Analysis of Dental Arch Symmetry of Children With Unilateral Cleft Lip and Palate: Seven-Year Follow-Up.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-12-08 DOI:10.1111/ipd.13289

Paula Karine Jorge, Eloá Cristina Passucci Ambrosio, Maria Giulia Rezende Pucciarelli, Simone Soares, Cleide Felício de Carvalho Carrara, Chiarella Sforza, Maria Aparecida Andrade Moreira Machado, Thais Marchini Oliveira

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Abstract

Background: Orofacial cleft is the most common craniofacial deformity, resulting in facial anatomical disorders.

Aim: To evaluate maxillary dental arch symmetry of children with unilateral complete cleft lip, alveolus, and palate before and after primary surgeries.

Design: A total of 27 dental casts were analyzed: (T1) Presurgical; (T2) Postsurgical 1; and (T3) Postsurgical 2. Six linear measurements were analyzed (I-C', I-C, I-T', I-T, C'-T', and C-T). Paired t test, Pearson correlation, and ANOVA, followed by the Tukey test, were conducted (α = 5%).

Results: The asymmetry was confirmed by I-C versus I-C' across all periods and I-T versus I-T' (at T1). The Pearson correlation test showed significant values for Δ1×Δ2 and Δ1×Δ3, but not for Δ2×Δ3. The longitudinal analysis showed that the I-C' mean was greater at T1 than at T2/T3 (p < 0.001). The I-C mean was smaller at T1 than at T2/T3 (p < 0.001). I-T' was greater only at T3 (p < 0.001). I-T, C'-T', and C-T means were greater at all periods.

Conclusion: The maxillary asymmetry of children with unilateral cleft lip and palate is inherent to the cleft type, evidenced by the maxillary hypoplasia in the smaller segment, probably higher in the anterior region (I-C').

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单侧唇腭裂患儿牙弓对称性的7年随访分析。

背景：目的：评估单侧完全唇、齿槽、腭裂患儿在初次手术前后的上颌牙弓对称性：共分析了 27 个牙模型：（T1）手术前；（T2）手术后 1；（T3）手术后 2。分析了六种线性测量值（I-C'、I-C、I-T'、I-T、C'-T'和 C-T）。进行了配对 t 检验、皮尔逊相关检验和方差分析，然后进行 Tukey 检验（α = 5%）：所有时期的 I-C 与 I-C'以及 I-T 与 I-T'（T1）都证实了不对称。皮尔逊相关检验显示，Δ1×Δ2 和 Δ1×Δ3的相关值显著，而 Δ2×Δ3的相关值不显著。纵向分析表明，I-C'平均值在T1比T2/T3大（p 结论：I-C'平均值在T1比T2/T3大：单侧唇腭裂患儿的上颌骨不对称是唇腭裂类型所固有的，表现为上颌骨小段发育不良，前部区域（I-C'）可能更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.