Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study

Abstract This study aimed to evaluate the influence of cleft width on dental arch symmetry of children with unilateral cleft lip and palate. Forty-one children were subjected to impression preoperatively (T1; mean age = 0.31 ± 0.07 years) and postoperatively (T2; mean age = 6 .73 ± 1.02 years). Eigh...

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Main Authors: Eloá Cristina Passucci AMBROSIO, Maria Giulia Rezende PUCCIARELLI, Chiarella SFORZA, Simone SOARES, Márcio de MENEZES, Cleide Felício Carvalho CARRARA, Maria Aparecida Andrade Moreira MACHADO, Thais Marchini OLIVEIRA
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2023-03-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242023000100217&tlng=en
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author Eloá Cristina Passucci AMBROSIO
Maria Giulia Rezende PUCCIARELLI
Chiarella SFORZA
Simone SOARES
Márcio de MENEZES
Cleide Felício Carvalho CARRARA
Maria Aparecida Andrade Moreira MACHADO
Thais Marchini OLIVEIRA
author_facet Eloá Cristina Passucci AMBROSIO
Maria Giulia Rezende PUCCIARELLI
Chiarella SFORZA
Simone SOARES
Márcio de MENEZES
Cleide Felício Carvalho CARRARA
Maria Aparecida Andrade Moreira MACHADO
Thais Marchini OLIVEIRA
author_sort Eloá Cristina Passucci AMBROSIO
collection DOAJ
description Abstract This study aimed to evaluate the influence of cleft width on dental arch symmetry of children with unilateral cleft lip and palate. Forty-one children were subjected to impression preoperatively (T1; mean age = 0.31 ± 0.07 years) and postoperatively (T2; mean age = 6 .73 ± 1.02 years). Eighty-two digitized dental casts were analyzed by stereophotogrammetry software. The cleft palate width was measured in the anterior (P-P’), middle (M-M’), and posterior (U-U’) regions. Also, the following measurements were obtained: anterior intersegment (I-C’) and intrasegment (I-C); total intersegment (I-T’) and intrasegment (I-T); cleft-side (C’-T’) and non-cleft-side (C-T) canine tuberosity. Paired t test and Pearson correlation coefficient were applied (α = 5%). Cleft width had the following means: 10.16 (± 3.46) mm for P-P’, 12.45 (± 3.00) mm for M-M’, and 12.57 (± 2.71) mm for U-U’. In the longitudinal analysis, I-C’ had a significant reduction, while the other measurements significantly increased (p < 0.001). Asymmetry was verified in the following analyses at T1: I-C’ vs. I-C and I-T’ vs. I-T (p < 0.001); at T2, only in I-C’ vs. I-C (p < 0.001). At T1, P-P’ vs. I-C’ (r = 0.722 and p < 0.001), P-P’ vs. I-T’ (r = 0.593 and p < 0.001), M-M’ vs. I-C’ (r = 0.620 and p < 0.001), and M-M’ vs. I-T’ (r = 0.327 and p < 0.05) showed a positive and significant correlation. At T2, there was a correlation between M-M’ and I-C’ (r = 0.377 and p < 0.05). In conclusion, the anterior and middle cleft widths influenced palatal asymmetry in the first months of life, while middle width influenced residual asymmetry.
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spelling doaj.art-17fde18d6ccf43b885c115ec3ee10f062023-04-04T07:31:47ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072023-03-013710.1590/1807-3107bor-2023.vol37.0021Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal studyEloá Cristina Passucci AMBROSIOhttps://orcid.org/0000-0003-2322-3832Maria Giulia Rezende PUCCIARELLIhttps://orcid.org/0000-0002-7409-5570Chiarella SFORZAhttps://orcid.org/0000-0001-6532-6464Simone SOAREShttps://orcid.org/0000-0003-0811-7302Márcio de MENEZEShttps://orcid.org/0000-0003-2513-9474Cleide Felício Carvalho CARRARAhttps://orcid.org/0000-0002-3219-5936Maria Aparecida Andrade Moreira MACHADOhttps://orcid.org/0000-0003-3778-7444Thais Marchini OLIVEIRAhttps://orcid.org/0000-0003-3460-3144Abstract This study aimed to evaluate the influence of cleft width on dental arch symmetry of children with unilateral cleft lip and palate. Forty-one children were subjected to impression preoperatively (T1; mean age = 0.31 ± 0.07 years) and postoperatively (T2; mean age = 6 .73 ± 1.02 years). Eighty-two digitized dental casts were analyzed by stereophotogrammetry software. The cleft palate width was measured in the anterior (P-P’), middle (M-M’), and posterior (U-U’) regions. Also, the following measurements were obtained: anterior intersegment (I-C’) and intrasegment (I-C); total intersegment (I-T’) and intrasegment (I-T); cleft-side (C’-T’) and non-cleft-side (C-T) canine tuberosity. Paired t test and Pearson correlation coefficient were applied (α = 5%). Cleft width had the following means: 10.16 (± 3.46) mm for P-P’, 12.45 (± 3.00) mm for M-M’, and 12.57 (± 2.71) mm for U-U’. In the longitudinal analysis, I-C’ had a significant reduction, while the other measurements significantly increased (p < 0.001). Asymmetry was verified in the following analyses at T1: I-C’ vs. I-C and I-T’ vs. I-T (p < 0.001); at T2, only in I-C’ vs. I-C (p < 0.001). At T1, P-P’ vs. I-C’ (r = 0.722 and p < 0.001), P-P’ vs. I-T’ (r = 0.593 and p < 0.001), M-M’ vs. I-C’ (r = 0.620 and p < 0.001), and M-M’ vs. I-T’ (r = 0.327 and p < 0.05) showed a positive and significant correlation. At T2, there was a correlation between M-M’ and I-C’ (r = 0.377 and p < 0.05). In conclusion, the anterior and middle cleft widths influenced palatal asymmetry in the first months of life, while middle width influenced residual asymmetry.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242023000100217&tlng=enCleft LipCleft PalateDental ArchGrowth and DevelopmentPediatric Dentistry
spellingShingle Eloá Cristina Passucci AMBROSIO
Maria Giulia Rezende PUCCIARELLI
Chiarella SFORZA
Simone SOARES
Márcio de MENEZES
Cleide Felício Carvalho CARRARA
Maria Aparecida Andrade Moreira MACHADO
Thais Marchini OLIVEIRA
Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study
Brazilian Oral Research
Cleft Lip
Cleft Palate
Dental Arch
Growth and Development
Pediatric Dentistry
title Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study
title_full Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study
title_fullStr Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study
title_full_unstemmed Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study
title_short Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study
title_sort correlation between cleft width and dental arch symmetry in cleft lip and palate a longitudinal study
topic Cleft Lip
Cleft Palate
Dental Arch
Growth and Development
Pediatric Dentistry
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242023000100217&tlng=en
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