Short-term Evaluation on Skeletal Pattern and Dental Arch of Five Unilateral Cleft Lip and Palate Patients who underwent Presurgical Infant Orthopedics, Gingivoperiosteoplasty, Surgical Lip Closure, and Furlow Palatoplasty

DOI
  • MATSUMOTO Miki
    Division of Orthodontics, Department of Human and Development and Fostering, Meikai University School of Dentistry
  • MANO Mikiko
    Division of Orthodontics, Department of Human and Development and Fostering, Meikai University School of Dentistry
  • NAKAYACHI Mai
    Division of Orthodontics, Department of Human and Development and Fostering, Meikai University School of Dentistry
  • SANJO Keisuke
    Division of Orthodontics, Department of Human and Development and Fostering, Meikai University School of Dentistry
  • FUJIMOTO Mai
    Division of Orthodontics, Department of Human and Development and Fostering, Meikai University School of Dentistry
  • TOKIOKA Kazuyuki
    Department of Plastic and Reconstructive Surgery, Saitama Medical University
  • NAKATSUKA Takashi
    Department of Plastic and Reconstructive Surgery, Saitama Medical University
  • KANEGAE Haruhide
    Division of Orthodontics, Department of Human and Development and Fostering, Meikai University School of Dentistry
  • SUDA Naoto
    Division of Orthodontics, Department of Human and Development and Fostering, Meikai University School of Dentistry

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Other Title
  • 術前顎矯正後に歯肉骨膜形成術と口唇形成術及びFurlow変法による口蓋形成術を施行した片側性唇顎口蓋裂5例の顎態と歯列に関する短期的評価

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Abstract

Meikai University Hospital and Saitama University Hospital have cooperatively treated unilateral cleft lip and palate patients by presurgical infant orthopedics (started immediately after birth), surgical lip closure (Noordhoff flap performed at 4-6 months old), gingivoperiosteoplasty, and Furlow palatoplasty (performed at 12-18 months old). To evaluate the short-term treatment outcome, cast models and lateral cephalograms of five children with unilateral cleft lip and palate were examined at 4-5 years old. All five patients underwent presurgical infant orthopedics and surgery by the same dentist and surgeon. Cast models showed an anterior crossbite in four cases including one case with unilateral molar cross bite. All five cases showed that the arch width was narrow in the canine region, but this was not the case in the molar region. Two cases showed underdeveloped maxillae with small SNA values; however, the values of the other three cases were comparable to the Japanese standard. The antero-posterior evaluation of the mandible varied among cases and there was no common skeletal pattern, resulting in only one case with skeletal Class III malocclusion. Retroclined maxillary incisors were seen in three cases. Evaluated frontally, deviation was hardly seen in the maxillae, but the inclined occlusal plane and deviated mandible were seen in one case. This short-term evaluation demonstrates that skeletal Class III relationships with retruded maxilla and narrowed maxillary arch were hardly seen after the present treatment program.

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