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3D morphometric evaluation of the dental arches in children with cleft lip and palate submitted to different surgical techniques

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Abstract

Objectives

This study aimed to compare dimensional alterations of dental arches in children with unilateral complete cleft lip and palate before and after different techniques of primary plastic surgeries.

Materials and methods

The sample was divided into two groups: group 1—cheiloplasty by Millard’s technique and one-stage palatoplasty by von Langenbeck’s technique; group 2—cheiloplasty by Millard’s technique and two-stage palatoplasty: anterior palatoplasty by Hans Pichler’s technique and posterior palatoplasty by Sommerlad’s technique. Dental arches were evaluated before (T1), after the first phase (T2), and 1 year after the second phase (T3) of primary surgeries. Linear measurements and palatal area were assessed. To analyze the method’s error, interclass correlation coefficient was applied. ANOVA (followed by Tukey test), dependent, and independent t-test were used (p < 0.05).

Results

At T1, the intertuberosity distance was statistically greater in G2 (p = 0.004). At T2, the anterior length of the dental arch was statistically greater in G2 (p = 0.025), while the area of the smaller palatal segment (p = 0.001), cleft area (p = 0.014), and total area (p = 0.002) were statistically smaller in G2. At T3, the intertuberosity distance was statistically greater in G2 (p = 0.017).

Conclusion

This study suggests that cheiloplasty and one-stage palatoplasty resulted in smaller growth of maxilla than cheiloplasty and two-stage palatoplasty in the linear measurements (T-T’ and I-CC’) and total area of the dental arches.

Clinical relevance.

Surgical protocols need to be evaluated to verify their effects aiming at improving the clinical practice of the interdisciplinary team, determining new parameters for the rehabilitation of individuals with cleft lip and palate.

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Acknowledgements

The authors would like to acknowledge the support of all the participants in this study, and the financial support of the São Paulo Research Foundation (FAPESP; grant # 2017/02706-9).

Funding

The present study had financial support of the São Paulo Research Foundation (FAPESP; grant # 2017/02706–9) and Coordination for the Improvement of Higher Education Personnel (CAPES)—process nº 001.

Author information

Authors and Affiliations

  1. Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry - University of São Paulo, Bauru, São Paulo, Brazil

    Maiara Miyuki Matsui Falzoni, Eloá Cristina Passucci Ambrosio, Paula Karine Jorge & Maria Aparecida Andrade Moreira Machado

  2. Department of Biomedical Sciences for Health, Functional Anatomy Research Center (FARC), Faculty of Medicine and Surgery, Universita’ Degli Studi Di Milano, Milan, Italy

    Chiarella Sforza

  3. Department of Restorative Dentistry, School of Health Science, State University of Amazonas, Manaus, Brazil

    Márcio de Menezes

  4. Department of Pediatric Dentistry, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil

    Cleide Felício de Carvalho Carrara

  5. Department of Orthodontics, University Ingá, Maringá, Paraná, Brazil

    Fabricio Pinelli Valarelli

  6. Department of Prosthodontics, School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo, Bauru, São Paulo, Brazil

    Simone Soares

  7. Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil

    Thais Marchini Oliveira

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  1. Maiara Miyuki Matsui Falzoni
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  2. Eloá Cristina Passucci Ambrosio
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Correspondence to Thais Marchini Oliveira.

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All procedures performed in studies were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Ethical Approval number—CAAE: 79124317.8.3001.5441. Process number: 3.009.626.

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Falzoni, M.M.M., Ambrosio, E.C.P., Jorge, P.K. et al. 3D morphometric evaluation of the dental arches in children with cleft lip and palate submitted to different surgical techniques. Clin Oral Invest 26, 1975–1983 (2022). https://doi.org/10.1007/s00784-021-04177-z

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  • DOI: https://doi.org/10.1007/s00784-021-04177-z

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