Department of Orthodontics, Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, São Paulo, Brazil.
Department of Orthodontics, Bauru Dental School, University of São Paulo, São Paulo, Brazil.
Orthod Craniofac Res. 2024 Dec;27(6):903-908. doi: 10.1111/ocr.12836. Epub 2024 Jul 14.
The complete bilateral cleft lip and palate (BCLP) divides the maxillary arch into three segments, separated from each other, resulting in abnormal growth of the alveolar arch. This study evaluated the maxillary arch dimensions in BCLP and compared them with neonates without craniofacial anomalies.
This retrospective study was conducted in a tertiary cleft centre. Sixty-six neonates aged 0-5 months were divided into two groups: cleft group-children with BCLP (23 boys and 18 girls) and control group-children without craniofacial deformities (15 boys and 10 girls). The dental models were processed by a 3D scanner. Landmarks were marked to achieve inter-canine distance, inter-tuberosity distance and arch length measurements. t-Tests were used for intergroup comparisons (p < .05).
The maxillary cleft arch was demonstrated to be wider and longer in the posterior region compared to the control group. The inter-canine distance did not present differences between the cleft and controls. The inter-canine distance of the control group was the only measurement influenced by the variable sex.
The cleft significantly interfered with the arch posterior width and arch sagittal length, making them larger. There was no statistical difference in the measurements between sex in the cleft group.
完全性双侧唇腭裂(BCLP)将上颌弓分为三个部分,彼此分离,导致牙槽弓的异常生长。本研究评估了 BCLP 患者上颌弓的尺寸,并将其与无颅面畸形的新生儿进行了比较。
这是一项在三级腭裂中心进行的回顾性研究。66 名 0-5 个月大的新生儿被分为两组:腭裂组-患有 BCLP 的儿童(23 名男孩和 18 名女孩)和对照组-无颅面畸形的儿童(15 名男孩和 10 名女孩)。使用 3D 扫描仪处理牙模。标记标志以实现犬齿间距离、结节间距离和弓长的测量。使用 t 检验进行组间比较(p<.05)。
与对照组相比,上颌腭裂弓在后部区域更宽且更长。犬齿间距离在腭裂组和对照组之间没有差异。对照组的犬齿间距离是唯一受性别变量影响的测量值。
腭裂明显干扰了弓后部宽度和矢状弓长度,使其更大。腭裂组中,性别之间的测量值没有统计学差异。