Prevalence of Simonart’s band in cleft children at a cleft center in Indonesia: A nine-year retrospective study

Ariawan, Dwi; Vitria, Evy Eida; Sulistyani, Lilies Dwi; Anindya, Cut Safira; Adrin, Nada Suci Rahmadani; Aini, Nur; Hak, Muhammad Syafrudin

doi:10.17219/dmp/145065

Cited by 9 publications

(10 citation statements)

References 28 publications

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“…From the qualitative aspect, it was observed that width of cleft and Simonart’s band play an essential role in the outcome with wider clefts compromising the Steffensen parameters[ 5 6 ] [ Table 2 ]. The presence of Simonart’s bands indicates abnormal positioning of the tissues and the connective tissue activity.…”

Section: Discussionmentioning

confidence: 99%

“…Besides the basic demographic details of gender, age (in months at time of surgery, nearest to 2 decimals), cleft width (if gap is ≤ 10 mm, it is narrow, >11 mm would be a wide cleft), presence of lip-lip Simonart’s band (present/absent)[ 5 6 ] were noted down. From the ≥ 1 year post-operative follow-up images, four anthropometric parameters were measured using the post-operative photographs: lip height, lip width, vermilion height and alar base width [ Figure 3 ].…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

“…Standard measurements of lip height, lip width, vermilion height and alar base width using standard Adobe Photoshop CS6 software (Adobe Systems Inc., San Jose, California, USA) using pixels to create an aesthetic ratio of the cleft side to the non-cleft side for use as a quantitative measure of outcome for each parameter [ Figure 3 ]. [ 5 ]…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

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Modified Placement of C-flap in Unilateral Cleft Lip Repair to Avoid Alar Base Scar - A Retrospective Study

Balaji,

Balaji

2023

Annals of Maxillofacial Surgery

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Introduction: In spite of several techniques, Millard’s approach for the correction of cleft lip still is widely used. Although versatile, it has certain drawbacks including scar contraction, short lip and notching. A modification of the ‘C’ arm helps to address this drawback. The purpose of this study was to describe the qualitative and quantitative outcomes of the author’s modification of Millard’s C flap. Materials and Methods: Archival photographic records of cleft lip repairs and post-operative photos of cases treated by author were screened. Anthropometric measurements of the height and width of the lip, the height of the vermilion and the width of the alar base were considered. The outcome was quantified by comparing the ratio of each feature between the cleft and normal sides. The quality of cleft lip repair was assessed using the Steffensen criteria. Appropriate statistical tests were performed. Results: In all, 233 cases with a mean age of 4.46 ± 0.91 years and 106 (45.5%) males formed the study group. The mean lip height ratio was 0.936 ± 0.04, the mean lip width ratio was 0.938 ± 0.037, the mean vermillion height ratio was 0.9433 ± 0.35 while the mean alar base width ratio was 0.932 ± 0.35. The physical parameter ratios’ mean difference between the normal side and the cleft side was below 0.06 mm. Discussion: The mechanism behind the drawback of the classical Millard’s technique is discussed and compared with present modification. The authors’ modification shows that modified Millard’s technique produces better aesthetic outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Aterials and M Ethodsmentioning

confidence: 99%

Section: Aterials and M Ethodsmentioning

confidence: 99%

See 1 more Smart Citation

Modified Placement of C-flap in Unilateral Cleft Lip Repair to Avoid Alar Base Scar - A Retrospective Study

Balaji,

Balaji

2023

Annals of Maxillofacial Surgery

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“…However, achieving esthetic and functional restoration in cleft patients can be challenging due to various types of malocclusion and a tendency for relapse after orthodontic treatment. The presence of soft tissues, such as Simonart's band, also adds complexity to the treatment process [7,21,22].…”

Section: Introductionmentioning

confidence: 99%

Dental Anomalies in Maxillary Incisors and Canines among Patients with Total Cleft Lip and Palate

Paradowska-Stolarz

Kawala

2023

Applied Sciences

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Cleft lip and palate is the most common asymmetric congenital condition of the orofacial region, which also finds its reflection in dental anomalies. The aim of the study was to present the dental asymmetries of the front region of the maxilla in cleft patients. Materials and Methods: We analyzed plaster casts and panoramic X-rays of 154 patients with total clefts and 151 healthy individuals. The cleft patients’ age ranged between 7.1 and 20 years (mean 13.18). The control group had a similar age range (7.1 and 20 years, mean 13.44). The digital caliper was used to measure the width of the teeth. Each measurement was performed three times each. Results: Most of the dental anomalies among cleft patients referred to the lateral incisors and were focused on the cleft side. The asymmetry of the incisors is reflected both in the number of teeth in the cleft region and their width. The lateral incisor was missing twice as frequently on the cleft side of the individual. If present, the lateral incisor was usually ±1.5 mm narrower than the incisor on the opposite side. In bilateral clefts, dental anomalies occurred more frequently on the left side. Conclusions: Dental problems occurred more frequently in patients with total cleft lip and palate than in healthy individuals. The most commonly affected teeth were the lateral incisors. The width of the lateral incisors was reduced in cleft patients—showing a smaller mesiodistal dimension on the cleft side.

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“…One of the main reasons may be dental anomalies, which have been shown to be higher in individuals with cleft compared to the normal population [ 19 ], including dental agenesis, supernumerary teeth, microdontic upper lateral incisors, the ectopic eruption of teeth, delayed tooth eruption, and enamel hypoplasia, which are frequent in these patients [ 13 , 14 , 20 , 21 ]. Additionally, the presence of soft tissue bands connecting the cleft to the base of the nostril or the alveolar margin, known as Simonart’s bands, is common [ 22 , 23 ]. These bands may contribute to a higher prevalence of distal upper lateral incisors to the cleft compared to patients without this condition [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Injectable Resin Technique as a Restorative Alternative in a Cleft Lip and Palate Patient: A Case Report

2023

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Objective: The objective of this study is to present a case report in which the injectable composite resin technique was used as a restorative alternative for dental re-anatomization in a patient with cleft lip and palate and aesthetic complaints. Materials and Methods: The treatment plan included the re-anatomization of the maxillary premolars and canines using a flowable composite resin. This resin was injected and cured through a transparent matrix, which was a copy of the diagnostic wax-up model. Some parameters such as application time and marginal adaptation were also observed when performing the restorations. Additionally, old composite resin restorations on the upper lateral incisors were replaced using the incremental technique with conventional resins, which helped to assess color stability and fracture/wear deterioration for both restorative techniques. Results: The clinical case report shows that the injectable technique was a simple and quick method for restoring the anatomy of teeth (shape and contour) in one session, since the injectable resin can be easily applied in interproximal areas without the need to manually sculpt the resin. In this case, no clinical, visual, or photographic differences were found in marginal discoloration, color stability, and fracture/wear deterioration for the two restorative techniques after one year of follow-up. Conclusions: The professional may have another clinical option for restorative treatment in the case of small re-anatomizations. In addition, the injectable technique seems to require less operator skill and chair time and better marginal adaptation in cases of small anatomical changes.

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Prevalence of Simonart’s band in cleft children at a cleft center in Indonesia: A nine-year retrospective study

Cited by 9 publications

References 28 publications

Modified Placement of C-flap in Unilateral Cleft Lip Repair to Avoid Alar Base Scar - A Retrospective Study

Modified Placement of C-flap in Unilateral Cleft Lip Repair to Avoid Alar Base Scar - A Retrospective Study

Dental Anomalies in Maxillary Incisors and Canines among Patients with Total Cleft Lip and Palate

Injectable Resin Technique as a Restorative Alternative in a Cleft Lip and Palate Patient: A Case Report

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