Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.

Non-syndromic orofacial clefts encompass a range of morphological changes affecting the oral cavity and the craniofacial skeleton, of which the genetic and epigenetic etiologic factors remain largely unknown. The objective of this study is to explore the contribution of underlying dentofacial deform...

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Main Authors: Denise K Liberton, Payal Verma, Konstantinia Almpani, Peter W Fung, Rashmi Mishra, Snehlata Oberoi, Figen Ç Şenel, James K Mah, John Huang, Bonnie L Padwa, Janice S Lee
Format: Article
Language:English
Published: MDPI AG 2020-01-01
Series:Journal of Developmental Biology
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Online Access:https://www.mdpi.com/2221-3759/8/1/2
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author Denise K Liberton
Payal Verma
Konstantinia Almpani
Peter W Fung
Rashmi Mishra
Snehlata Oberoi
Figen Ç Şenel
James K Mah
John Huang
Bonnie L Padwa
Janice S Lee
author_facet Denise K Liberton
Payal Verma
Konstantinia Almpani
Peter W Fung
Rashmi Mishra
Snehlata Oberoi
Figen Ç Şenel
James K Mah
John Huang
Bonnie L Padwa
Janice S Lee
author_sort Denise K Liberton
collection DOAJ
description Non-syndromic orofacial clefts encompass a range of morphological changes affecting the oral cavity and the craniofacial skeleton, of which the genetic and epigenetic etiologic factors remain largely unknown. The objective of this study is to explore the contribution of underlying dentofacial deformities (also known as skeletal malocclusions) in the craniofacial morphology of non-syndromic cleft lip and palate patients (nsCLP). For that purpose, geometric morphometric analysis was performed using full skull cone beam computed tomography (CBCT) images of patients with nsCLP (<i>n</i> = 30), normocephalic controls (<i>n</i> = 60), as well as to sex- and ethnicity- matched patients with an equivalent dentofacial deformity (<i>n</i> = 30). Our outcome measures were shape differences among the groups quantified via principal component analysis and associated principal component loadings, as well as mean shape differences quantified via a Procrustes distance among groups. According to our results, despite the shape differences among all three groups, the nsCLP group shares many morphological similarities in the maxilla and mandible with the dentofacial deformity group. Therefore, the dentoskeletal phenotype in nsCLP could be the result of the cleft and the coexisting dentofacial deformity and not simply the impact of the cleft.
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spelling doaj.art-8c43202b4e214473a2d5352e8fb0032b2022-12-21T23:17:17ZengMDPI AGJournal of Developmental Biology2221-37592020-01-0181210.3390/jdb8010002jdb8010002Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.Denise K Liberton0Payal Verma1Konstantinia Almpani2Peter W Fung3Rashmi Mishra4Snehlata Oberoi5Figen Ç Şenel6James K Mah7John Huang8Bonnie L Padwa9Janice S Lee10Craniofacial Anomalies and Regeneration Section, NIDCR, NIH, Bethesda, MD 20892-1470, USADivision of Oral & Maxillofacial Surgery, University of Cincinnati, Cincinnati, OH 45267-0558, USACraniofacial Anomalies and Regeneration Section, NIDCR, NIH, Bethesda, MD 20892-1470, USADepartment of Oral & Maxillofacial Surgery, University of North Carolina, Chapel Hill, NC 27599-7450, USADivision of Oral Medicine, University of Washington, Seattle, WA 98195-6370, USAOrofacial Sciences, University of California San Francisco, CA 94143, USAHealth Institutes of Turkey, Turkish Healthcare Quality and Accreditation Institute, 34718 Istanbul, TurkeyAdvanced Education Program in Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Nevada, Las Vegas, NV 89154, USAPrivate Practice Orthodontist, San Leandro, CA 94577, USAHarvard School of Dental Medicine, Oral Surgeon in Chief, Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, MA 02115, USACraniofacial Anomalies and Regeneration Section, NIDCR, NIH, Bethesda, MD 20892-1470, USANon-syndromic orofacial clefts encompass a range of morphological changes affecting the oral cavity and the craniofacial skeleton, of which the genetic and epigenetic etiologic factors remain largely unknown. The objective of this study is to explore the contribution of underlying dentofacial deformities (also known as skeletal malocclusions) in the craniofacial morphology of non-syndromic cleft lip and palate patients (nsCLP). For that purpose, geometric morphometric analysis was performed using full skull cone beam computed tomography (CBCT) images of patients with nsCLP (<i>n</i> = 30), normocephalic controls (<i>n</i> = 60), as well as to sex- and ethnicity- matched patients with an equivalent dentofacial deformity (<i>n</i> = 30). Our outcome measures were shape differences among the groups quantified via principal component analysis and associated principal component loadings, as well as mean shape differences quantified via a Procrustes distance among groups. According to our results, despite the shape differences among all three groups, the nsCLP group shares many morphological similarities in the maxilla and mandible with the dentofacial deformity group. Therefore, the dentoskeletal phenotype in nsCLP could be the result of the cleft and the coexisting dentofacial deformity and not simply the impact of the cleft.https://www.mdpi.com/2221-3759/8/1/2non-syndromic cleftcraniofacial morphologymidfacial growthmaxillamandiblemalocclusioncephalometrycomputerized tomography
spellingShingle Denise K Liberton
Payal Verma
Konstantinia Almpani
Peter W Fung
Rashmi Mishra
Snehlata Oberoi
Figen Ç Şenel
James K Mah
John Huang
Bonnie L Padwa
Janice S Lee
Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.
Journal of Developmental Biology
non-syndromic cleft
craniofacial morphology
midfacial growth
maxilla
mandible
malocclusion
cephalometry
computerized tomography
title Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.
title_full Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.
title_fullStr Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.
title_full_unstemmed Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.
title_short Craniofacial Analysis May Indicate Co-Occurrence of Skeletal Malocclusions and Associated Risks in Development of Cleft Lip and Palate.
title_sort craniofacial analysis may indicate co occurrence of skeletal malocclusions and associated risks in development of cleft lip and palate
topic non-syndromic cleft
craniofacial morphology
midfacial growth
maxilla
mandible
malocclusion
cephalometry
computerized tomography
url https://www.mdpi.com/2221-3759/8/1/2
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