Anterior Crossbite, Dental Arch Dimensions, and Later Need for Orthognathic Surgery in 6-Year-Old Children with Unilateral Cleft Lip and Palate

2014 ◽  
Vol 51 (5) ◽  
pp. 579-584 ◽  
Author(s):  
Arja Heliövaara ◽  
Junnu Leikola ◽  
Jorma Rautio
2018 ◽  
Vol 55 (7) ◽  
pp. 925-934 ◽  
Author(s):  
Yang Rafidah Hassan ◽  
Kwan Lok Tse ◽  
Balvinder Khambay ◽  
Ricky Wing Kit Wong ◽  
Min Gu ◽  
...  

Objective: To evaluate the severity of the dental arch relationships and the treatment outcomes of reverse headgear (RHG) in southern Chinese patients with unilateral cleft lip and palate (UCLP). Design: A retrospective study. Setting: Faculty of Dentistry, The University of Hong Kong. Patients: Thirty-eight UCLP patients with complete records. Among them, 14 were later treated with RHG (RHG group) and 24 were under review (non-RHG group) before definitive orthodontic or in conjunction with orthognathic surgery. Interventions: Study models at T1 (aged 9.4 ± 0.4 years old), prebone grafting and before any orthodontic treatment started; T2 (aged 11.3 ± 0.6 years old), after bone grafting, and RHG treatment (RHG group) or under review (non-RHG group); and T3 (aged 15.3 ± 3.2 years old), pretreatment of definitive orthodontic or in conjunction with orthognathic surgery. Main Outcome Measures: With satisfactory intra- and interexaminer agreement proven by the kappa value, the dental arch relationships of the study models at T1, T2, and T3 were assessed by a solo calibrated examiner using the GOSLON Yardstick. Results: The median GOSLON score for southern Chinese patients with UCLP at T1 was 4.0. Sixty percent of the patients were categorized as “poor” at T1. RHG significantly improved dental arch relationships from T1 to T2, and the improvement was maintained until T3 assessed by the GOSLON Yardstick. Conclusions: The dental arch relationships in southern Chinese UCLP patients at 8 to 10 years old are unfavorable. RHG treatment shows positive effects in improving the dental arch relationships in UCLP patients, as assessed by the GOSLON Yardstick.


2009 ◽  
Vol 42 (S 01) ◽  
pp. S149-S167
Author(s):  
Kenneth E. Salyer ◽  
Haisong Xu ◽  
Jason E. Portnof ◽  
Akira Yamada ◽  
David K. Chong ◽  
...  

ABSTRACTThe management of the palatal cleft, dental arch, and subsequent maxillary form is a challenge for the craniomaxillofacial surgeon. The purpose of this paper is to present the experience of a senior surgeon (KES) who has treated over 2000 patients with cleft lip and palate. This paper focuses on the experience of a recent series of 103 consecutive orthognathic cases treated by one surgeon with a surgical-orthodontic, speech-oriented approach. It will concentrate on not only correcting the occlusion, as others have described, but also on how a surgeon who was trying to achieve optimal aesthetic balance, harmony, and beauty, approached this problem.


2015 ◽  
Vol 52 (6) ◽  
pp. 196-200 ◽  
Author(s):  
Dos Santos Patrícia Bittencourt Dutra ◽  
Guilherme Janson ◽  
Vivian Helena Assis ◽  
Maira De Paula Leite Battisti ◽  
Daniela Gamba Garib

2010 ◽  
Vol 47 (2) ◽  
pp. 167-174 ◽  
Author(s):  
Theodosia Bartzela ◽  
Christos Katsaros ◽  
William C. Shaw ◽  
Elisabeth Rønning ◽  
Sara Rizell ◽  
...  

2015 ◽  
Vol 147 (3) ◽  
pp. 381-393 ◽  
Author(s):  
Ji Hyun Kim ◽  
Il Hong Lee ◽  
Sang Min Lee ◽  
Byoung Eun Yang ◽  
In Young Park

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