Maxillary arch dimensions, occlusion assessment and space conditions in patients with cleft palate in the period of deciduous dentition : a retrospective study

Sajovic, Jakob (author), Setnikar Lesjak, Anina (author), Plut, Alja (author), Eberlinc, Andreja (author), Primožič, Jasmina (author), Drevenšek, Eva (author), Drevenšek, Martina (author)

Purpose: The aim of this study was to evaluate the maxillary arch dimensions, dentoalveolar relationships and spacing conditions in patients with cleft palate in comparison with the control group. Methods: The subjects consisted of 31 children with cleft palate only (CP) aged 5.5 ± 0.51 (20 with a cleft of hard and soft palate (SHPC group) and 11 with a cleft of soft palate only (SPC group)). In the control group 30 subjects had a normal occlusion at age 5. Maxillary arch dimensions, dentoalveolar relationship according to the Huddard Bodenham index (HBI) and space conditions were compared with the control group. Results: In all variables of maxillary arch dimensions except for total arch height the control group exhibited greater values. Most of the significant differences were on account of differences between the control and the SHPC group, with only three comparisons yielding significant results when comparing the two groups of children with clefts (SHPC vs SPC, IV-IV central: p$_{Dunnett}$ $_{T3}$= 0.0002, 95%CI$_{Difference}$=-9.9-(-3.18); V-V distopalatal cusps: p$_{Dunnett}$ $_{T3}$= 0.0002, 95%CI$_{Difference}$=-9.97-(-3.17); Total arch length: p$_{Dunnett}$ $_{T3}$= 0.0014, 95%CI$_{Difference}$=1.74−7.85). The three groups differed significantly in anterior HBI only (H$_{Kruskal-Wallis}$=15.56, p = 0.0067). The spacing conditions in both jaws were also shown to be significantly dependent on the group of subjects studied (Upper jaw: x$^2$$_{omnibus}$= 16.79, p = 0.0018; lower jaw: x$^2$$_{omnibus}$= 13.75, p = 0.0102). Conclusions: The growth of the upper dental arch at the age of five is impeded in participants with CP in comparison to a control group. It is important to assess the effect of cleft subtypes on growth and development to get a better understanding.

• Language: English
• Keywords: cleft palate, maxillary arch dimensions, Huddard Bodenham index, cleft palate only, spacing, crowding
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Year: 2023
• Number of pages: 9 str.
• Numbering: Vol. 124, iss. 1, supl., art. 101356
• PID: 20.500.12556/RUL-144097
• UDC: 616.31
• ISSN on article: 2468-7855
• DOI: 10.1016/j.jormas.2022.101356
• COBISS.SI-ID: 134261251
• Publication date in RUL: 31.01.2023

Record is a part of a journal

• Title: Journal of stomatology, oral and maxillofacial surgery
• Publisher: Elsevier
• ISSN: 2468-7855
• COBISS.SI-ID: 528290841

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

• Language: Slovenian
• Keywords: razcepljeno nebo, dimenzije maksilarnega loka, Huddard-Bodenhamov indeks

Projects

• Funder: ARRS - Slovenian Research Agency
• Project number: P3-0293
• Name: Parodontalna medicina