The effects of palatoplasty and pre-surgical infant orthopedic treatment on occlusion in unilateral cleft lip and palate patients

Koshikawa-Matsuno, Mino; Kajii, Takashi S.; Alam, Mohammad Khursheed; Sugawara-Kato, Yuki; Iida, Junichiro

doi:10.1016/j.odw.2014.06.006

Cited by 7 publications

(3 citation statements)

References 24 publications

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“…Several studies and considerations on the impact of the primary operation, such as the type of cheiloplasty [6][7][8][9][10][11][12][13][14][15] and the type of palatoplasty [6][7][8][9][10][11][12][13][14][15][16][17] have been reported. The effect of preoperative orthopaedic plate was used or not have been reported too [5,7,16,18,19]. However, the cause of maxillary retrusion in UCLP patient is still debatable.…”

Section: Introductionmentioning

confidence: 99%

Clinical Investigation of Congenital Factor Affecting Craniofacial Morphology of Unilateral Cleft Lip and Palate in Japanese Patients

Alam

Kajii

Sato

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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To evaluate the craniofacial morphology of Japanese patients with unilateral cleft lip and palate and to evaluate the multiple congenital factors that affects craniofacial morphology in unilateral cleft lip and palate patients. Material and Methods: Lateral cephalograms of 140 subjects with unilateral cleft lip and palate were taken before any orthodontic treatment and alveolar bone graft. Subjects mean age was 6.85 ±1.56 years. Primary surgeries performed by surgeons from Hokkaido University Hospital. The craniofacial morphology of the 140 subjects was assessed by angular and linear cephalometric measurements. Gender, side of cleft, complete/incomplete type of cleft, presence/absence of lateral incisor in the affected side, family history of cleft and family history of skeletal Class III was chosen as congenital factors. To compare the assessments using congenital factors affecting craniofacial morphology in the unilateral cleft lip and palate subjects, angular and linear cephalometric measured values from each individual subject (control group) were converted into Z scores in relation to the means and standard deviation of the two parameters. Results: Twelve out of 13 craniofacial morphology outcomes were insignificant in 5 out of 6 dependent variables. Only 1 dependent variable showed 3/13 significant differences. Conclusion: Current study revealed the evidence that there were almost no significant differences in the craniofacial morphology outcome among various congenital factors. This will provide base line information and help determine the effectiveness of such factors.

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Section: Introductionmentioning

confidence: 99%

Clinical Investigation of Congenital Factor Affecting Craniofacial Morphology of Unilateral Cleft Lip and Palate in Japanese Patients

Alam

Kajii

Sato

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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“…The etiology of CLP has been thought to be multifactorial with genetic and environmental factors [3][4][5] . Maxillary growth retardation and high incidence of Class III malocclusion are the major problems in patients with CLP 6,7) . In patients with CLP, abnormalities in tooth number, size, shape and timing of tooth formation are more frequent than in the general population 8,9) .…”

Section: Introductionmentioning

confidence: 99%

Treatment Outcome and Factors Affecting Dental Arch Relationship in Malay Children with Unilateral Cleft Lip and Palate (UCLP)

Asif

Alam

Imanishi

et al. 2016

J. Hard Tissue Biology.

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The purpose of this study was to evaluate the dental arch relationship of non-syndromic Malay unilateral cleft lip and palate (UCLP) children and also assess the various congenital and postnatal treatment factors that affect dental arch relationship. Study models of 107 UCLP children were included in this study that was treated in Hospital Universiti Sains Malaysia over a period of 12 years (2000-2012). The mean age was 7.69± 2.46 (mean± SD). The dental arch relationship was assessed by GOSLON Yardstick which comprises five categories; named-1: excellent; 2: good; 3: fair; 4: poor; 5: very poor. All the subjects were divided into two groups; favorable (category ratings 1-3) and unfavorable (category ratings 4 and 5) groups. Kappa statistics was used to evaluate the intra-and inter-examiner agreements and logistic regression analysis was used to explore the responsible factors that affect dental arch relationship. The mean GOSLON score was 3.15±0.9. Total 72 subjects (68% of all subjects) were categorized into favourable group (category rating 1, 2 and 3) using GOSLON Yardstick. Intra-and inter-examiner agreements were good to very good. Palatoplasty and cheiloplasty seemed to be correlated with favourable dental arch relationship using crude regression analysis but no significant associations were found. This multivariate study shows no significant association between various congenital and postnatal treatment factors and dental arch relationship.

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“…In recent years, multitude of research has been done worldwide on treatment outcome of CLP patient using different index [2,4,5,[9][10][11][12][13][14][15][16][17][18] Among them GOSLON yardstick is the most commonly used index. The widespread use of GOSLON yardstick has proved itself as reliable, robust, sound index in evaluation treatment outcome based on dental arch relationship [19].…”

Section: Introductionmentioning

confidence: 99%

Treatment Outcome Based on GOSLON Score of Multiple Factors in Unilateral Cleft Lip and Palate Children of Four Different Ethnic

Alam¹,

Haque²,

Kajii³

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate and compare the effect of each congenital and postnatal treatment factors in treatment outcome based on dental arch relationship (DAR) of four different populations at a time using GOSLON yardstick. Material and Methods: 432 unilateral cleft lip and palate subjects (Japanese, Malay ethnic group, Bangladeshi and Pakistani populations) age 5 to 12 years were taken before orthodontic treatment and alveolar bone grafting. The DAR was assessed by GOSLON Yardstick. Independent t-test was performed to compare the GOSLON score for each factors. A multiple comparison (Anova) was also conducted between the GOSLON score of four different populations. The significance level was set at p<0.05. Results: Statistically no significant different was found among the congenital factors. However, the family history of Class III malocclusion showed most likely to associate with, though there was no significant difference (p=0.069). Significant difference revealed between two techniques of cheiloplasty in both Malay ethnic group and Pakistani population (p=0.038 and p=0.000, respectively). Gender and Techniques of palatoplasty also showed significant difference in Pakistani population (p=0.026 and p=0.000, respectively). Japanese and Bangladeshi population showed no significant differences. Also no significant differences found between the GOSLON score and different countries. Conclusion: The treatment outcome based on DAR significantly varies in individual population [Malay ethnic group (cheiloplasty); Pakistan (gender, cheiloplasty and palatoplasty)].

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The effects of palatoplasty and pre-surgical infant orthopedic treatment on occlusion in unilateral cleft lip and palate patients

Cited by 7 publications

References 24 publications

Clinical Investigation of Congenital Factor Affecting Craniofacial Morphology of Unilateral Cleft Lip and Palate in Japanese Patients

Clinical Investigation of Congenital Factor Affecting Craniofacial Morphology of Unilateral Cleft Lip and Palate in Japanese Patients

Treatment Outcome and Factors Affecting Dental Arch Relationship in Malay Children with Unilateral Cleft Lip and Palate (UCLP)

Treatment Outcome Based on GOSLON Score of Multiple Factors in Unilateral Cleft Lip and Palate Children of Four Different Ethnic

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