Association Between Dental Arch Widths and Interarch Relationships in Children With Operated Unilateral Complete Cleft Lip and Palate. 2015

Patrícia Bittencourt Dutra Dos Santos, and Guilherme Janson, and Vivian Helena Assis, and Maira de Paula Leite Battisti, and Daniela Gamba Garib

Palate and lip repair have great influence on the sagittal and transverse growth of the maxilla. The correlation between arch widths and sagittal interarch relationships in operated patients with complete unilateral cleft lip and palate (UCLP) in the mixed dentition is not clear. The aim of this study was to compare the maxillary arch widths of patients with UCLP and different interarch relationships (GOSLON Yardstick index). The study sample consisted of 144 pairs of dental casts of patients with complete UCLP from 8 to 10 years of age, from a single center. These dental casts were divided into three groups: group I (patients with GOSLON Yardstick 1 and 2 interarch relationships), group II (GOSLON Yardstick 3), and group III (GOSLON Yardstick 4 and 5). The control group consisted of 40 pairs of dental casts of noncleft Class I patients at the same age range. The maxillary and mandibular arch widths were measured at canine, deciduous molars, and permanent first molar regions. Intergroup comparisons were performed by analysis of variance followed by Tukey tests (P < .05). Maxillary arch widths were significantly smaller in all three groups with repaired UCLP compared to the control group. Group III showed reduced intercanine and second deciduous molar widths compared to group I. No intergroup differences were observed for mandibular arch widths. Operated UCLP patients with more severe sagittal discrepancies tend to show more severe transverse maxillary arch deficiencies.

UI MeSH Term Description Entries
D008297 Male Males
D008311 Malocclusion, Angle Class I Malocclusion in which the mandible and maxilla are anteroposteriorly normal as reflected by the relationship of the first permanent molar (i.e., in neutroclusion), but in which individual teeth are abnormally related to each other. Angle Class I,Class I, Angle
D008445 Maxillofacial Development The process of growth and differentiation of the jaws and face. Development, Maxillofacial,Developments, Maxillofacial,Maxillofacial Developments
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002971 Cleft Lip Congenital defect in the upper lip where the maxillary prominence fails to merge with the merged medial nasal prominences. It is thought to be caused by faulty migration of the mesoderm in the head region. Harelip,Cleft Lips,Harelips,Lip, Cleft,Lips, Cleft
D002972 Cleft Palate Congenital fissure of the soft and/or hard palate, due to faulty fusion. Cleft Palate, Isolated,Cleft Palates,Palate, Cleft,Palates, Cleft
D003724 Dental Arch The curve formed by the row of TEETH in their normal position in the JAW. The inferior dental arch is formed by the mandibular teeth, and the superior dental arch by the maxillary teeth. Arch, Dental,Arches, Dental,Dental Arches
D003765 Models, Dental Presentation devices used for patient education and technique training in dentistry. Dental Models,Dental Model,Model, Dental
D003818 Dentition, Mixed The complement of teeth in the jaws after the eruption of some of the permanent teeth but before all the deciduous teeth are absent. (Boucher's Clinical Dental Terminology, 4th ed) Dentition, Transitional,Dentitions, Mixed,Dentitions, Transitional,Mixed Dentition,Mixed Dentitions,Transitional Dentition,Transitional Dentitions
D005260 Female Females

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