OBJECTIVE: To describe the development of maxillary arch dimensions in children with bilateral cleft lip and palate (BCLP) during the first 4 years of life and to compare it with that in noncleft children. DESIGN: This was a retrospective, mixed-longitudinal study. SETTING: The study was conducted at the Cleft Palate Center of the University Hospital of Nijmegen. SUBJECTS: The sample consisted of 26 boys with BCLP who were born between 1976 and 1990 and treated at the University Hospital of Nijmegen. Data for a control group of 34 noncleft boys were collected at the University Hospital of Amsterdam. METHOD: Palatal arch dimensions were digitized on dental casts. A comparison between BCLP and noncleft dimensions was made at fixed time intervals. RESULTS: At birth, anterior and posterior arch widths as well as arch depths were significantly larger in children with BCLP. After 7 months (lip closure), anterior arch width and arch depth diminished considerably in the cleft group. After 12 months (palatoplasty), a slight decrease in posterior arch width was observed, and arch depths showed slight catch-up growth. At 4 years of age, anterior arch width was significantly narrower and anterior arch depth was shorter in children with BCLP than in control subjects. Posterior arch width was significantly wider. CONCLUSIONS: During the first 4 years of life, maxillary arch dimensions in children with BCLP show a unique development that is significantly different from that in noncleft children.
OBJECTIVE: To describe the development of maxillary arch dimensions in children with bilateral cleft lip and palate (BCLP) during the first 4 years of life and to compare it with that in noncleft children. DESIGN: This was a retrospective, mixed-longitudinal study. SETTING: The study was conducted at the Cleft Palate Center of the University Hospital of Nijmegen. SUBJECTS: The sample consisted of 26 boys with BCLP who were born between 1976 and 1990 and treated at the University Hospital of Nijmegen. Data for a control group of 34 noncleft boys were collected at the University Hospital of Amsterdam. METHOD: Palatal arch dimensions were digitized on dental casts. A comparison between BCLP and noncleft dimensions was made at fixed time intervals. RESULTS: At birth, anterior and posterior arch widths as well as arch depths were significantly larger in children with BCLP. After 7 months (lip closure), anterior arch width and arch depth diminished considerably in the cleft group. After 12 months (palatoplasty), a slight decrease in posterior arch width was observed, and arch depths showed slight catch-up growth. At 4 years of age, anterior arch width was significantly narrower and anterior arch depth was shorter in children with BCLP than in control subjects. Posterior arch width was significantly wider. CONCLUSIONS: During the first 4 years of life, maxillary arch dimensions in children with BCLP show a unique development that is significantly different from that in noncleft children.
Authors: Fernando Pugliese; Juan Martin Palomo; Louise Resti Calil; Arthur de Medeiros Alves; José Roberto Pereira Lauris; Daniela Garib Journal: Angle Orthod Date: 2019-08-30 Impact factor: 2.079
Authors: Lenka Kožejová Jaklová; Eva Hoffmannová; Ján Dupej; Jiří Borský; Michal Jurovčík; Miloš Černý; Jana Velemínská Journal: Clin Oral Investig Date: 2021-01-06 Impact factor: 3.573