Maxilla development in patients with unilateral cleft lip and palate depending on type of primary surgical treatment


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Abstract

The aim of the study was to assess the impact of early lip reconstruction on maxilla development. The study involved 86 boys and 71 girls aged 0-18 years with unilateral cleft lip and alveolus (14%) and unilateral cleft lip and palate (86%). Five main subtypes of alveolar fragments relations were revealed but the results showed no correlation with the presense of cleft palate. The study results proved that: (1) interincisal line displacement to contralateral side in operated children may be seen as primary alveolar deformity; (2) early lip reconstruction (before 6 months of age) is a riskfactor for decidous incisors adentia. Thus the early lip reconstructive procedures with no early orthopedic treatment does not improve primary alveolar deformity and enhances the risks for dental germs injury leading to secondary adentia.

About the authors

Natal’ya Valer'evna Starikova

Central Research Institute of Dentistry and Maxillofacial Surgery

Email: starnata.65@mail.ru
Moscow, Russia

M. V Korolenkova

Central Research Institute of Dentistry and Maxillofacial Surgery

Moscow, Russia

I. V Soboleva

Central Research Institute of Dentistry and Maxillofacial Surgery

Moscow, Russia

N. V Udalova

Central Research Institute of Dentistry and Maxillofacial Surgery

Moscow, Russia

References

  1. Berkowitz S. Cleft lip and Palate. Diagnosis and Management. 2nd Ed. New York: Springer, Berlin, Heidelberg; 2006.
  2. Flinn W., Long R.E., Garattini G., Semb G. A multi center outcomes assessment of five-year-old patients with unilateral cleft lip and palate. Cleft Palate Craniofac J. 2006; 43: 253-8.
  3. Shetye P.R., Evans C.A. Midfacial Morphology in Adult Unoperated Complete Unilateral. Cleft Lip and Palate Patients Sep. 2006; 76: 810-6.
  4. Старикова Н.В., Удалова Н.В. Современная концепция коррекции положения фрагментов альвеолярного отростка у пациентов с расщелиной губы, альвеолярного отростка и неба. Клиническая стоматология. 2012; 4: 62-5.

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