a part of the treatment planning of OFCs and to treat dental anomalies alongside the clefts.

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Fetal dental panorama on three-dimensional ultrasound imaging of cleft lip and palate and other facial anomalies

Cited by 7 publications

References 29 publications

A Deliberate Practice‐Based Ultrasound Training Program for Fetal Palate Screening Using a Sequential Sector Scan Through the Oral Fissure

A Deliberate Practice‐Based Ultrasound Training Program for Fetal Palate Screening Using a Sequential Sector Scan Through the Oral Fissure

The application of three‐dimensional ultrasound with reformatting technique in the diagnosis of fetal cleft lip/palate

Frequency of Different Dental Irregularities Associated With Cleft Lip and Palate in a Tertiary Care Dental Hospital

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