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Open Access 01-12-2020 | Cleft Lip and Palate | Research article

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

Authors: Maria Giulia Rezende Pucciarelli, Guilherme Hideki de Lima Toyoshima, Thais Marchini Oliveira, Heitor Marques Honório, Chiarella Sforza, Simone Soares

Published in: BMC Oral Health | Issue 1/2020

Abstract

Background

Although arch stability has been studied in patients without a cleft, evidence for patients with a cleft is sparse. Therefore, we compared the dimensions and stability of dental arches in cleft lip and palate patients and those without a cleft.

Methods

Forty participants, 20 with a complete unilateral cleft lip and palate and 20 non-cleft patients aged from 18 to 30 years, with anterior and/or posterior crossbite and receiving orthodontic treatment were evaluated retrospectively. Eighty gypsum casts were digitized using a laser model scanner casts for both groups made immediately after the orthodontic treatment was completed (T1). Also, for the Cleft Lip and Palate group, casts were obtained and digitized 1 year after implant-supported rehabilitation (T2) and for the Non-Cleft Lip and Palate group, 1 year after the conclusion of the orthodontic treatment (T2). The formula: Δ = T2-T1 evaluated the stability of dental arches for inter-canine distances (C-C′), inter-molar distances (M-M’), arch length (I-M), palate surface and volume. The dimensions of the dental arches were measured digitally. The independent t test was used for statistical analysis (α = 0.05).

Results

A statistical difference was found in the stability of the groups for inter-canine (cleft area) measurement. At the times T1 and T2, a statistically significant difference was found in the arch length, surface and volume.

Conclusions

This study concluded that in the Cleft Lip and Palate group, the maxillary dimensions were not stabilized after 1 year of orthodontic and prosthodontic treatment (mainly for the inter-canine linear measurement) and that the transverse arch dimensions were smaller compared with those of non-cleft patients.

de Freitas JA S, das Neves LT, de Almeida ALPF, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of craniofacial anomalies/USP (HRAC/USP)--part 1: overall aspects. J Appl Oral Sci. 2012;20(1):9–15. https://doi.org/10.1590/s1678-77572012000100003.CrossRefPubMedPubMedCentral

de Freitas JA S, Garib DG, Oliveira M, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of craniofacial anomalies - USP (HRAC-USP) - part 2: pediatric dentistry and orthodontics. J Appl Oral Sci. 2012;20(2):268–81. https://doi.org/10.1590/s1678-77572012000200024.CrossRefPubMedPubMedCentral

Li W, Lin J. Dental arch width stability after quadhelix and edgewise treatment in complete unilateral cleft lip and palate. Angle Orthod. 2007;77(6):1067–72. https://doi.org/10.2319/070506-272.1.CrossRefPubMed

Bichara LM, Araújo RC, Flores-Mir C, Normando D. Impact of primary palatoplasty on the maxillomandibular sagittal relationship in patients with unilateral cleft lip and palate: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2015;44(1):50–6. https://doi.org/10.1016/j.ijom.2014.08.004.CrossRefPubMed

Rusková H, Bejdová Š, Peterka M, Krajíček V, Velemínská J. 3-D shape analysis of palatal surface in patients with unilateral complete cleft lip and palate. J Craniomaxillofacial Surg. 2014;42(5):e140–7. https://doi.org/10.1016/j.jcms.2013.07.011.CrossRef

Wang G, Yang Y, Wang K, et al. Current status of cleft lip and palate management in China. J Craniofac Surg. 2009;20(Suppl 2):1637–9. https://doi.org/10.1097/SCS.0b013e3181b1c1ae.CrossRefPubMed

Aljohar A, Ravichandran K, Subhani S. Pattern of cleft lip and palate in hospital-based population in Saudi Arabia: retrospective study. Cleft Palate Craniofac J. 2008;45(6):592–6. https://doi.org/10.1597/06-246.1.CrossRefPubMed

Rocha R, Ritter DE, Locks A, De Paula LK, Santana RM. Ideal treatment protocol for cleft lip and palate patient from mixed to permanent dentition. Am J Orthod Dentofac Orthop. 2012;141(4 Suppl):S140–8. https://doi.org/10.1016/j.ajodo.2011.03.024.CrossRef

Akcam MO, Toygar TU, Özer L, Özdemir B. Evaluation of 3-dimensional tooth crown size in cleft lip and palate patients. Am J Orthod Dentofac Orthop. 2008;134(1):85–92. https://doi.org/10.1016/j.ajodo.2006.05.048.CrossRef

10.

Antonarakis GS, Tsiouli K, Christou P. Mesiodistal tooth size in non-syndromic unilateral cleft lip and palate patients: a meta-analysis. Clin Oral Investig. 2013;17(2):365–77. https://doi.org/10.1007/s00784-012-0819-9.CrossRefPubMed

11.

de Souza FREITAS JA, das NEVES LT, de ALMEIDA ALPF, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of craniofacial anomalies/USP (HRAC/USP) - part 4: Oral rehabilitation. J Appl Oral Sci. 2013;21(3):284–92. https://doi.org/10.1590/1679-775720130127.CrossRef

12.

Kearns G, Perrott DH, Sharma A, Kaban LB, Vargervik K. Placement of endosseous implants in grafted alveolar clefts. Cleft Palate Craniofac J. 1997;34:520–5. https://doi.org/10.1597/1545-1569_1997_034_0520_poeiig_2.3.co_2.CrossRefPubMed

13.

Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10(6):387–416. https://doi.org/10.1016/s0300-9785(81)80077-4.CrossRefPubMed

14.

Wutzl A, Sinko K, Shengelia N, et al. Examination of dental casts in newborns with bilateral complete cleft lip and palate. Int J Oral Maxillofac Surg. 2009;38(10):1025–9. https://doi.org/10.1016/j.ijom.2009.04.023.CrossRefPubMed

15.

Mello BZF, Fernandes VM, Carrara CFC, Machado MAAM, Garib DG, Oliveira TM. Evaluation of the intercanine distance in newborns with cleft lip and palate using 3D digital casts. J Appl Oral Sci. 2013;21(5):437–42. https://doi.org/10.1590/1679-775720130091.CrossRefPubMedPubMedCentral

16.

Lilja J, Mars M, Elander A, et al. Analysis of dental arch relationships in Swedish unilateral cleft lip and palate subjects: 20-year longitudinal consecutive series treated with delayed hard palate closure. Cleft Palate Craniofac J. 2006;43(5):606–11. https://doi.org/10.1597/05-069.CrossRefPubMed

17.

Sinko K, Caacbay E, Jagsch R, Turhani D, Baumann A, Mars M. The GOSLON yardstick in patients with unilateral cleft lip and palate: review of a Vienna sample. Cleft Palate Craniofac J. 2008;45(1):87–92. https://doi.org/10.1597/06-118.1.CrossRefPubMed

18.

Sforza C, De Menezes M, Bresciani E, et al. Evaluation of a 3D stereophotogrammetric technique to measure the stone casts of patients with unilateral cleft lip and palate. Cleft Palate Craniofac J. 2012;49(4):477–83. https://doi.org/10.1597/10-207.CrossRefPubMed

19.

Sforza C, de Menezes M, Ferrario VF. Soft- and hard-tissue facial anthropometry in three dimensions: What’s new. J Anthropol Sci. 2013;91:159–84. https://doi.org/10.4436/jass.91007.CrossRefPubMed

20.

Huanca Ghislanzoni LT, Lineberger M, Cevidanes LH, Mapelli A, Sforza C, McNamara JA. Evaluation of tip and torque on virtual study models: a validation study. Prog Orthod. 2013;14(1):19. https://doi.org/10.1186/2196-1042-14-19.CrossRefPubMedPubMedCentral

21.

Kuijpers MAR, Chiu Y-T, Nada RM, Carels CEL, Fudalej PS. Three-dimensional imaging methods for quantitative analysis of facial soft tissues and skeletal morphology in patients with Orofacial clefts: a systematic review. PLoS One. 2014;9(4):e93442. https://doi.org/10.1371/journal.pone.0093442.CrossRefPubMedPubMedCentral

22.

De Menezes M, Ceron-Zapata AM, Lopez-Palacio AM, 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. 2016;53(1):16–21. https://doi.org/10.1597/14-076.CrossRefPubMed

23.

Caballero JT, Pucciarelli MGR, Pazmiño VFC, Curvêllo VP, Menezes M, Sforza C, Soares S. 3D comparison of dental arch stability in patients with and without cleft lip and palate after orthodontic/rehabilitative treatment. J Appl Oral Sci. 2019;27:e20180434. https://doi.org/10.1590/1678-7757-2018-0434.CrossRefPubMedPubMedCentral

24.

Ayub PV, Janson G, Gribel BF, Lara TS, Garib DG. Analysis of the maxillary dental arch after rapid maxillary expansion in patients with unilateral complete cleft lip and palate. Am J Orthod Dentofac Orthop. 2016;149(5):705–15. https://doi.org/10.1016/j.ajodo.2015.11.022.CrossRef

25.

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. 2013;50(4):481–90. https://doi.org/10.1597/11-003.CrossRefPubMed

26.

Falzoni M, Jorge P, Laskos K, et al. Three-dimensional dental arch evaluation of children with unilateral complete cleft lip and palate. Dent Oral Craniofac Res. 2016;2(2):238–41.CrossRef

27.

Carrara CC, Ambrosio EP, Mello BF, et al. Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft. Ann Maxillofac Surg. 2016;6(2):246. https://doi.org/10.4103/2231-0746.200350.CrossRefPubMedPubMedCentral

28.

Hoffmannova E, Bejdová Š, Borský J, Dupej J, Cagáňová V, Velemínská J. Palatal growth in complete unilateral cleft lip and palate patients following neonatal cheiloplasty: classic and geometric morphometric assessment. Int J Pediatr Otorhinolaryngol. 2016;90:71–6. https://doi.org/10.1016/j.ijporl.2016.08.028.CrossRefPubMed

29.

Dahlberg G. Statistical methods for medical and biological students. London: George Allen and Urwin; 1940.

30.

de Freitas JA S, Trindade-Suedam IK, Garib DG, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of craniofacial anomalies/USP (HRAC/USP) - part 5: institutional outcomes assessment and the role of the Laboratory of Physiology. J Appl Oral Sci. 2013;21(4):383–90. https://doi.org/10.1590/1678-775720130290.CrossRefPubMedPubMedCentral

31.

Vargervik K, Oberoi S, Hoffman WY. Team care for the patient with cleft: UCSF protocols and outcomes. J Craniofac Surg. 2009;20(Suppl 2):1668–71. https://doi.org/10.1097/SCS.0b013e3181b2d6e3.CrossRefPubMed

32.

Pucciarelli MGR, Lopes ACO, Lopes JFS, Soares S. Implant placement for patients with cleft lip and palate: a clinical report and guidelines for treatment. J Prosthet Dent. 2019 Jan;121(1):9–12. https://doi.org/10.1016/j.prosdent.2018.01.020.CrossRefPubMed

33.

Leifert MF, Leifert MM, Efstratiadis SS, Cangialosi TJ. Comparison of space analysis evaluations with digital models and plaster dental casts. Am J Orthod Dentofacial Orthop. 2009;136(1):16.e1-4; discussion 16. https://doi.org/10.1016/j.ajodo.2008.11.019.CrossRefPubMed

34.

Bootvong K, Liu Z, McGrath C, et al. Virtual model analysis as an alternative approach to plaster model analysis: reliability and validity. Eur J Orthod. 2010;32(5):589–95. https://doi.org/10.1093/ejo/cjp159.CrossRefPubMed

35.

Athanasiou AE, Mazaheri M, Zarrinnia K. Dental arch dimensions in patients with unilateral cleft lip and palate. Cleft Palate J. 1988;25(2):139–45.PubMed

36.

Kilpeläinen PVJ, Laine-Alava MT. Palatal asymmetry in cleft palate subjects. Cleft Palate Craniofac J. 1996;33(6):483–8. https://doi.org/10.1597/1545-1569_1996_033_0483_paicps_2.3.co_2.CrossRefPubMed

37.

Šmahel Z, Trefný P, Formánek P, Müllerová Ž, Peterka M. Three-dimensional morphology of the palate in subjects with unilateral complete cleft lip and palate at the stage of permanent dentition. Cleft Palate Craniofac J. 2004;41(4):416–23. https://doi.org/10.1597/03-053.1.CrossRefPubMed

38.

Lo LJ, Wong FH, Chen YR, Lin WY, Wen-Ching Ko E, Kirschner RE. Palatal surface area measurement: comparisons among different cleft types. Ann Plast Surg. 2003;50(1):18–23 discussion 23-4.CrossRef

39.

Huang CS, Wang WI, Jein-Wein Liou E, Chen YR, Kao-Ting Chen P, Noordhoff MS. Effects of cheiloplasty on maxillary dental arch development in infants with unilateral complete cleft lip and palate. Cleft Palate Craniofac J. 2002;39(5):513–6. https://doi.org/10.1597/15451569_2002_039_0513_eocomd_2.0.co_2.CrossRefPubMed

Title: 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
Authors: Maria Giulia Rezende Pucciarelli
Guilherme Hideki de Lima Toyoshima
Thais Marchini Oliveira
Heitor Marques Honório
Chiarella Sforza
Simone Soares
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Cleft Lip and Palate
Cleft Lip and Palate
Cleft Lip and Palate
Cleft Lip and Palate
Cleft Lip and Palate
Published in: BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-020-01143-1

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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

Abstract

Background

Methods

Results

Conclusions

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Abstract

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