Nasolabial symmetry and esthetics in cleft lip and palate: analysis of 3D facial images

Desmedt, Dries; Maal, T.J.J.; Kuijpers, Mette A.R.; Bronkhorst, Ewald M.; Kuijpers-Jagtman, Anne Marie; Fudalej, Piotr

doi:10.1007/s00784-015-1445-0

Cited by 36 publications

(23 citation statements)

References 62 publications

(72 reference statements)

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“…This leads to the conclusion that although the UCLP group may encounter more challenges in daily life, their overall QoL is no different from that of healthy children. This confirms the results of an earlier study that used CPQ [11][12][13][14] to measure the outcomes of orofacial conditions and dental caries in children aged 11 to 14 years. 31 The OHRQoL of the participants with cleft lip and/or palate was similar to that with dental decay.…”

Section: Discussionsupporting

confidence: 89%

“…10 Actually, the perceived OHRQoL measures may be considered as additional components to evaluate treatment of CLP patients in a more comprehensive way, considering that the assessment of outcomes frequently raises concerns about facial appearance, speech, and social impairments. 11 In a recent systematic review and meta-analysis, the presence of CLP negatively affected the health-related quality of life (HRQoL) of children and adults, mainly on the psychological health and vitality dimensions. 6 On the other hand, no significant differences were found considering oral health and oral conditions among the children in the evaluated studies.…”

Section: Introductionmentioning

confidence: 99%

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Orofacial functions and quality of life in children with unilateral cleft lip and palate

et al. 2019

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This study aimed to evaluate the orofacial functions and oral health-related quality of life (OHRQoL) of children with unilateral cleft lip and palate (UCLP). This case-control study included patients with UCLP matched by sex and age with controls (children without UCLP), resulting in the inclusion of a total of 108 eight-to ten-year-old children. Orofacial functions and OHRQoL were evaluated using the Nordic Orofacial Test-Screening (NOT-S) and the Child Perceptions Questionnaire (CPQ 8-10 ), respectively. Data normality was assessed by the Kolmogorov-Smirnov test. Differences and correlations in NOT-S and CPQ 8-10 scores between and within the groups were evaluated using Mann-Whitney and Spearman´s correlation tests, respectively. The distribution of NOT-S and global ratings of CPQ 8-10 for each group were assessed by Chi-squared/Fisher's Exact tests. The UCLP group had a higher NOT-S total and examination scores than the controls. Dysfunctions related to breathing, facial symmetry/expression, and speech were more frequent in the UCLP patients than in the controls. The UCLP group had higher scores on the social well-being domain than the controls. There was a significant difference between the groups in their ratings in regards to the extent to which their oral condition affected their life overall, with controls perceiving it as somewhat better than patients. In both groups, NOT-S total and interview scores were positively correlated with CPQ 8-10 total and domain scores. The NOT-S examination score was only significantly correlated with social domain scores in the control group. The presence of UCLP was associated with clinical signs of orofacial dysfunctions related to breathing, facial symmetry/expression, and speech. Children with UCLP reported more orofacial dysfunctions and negative impacts on social well-being than controls.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Orofacial functions and quality of life in children with unilateral cleft lip and palate

et al. 2019

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“…Until now, several studies have been conducted in relation to symmetry in skeletal, dental and soft tissues in individuals with cleft lip and palate. While vermilion symmetry, lip symmetry, nose symmetry, nostril symmetry and facial symmetry were evaluated among soft tissues, evaluation of hard tissues focused on palatal symmetry, condylar symmetry and mandibular symmetry . In CLP patients, an asymmetry in the macro‐aesthetic elements of the face is the most significant factor that may affect the facial aesthetics.…”

Section: Introductionmentioning

confidence: 99%

Dental crown symmetry in unilateral cleft lip and palate patients: A three‐dimensional analysis on digital dental models

Di̇ndaroğlu

Duran

Doğan

2019

Orthod Craniofacial Res

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Objectives The purpose of this study was to conduct a 3‐dimensional assessment of possible dental crown asymmetry in dental crown shape and/or size that was not clinically visible in unilateral cleft lip and palate (UCLP) patients on the maxilla and mandible and make a comparison to the control group without CLP. Setting and Sample Population The maxillary and mandibular digital models of orthodontically treated 35 individuals with non‐syndromic UCLP (mean age: 14.6 ± 2.1 years) and 35 class I individuals without CLP (mean age 14.1 ± 1.5 years). Materials and Methods The crowns of the anterior and posterior teeth were segmented and the teeth on the cleft side were mirrored in UCLP patients considering the arbitrary midsagittal plane as reference. The first alignment was landmark‐based and it was followed by the best‐fit method. After aligning the images, millimetric differences (deviation analysis) between aligned surfaces were analysed. Independent Samples t test and Mann‐Whitney U test were used for statistical comparisons. Results The highest difference between the cleft side and non‐cleft side in the UCLP group was observed in the central incisors (1.85 ± 0.79 mm). The mean difference between the groups in the central incisors was 1.20 mm (95% CI: −1.70; −0.69; P < 0.001). The mean of median values was found to be highest in the central incisors in the UCLP group as 0.72 ± 0.27 mm. It was 0.15 ± 0.05 mm in the control group. Conclusion The difference between the cleft and non‐cleft side may exceed 1 mm in the maxillary central incisors of unilateral CLP patients.

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“…The cephalometry plug-in tool in the Maxilim software was used to create boundary planes of the nasolabial region in five steps [15,16]. In short, the 3D facial image was positioned in natural head position by (1) indicating right and left exocanthion and (2) rotation of the axis through the right and left exocanthion until the canthion-superaural line was horizontal, seen from a lateral view.…”

Section: D Image Processingmentioning

confidence: 99%

Influence of involuntary facial expressions on reproducibility of 3D stereophotogrammetry in children with and without complete unilateral cleft lip and palate from 3 to 18 months of age

et al. 2018

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Nasolabial symmetry and esthetics in cleft lip and palate: analysis of 3D facial images

Abstract: Assessment of nasolabial symmetry is a useful measure of treatment success in less severe cleft types.

Cited by 36 publications

References 62 publications

Orofacial functions and quality of life in children with unilateral cleft lip and palate

Orofacial functions and quality of life in children with unilateral cleft lip and palate

Dental crown symmetry in unilateral cleft lip and palate patients: A three‐dimensional analysis on digital dental models

Influence of involuntary facial expressions on reproducibility of 3D stereophotogrammetry in children with and without complete unilateral cleft lip and palate from 3 to 18 months of age

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