Three-dimensional Evaluation of Surgical Techniques in Neonates with Orofacial Cleft

Overview

Journal Ann Maxillofac Surg

Date 2017 Mar 17

PMID 28299266

Citations 5

Authors

Cleide Felicio Carvalho Carrara

Eloa Cristina Passucci Ambrosio

Bianca Zeponi Fernandes Mello

Paula Karine Jorge

Simone Soares

Maria Aparecida Andrade Moreira Machado

Thais Marchini Oliveira

Affiliations

Soon will be listed here.

Abstract

Background: Individuals with cleft lip and palate have many anatomic and functional alterations compromising esthetics, hearing, speech, occlusion, and development/craniofacial growth. The rehabilitative treatment of these patients is very challenging and starts at birth aiming at the best treatment for all functional demands. This study aimed to evaluate the dimensional alterations of the dental arches of neonates with cleft lip and palate after two different primary surgical techniques.

Materials And Methods: The sample comprised 114 digital models of children aged from 3 to 36 months, with unilateral complete cleft lip and palate divided into two groups. Two different phases were evaluated: precheiloplasty and 1 year after palatoplasty. The evaluation was performed through the digital models of each child obtained by scanning digitalization (3D Scanner). Dental arches measurements were accomplished through Appliance Designer software. The following measurements were assessed: dental arch area, anterior amplitude of the cleft, total length of dental arch, intercanine distance, and intertuberosity distance. -test was applied to compare differences between groups.

Results: No statistically significant differences were observed between groups at precheiloplasty phase. At 1 year after palatoplasty, the groups differed in the total length of dental arch ( = 0.002), with greater values for Group I.

Conclusion: This study suggests that the results of the different surgical techniques may alter the growth and development of the dental arches of neonates with cleft lip and palate.

Citing Articles

Six-year post-surgical evaluation in the treatment protocols in the dental arches of children with oral cleft: longitudinal study.

Ambrosio E, Sartori I, Jorge P, Carrara C, Valarelli F, Machado M J Appl Oral Sci. 2022; 30:e20220120.

PMID: 35920507 PMC: 9586431. DOI: 10.1590/1678-7757-2022-0120.

The use of sel-ligating appliance can reduce inflammatory response to orthodontic force and keep periodontal health in orthodontic treatment.

Lin Y, Lin Y, Fang F, Chen X, He T Am J Transl Res. 2021; 13(10):11680-11688.

PMID: 34786094 PMC: 8581935.

Palatal growth changes in newborns with unilateral and bilateral cleft lip and palate from birth until 12 months after early neonatal cheiloplasty using morphometric assessment.

Jaklova L, Hoffmannova E, Dupej J, Borsky J, Jurovcik M, cerny M Clin Oral Investig. 2021; 25(6):3809-3821.

PMID: 33409695 DOI: 10.1007/s00784-020-03711-9.

Assessment of dental arch stability after orthodontic treatment and oral rehabilitation in complete unilateral cleft lip and palate and non-clefts patients using 3D stereophotogrammetry.

Pucciarelli M, de Lima Toyoshima G, Oliveira T, Honorio H, Sforza C, Soares S BMC Oral Health. 2020; 20(1):154.

PMID: 32460814 PMC: 7254638. DOI: 10.1186/s12903-020-01143-1.

Different Digitalization Techniques for 3D Printing of Anatomical Pieces.

Ugidos Lozano M, Haro F, Ruggiero A, Manzoor S, Nuere Menendez-Pidal S, Juanes Mendez J J Med Syst. 2018; 42(3):46.

PMID: 29372421 DOI: 10.1007/s10916-018-0903-z.

References

Tome W, Yashiro K, Otsuki K, Kogo M, Yamashiro T . Influence of Different Palatoplasties on the Facial Morphology of Early Mixed Dentition Stage Children With Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2015; 53(2):e28-33. DOI: 10.1597/14-191. View

Liao Y, Yang I, Wang R, Yun C, Huang C . Two-stage palate repair with delayed hard palate closure is related to favorable maxillary growth in unilateral cleft lip and palate. Plast Reconstr Surg. 2010; 125(5):1503-1510. DOI: 10.1097/PRS.0b013e3181d5132a. View

Yamanishi T, Nishio J, Sako M, Kohara H, Hirano Y, Yamanishi Y . Early two-stage double opposing Z-plasty or one-stage push-back palatoplasty?: comparisons in maxillary development and speech outcome at 4 years of age. Ann Plast Surg. 2010; 66(2):148-53. DOI: 10.1097/SAP.0b013e3181d6e426. View

SCHWECKENDIEK W, Doz P . Primary veloplasty: long-term results without maxillary deformity. a twenty-five year report. Cleft Palate J. 1978; 15(3):268-74. View

Reiser E, Skoog V, Andlin-Sobocki A . Early dimensional changes in maxillary cleft size and arch dimensions of children with cleft lip and palate and cleft palate. Cleft Palate Craniofac J. 2011; 50(4):481-90. DOI: 10.1597/11-003. View

Codari M, Pucciarelli V, Tommasi D, Sforza C . Validation of a technique for integration of a digital dental model into stereophotogrammetric images of the face using cone-beam computed tomographic data. Br J Oral Maxillofac Surg. 2016; 54(5):584-6. DOI: 10.1016/j.bjoms.2016.01.019. View

Menezes M, Ceron-Zapata A, Lopez-Palacio A, Mapelli A, Pisoni L, Sforza C . Evaluation of a Three-Dimensional Stereophotogrammetric Method to Identify and Measure the Palatal Surface Area in Children With Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2015; 53(1):16-21. DOI: 10.1597/14-076. View

Zhou Q, Wang Z, Chen J, Song J, Chen L, Lu Y . Development and evaluation of a digital dental modeling method based on grating projection and reverse engineering software. J Prosthet Dent. 2015; 115(1):42-6. DOI: 10.1016/j.prosdent.2015.06.016. View

Lippold C, Kirschneck C, Schreiber K, Abukiress S, Tahvildari A, Moiseenko T . Methodological accuracy of digital and manual model analysis in orthodontics - A retrospective clinical study. Comput Biol Med. 2015; 62:103-9. DOI: 10.1016/j.compbiomed.2015.04.012. View

10.

Neiva C, Dakpe S, Gbaguidi C, Testelin S, Devauchelle B . Calvarial periosteal graft for second-stage cleft palate surgery: a preliminary report. J Craniomaxillofac Surg. 2013; 42(5):e117-24. DOI: 10.1016/j.jcms.2013.07.007. View

11.

Xu X, Kwon H, Shi B, Zheng Q, Yin H, Li C . Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate. J Craniomaxillofac Surg. 2014; 43(1):43-7. DOI: 10.1016/j.jcms.2014.10.007. View

12.

Rosati R, Menezes M, da Silva A, Rossetti A, Lanza Attisano G, Sforza C . Stereophotogrammetric evaluation of tooth-induced labial protrusion. J Prosthodont. 2014; 23(5):347-52. DOI: 10.1111/jopr.12135. View

13.

Russell L, Long Jr R, Romberg E . The Effect of Cleft Size in Infants With Unilateral Cleft Lip and Palate on Mixed Dentition Dental Arch Relationship. Cleft Palate Craniofac J. 2015; 52(5):605-13. DOI: 10.1597/13-325. View

14.

Shi B, Losee J . The impact of cleft lip and palate repair on maxillofacial growth. Int J Oral Sci. 2014; 7(1):14-7. PMC: 4817536. DOI: 10.1038/ijos.2014.59. View

15.

Jones T, Leary S, Atack N, Ireland T, Sandy J . Which index should be used to measure primary surgical outcome for unilateral cleft lip and palate patients?. Eur J Orthod. 2016; 38(4):345-52. PMC: 5866712. DOI: 10.1093/ejo/cjw013. View

16.

Capelozza Junior L, Taniguchi S, da Silva Junior O . Craniofacial morphology of adult unoperated complete unilateral cleft lip and palate patients. Cleft Palate Craniofac J. 1993; 30(4):376-81. DOI: 10.1597/1545-1569_1993_030_0376_cmoauc_2.3.co_2. View

17.

Braumann B, Keilig L, Bourauel C, Jager A . Three-dimensional analysis of morphological changes in the maxilla of patients with cleft lip and palate. Cleft Palate Craniofac J. 2002; 39(1):1-11. DOI: 10.1597/1545-1569_2002_039_0001_tdaomc_2.0.co_2. View

18.

Mars M, HOUSTON W . A preliminary study of facial growth and morphology in unoperated male unilateral cleft lip and palate subjects over 13 years of age. Cleft Palate J. 1990; 27(1):7-10. DOI: 10.1597/1545-1569(1990)027<0007:apsofg>2.3.co;2. View

19.

Liao Y, Lee Y, Wang R, Huang C, Chen P, Lo L . Vomer flap for hard palate repair is related to favorable maxillary growth in unilateral cleft lip and palate. Clin Oral Investig. 2013; 18(4):1269-1276. DOI: 10.1007/s00784-013-1084-2. View

20.

Semb G, Brattstrom V, Molsted K, Prahl-Andersen B, Zuurbier P, Rumsey N . The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Part 4: relationship among treatment outcome, patient/parent satisfaction, and the burden of care. Cleft Palate Craniofac J. 2005; 42(1):83-92. DOI: 10.1597/02-119.4.1. View