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

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Author(s):
Jorge, Paula Karine ; Ambrosio, Eloa Cristina Passucci ; Pucciarelli, Maria Giulia Rezende ; Soares, Simone ; Carrara, Cleide Felicio de Carvalho ; Sforza, Chiarella ; Machado, Maria Aparecida Andrade Moreira ; Oliveira, Thais Marchini
Total Authors: 8
Document type: Journal article
Source: International Journal of Paediatric Dentistry; v. N/A, p. 9-pg., 2024-12-08.
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 (alpha = 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 Delta 1x Delta 2 and Delta 1x Delta 3, but not for Delta 2x Delta 3. 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 '). (AU)

FAPESP's process: 21/12424-6 - Rehabilitation protocol with digital workflow in children with cleft lip and palate
Grantee:Thais Marchini de Oliveira Valarelli
Support Opportunities: Regular Research Grants
FAPESP's process: 20/16690-0 - Innovation in the rehabilitation protocol with digital workflow in children with cleft lip and palate
Grantee:Eloá Cristina Passucci Ambrosio
Support Opportunities: Scholarships in Brazil - Post-Doctoral