Frontal cephalometric evaluation of transverse dentofacial morphology and growth of children with isolated cleft palate

Athanasiou, Athanasios E.; Moyers, Robert E.; Mazaheri, Monir; Toutountzakis, Nick

doi:10.1016/s1010-5182(05)80065-4

Cited by 17 publications

(17 citation statements)

References 11 publications

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“…All statistical analyses were performed using the Statistical Package for Social Sciences (SPSS), 16.0 (SPSS for Windows, SPSS Inc, Chicago, Ill). After performing Shapiro-Wilks and Levene's variance homogeneity tests to test the normality of the data, statistical evaluations were performed using the parametric tests.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, crowding and congenital anomaly (tooth agenesis, supernumerary tooth, microdontia, and macrodontia) might not affect the results. Few studies 15,16 previously investigated the mandibular skeletal transversal width using the frontal radiographs. Athanasiou et al 16 studied the transverse dentofacial morphology of 64 children affected by isolated cleft palate at the ages of 3-4, 8-9, and 12 years and reported no difference in the bigonial width of the mandible between cleft and normal groups.…”

Section: Discussionmentioning

confidence: 99%

“…7 Previous studies have shown that patients affected by CLP usually have anterior and posterior crossbite, midface deficiency with a tendency toward a Class III malocclusion, increased vertical dimensions, and decreased pharyngeal airway volume. 3,5,8,9 However, studies investigating the effects of CLP on mandibular arch are limited in number; most studies [10][11][12][13][14] were performed using plaster models, and only a few 15,16 used the frontal radiographs of the patients. In a recent study, Ye et al 13 evaluated mandibular dental arch morphology in unoperated and operated adult patients with unilateral CLP (UCLP) using computed tomography (CT) scanning of the patients' plaster models.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of mandibular transverse widths in patients affected by unilateral and bilateral cleft lip and palate using cone beam computed tomography

Çelikoğlu

Büyük

Ekizer

et al. 2015

The Angle Orthodontist

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Objective: To evaluate the mandibular dental, alveolar, and skeletal transversal widths in patients affected by unilateral (UCLP) and bilateral (BCLP) cleft lip and palate and to compare the findings with a well-matched normal occlusion sample using cone beam computed tomography images. Materials and Methods: The study sample consisted of 75 patients divided into three groups: the UCLP (29 patients; mean age: 15.40 6 3.22 years), BCLP (18 patients; mean age: 15.54 6 3.72 years), and normal occlusion (28 patients; mean age: 15.82 6 2.11 years) groups. Mandibular dental (intercanine and -molar), alveolar (intercanine and -molar), and skeletal (bigonial width) transversal measurements were performed three-dimensionally and analyzed using the one-way variance analysis and post hoc Tukey tests. Results: Patients affected by UCLP and BCLP had statistically significantly lower intercanine alveolar widths (P , .05 and P , .001, respectively) and larger intermolar (P , .001 and P , .05, respectively) and intermolar alveolar widths (P , .001) compared with the normal occlusion group. Furthermore, the patients affected by UCLP and BCLP had similar mandibular dental, alveolar, and skeletal transversal widths (P . .05). Conclusion: The UCLP and BCLP groups showed statistically significantly smaller values for intercanine alveolar widths and larger values for intermolar dental and alveolar widths compared with the normal occlusion group. This shows the importance of using individualized archwires according to the pretreatment arch widths of the patients affected by UCLP and/or BCLP. (Angle Orthod. 2015;85:611-615.)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of mandibular transverse widths in patients affected by unilateral and bilateral cleft lip and palate using cone beam computed tomography

Çelikoğlu

Büyük

Ekizer

et al. 2015

The Angle Orthodontist

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“…Further, Laspos et al 26 studied postero-anterior radiographs of children and reported that UCLP patients had mandibles that were more asymmetric than those of controls. In contrast, Athanasiou et al 27 found that those children with cleft palates who have undergone corrective surgery may have normal growth rates. In the current study, only post-adolescent patients were included to eliminate possible growth rate differences.…”

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confidence: 91%

Cone-beam computed tomography assessment of mandibular asymmetry in unilateral cleft lip and palate patients

et al. 2011

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Objective: To determine whether there is any difference between the cleft and non-cleft sides of the mandible in unilateral cleft lip and palate (UCLP) patients, or the right and left sides in control patients; and to determine if there is any difference between the mandibular asymmetry of UCLP patients and that of control patients. Methods: We examined cone-beam computed tomography (CBCT) scans of 15 patients with UCLP and 15 age-and gender-matched control patients. We evaluated 8 linear, 3 surface, and 3 volumetric measurements and compared the cleft/non-cleft sides of UCLP patients and the right/left sides of controls. Results: There were no statistically significant gender differences in any linear, surface, or volumetric measurement. The single significant side-to-side difference in UCLP patients was a longer coronoid unit on the cleft side than on the non-cleft side (p = 0.046). Body volume was significantly lower in the UCLP group than in the control group (p = 0.008). Conclusions: In general, UCLP patients have symmetrical mandibles, although the coronoid unit length is significantly longer on the cleft side than on the non-cleft side. UCLP patients and controls differed only in body volume.

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“…Some investigations indicated that facial morphology in infants, children, adolescents, and adults with isolated cleft palate (ICP) were all different compared with nonclefts (3)(4)(5)(6)(7)(8)(9)(10)(11)(12). Facial growth deficiency goes worse with age (6,12), but facial morphology is still acceptable…”

Section: Introductionmentioning

confidence: 99%

The Craniofacial Morphology in Adult Patients with Unoperated Isolated Cleft Palate

Xue

Ahmatjian

et al. 2013

Bone Res.

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IntroductionSome investigations indicated that facial morphology in infants, children, adolescents, and adults with isolated cleft palate (ICP) were all different compared with nonclefts (3-12). Facial growth deficiency goes worse with age (6, 12), but facial morphology is still acceptableThe reasons affected facial morphology including three main factors: intrinsic developmental deficiencies, functional distortions affecting the position and growth, and iatrogenic factors (1-2). †These authors contributed equally to this work. because of modulation of mandible position (6). Iatrogenic factors are not the main reason resulted in maxillary retrusion, but intrinsic deficiencies are (3, 13). However, another researches showed that the facial morphology is similarly normal when compared with nonclefts (14-20). Different findings may result from the heterogeneity of the samples (18, 21), small sample size (22-23), the various range of age (18), different cleft types of samples (15,(24)(25) and factors related to the control group. Craniofacial morphology is of genetic and racial characteristic. In previous studies about unoperated isolated cleft palate, both patients with soft cleft palate only and patients with hard and soft cleft palate were included. The two types of cleft are so different: vomer is well connected with palate plane in soft cleft palate, but vomer is not in hard and soft cleft palate.

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Frontal cephalometric evaluation of transverse dentofacial morphology and growth of children with isolated cleft palate

Cited by 17 publications

References 11 publications

Evaluation of mandibular transverse widths in patients affected by unilateral and bilateral cleft lip and palate using cone beam computed tomography

Evaluation of mandibular transverse widths in patients affected by unilateral and bilateral cleft lip and palate using cone beam computed tomography

Cone-beam computed tomography assessment of mandibular asymmetry in unilateral cleft lip and palate patients

The Craniofacial Morphology in Adult Patients with Unoperated Isolated Cleft Palate

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