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Craniofacial cephalometric morphologies in different cleft types: a retrospective cross-sectional study of 212 patients

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Abstract

Objective

The aim of this study was to evaluate and compare the craniofacial cephalometric morphologies among different cleft types in a Spanish population.

Methods

A retrospective cross-sectional study was carried out on 212 patients. The patients were subdivided into four groups according to their cleft types: unilateral cleft lip and palate; bilateral cleft lip and palate; cleft lip; and cleft palate. Angular and linear cephalometric measurements were taken on lateral radiographs.

Results

Unilateral cleft lip and palate was associated with a dolichofacial growth pattern, skeletal Class III with correct maxillary position, and lingual incisor inclination. Bilateral cleft lip and palate was associated with a mesofacial growth pattern, skeletal Class I with protruded maxillary position, and lingual incisor inclination. Cleft palate was associated with a mesofacial growth pattern, skeletal Class III with correct maxillary position, and lingual incisor inclination. Cleft lip was associated with a brachyfacial growth pattern, skeletal Class I with protruded maxillary position, lingual upper incisor inclination, and corrects lower incisor inclination. Significant correlations were observed between cleft types and their craniofacial cephalometric measurements.

Conclusions

The present information can be used for the determination of orthodontic treatment and even future orthognathic surgery planning, a requirement in most cleft patients.

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Acknowledgements

The authors wish to thank William James Packer for translating the manuscript into English.

Author information

Authors and Affiliations

  1. Nen Déu Hospital, Passeig de Maragall, 193-197, 08041, Barcelona, Spain

    Ana López-Giménez

  2. Stomatology Department, Special Care Dentistry, University of Valencia, C/ Gasco Oliag nº1, 46010, Valencia, Spain

    Javier Silvestre-Rangil & Francisco-Javier Silvestre

  3. Stomatology Department, Orthodontics, University of Valencia, C/ Gasco Oliag nº1, 46010, Valencia, Spain

    Vanessa Paredes-Gallardo

Authors
  1. Ana López-Giménez
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  2. Javier Silvestre-Rangil
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  3. Francisco-Javier Silvestre
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  4. Vanessa Paredes-Gallardo
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Corresponding author

Correspondence to Vanessa Paredes-Gallardo.

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Conflict of interest

Ana López-Giménez, Javier Silvestre-Rangil, Francisco-Javier Silvestre, and Vanessa Paredes-Gallardo declare that they have no conflict of interest.

Human rights statements

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

Informed consent

Informed consent was obtained from all patients for being included in the study.

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López-Giménez, A., Silvestre-Rangil, J., Silvestre, FJ. et al. Craniofacial cephalometric morphologies in different cleft types: a retrospective cross-sectional study of 212 patients. Oral Radiol 34, 127–135 (2018). https://doi.org/10.1007/s11282-017-0290-z

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  • DOI: https://doi.org/10.1007/s11282-017-0290-z

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