Dental Arch Relationships following Palatoplasty for Cleft Lip and Palate Repair

Fudalej, P; Katsaros, C; Dudkiewicz, Z; Offert, B; Piwowar, W; Kuijpers, M; Kuijpers-Jagtman, A M (2012). Dental Arch Relationships following Palatoplasty for Cleft Lip and Palate Repair. Journal of dental research, 91(1), pp. 47-51. Thousand Oaks, Calif.: Sage 10.1177/0022034511425674

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Palatal scarring is assumed to be a primary cause of facial growth derangement in cleft lip and palate. Evidence supporting this hypothesis is confounded by the clinical involvement of various surgeons, and therefore definitive conclusions are not possible. In this study, we investigated the dental arch relationship in two groups, Exposed (47 children; 11.2 yrs) and Unexposed (61 children; 11.2 yrs), with a unilateral cleft lip and palate operated on by the same surgeon. The technique of hard palate repair differed between the two groups. In the Exposed group, palatal bone of the non-cleft side only was left denuded, inducing scar formation. In the Unexposed group, a vomerplasty with tight closure of the soft tissues was applied. Three raters graded the dental arch relationship and palatal morphology using the EUROCRAN Index. The dental arch relationship in the Exposed group was less favorable than in the Unexposed group (p = 0.009). Palatal morphology in both groups was comparable (p = 0.323). This study demonstrates that reduction of denuded bony areas on the palate after palatal repair with a vomer flap had a favorable effect on the dental arch relationship. For palatal morphology, no effect of the type of palatal repair was found.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Fudalej, Piotr and Katsaros, Christos

ISSN:

0022-0345

Publisher:

Sage

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 14:16

Last Modified:

25 Jan 2017 12:16

Publisher DOI:

10.1177/0022034511425674

PubMed ID:

21984705

Web of Science ID:

000297836100007

URI:

https://boris.unibe.ch/id/eprint/4423 (FactScience: 208625)

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