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Sumardi S, Latief BS, Kuijpers-Jagtman AM, et al. Long-term follow-up of mandibular dental arch changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate. PeerJ. 2021;9:e12643doi: 10.7717/peerj.12643.
Sumardi, S., Latief, B. S., Kuijpers-Jagtman, A. M., Ongkosuwito, E. M., Bronkhorst, E. M., & Kuijpers, M. A. R. (2021). Long-term follow-up of mandibular dental arch changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate. PeerJ, 9e12643. https://doi.org/10.7717/peerj.12643
Sumardi, Sariesendy, et al. "Long-term follow-up of mandibular dental arch changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate." PeerJ vol. 9 (2021): e12643. doi: https://doi.org/10.7717/peerj.12643
Sumardi S, Latief BS, Kuijpers-Jagtman AM, Ongkosuwito EM, Bronkhorst EM, Kuijpers MAR. Long-term follow-up of mandibular dental arch changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate. PeerJ. 2021 Dec 16;9:e12643. doi: 10.7717/peerj.12643. eCollection 2021. PMID: 35003933; PMCID: PMC8684719.
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PeerJ. 2021 Dec 16;9:e12643. doi: 10.7717/peerj.12643. eCollection 2021.

Long-term follow-up of mandibular dental arch changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate.

PeerJ

Sariesendy Sumardi, Benny S Latief, Anne Marie Kuijpers-Jagtman, Edwin M Ongkosuwito, Ewald M Bronkhorst, Mette A R Kuijpers

Affiliations

  1. Faculty of Dentistry, Department of Orthodontics, Universitas Indonesia, Jakarta, Indonesia.
  2. Faculty of Dentistry, Department of Oral-Maxillofacial Surgery, Universitas Indonesia, Jakarta, Indonesia.
  3. Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
  4. Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, Medical Faculty, University of Bern, Bern, Switzerland.
  5. Department of Orthodontics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
  6. Department of Dentistry - Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands.
  7. Radboud Institute for Health Sciences, Department of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.

PMID: 35003933 PMCID: PMC8684719 DOI: 10.7717/peerj.12643

Abstract

BACKGROUND: Treatment of cleft lip and palate (CLP) requires a comprehensive interdisciplinary approach and long-term follow-up. Only a few studies are available that reported on changes after treatment, which showed that in particular the transverse dimension, in patients with CLP is prone to changes after treatment. However, those studies did not pay attention to concomitant changes in the mandibular arch that occur after treatment.

OBJECTIVES: To evaluate mandibular transverse dental arch dimensions and interarch transverse changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate (CUCLAP) up to five years after treatment.

MATERIAL AND METHODS: Retrospective longitudinal study in 75 consecutive patients with CUCLAP directly after comprehensive treatment (T0), two (T2), and 5 years after treatment (T5). Great Ormond Street, London and Oslo (GOSLON) scores were available for all patients. Three-dimensional scans of all dental casts were made. Inter premolar and intermolar distances between the mandibular contralateral teeth were measured. The modified Huddart Bodenham (MHB index) was applied to assess the transverse interarch relationship. Paired t-tests and ANOVA were used to analyze transverse and interarch transverse changes. Linear regression analysis was done to define contributing factors.

RESULTS: Paired t-tests showed a significant decrease of the mandibular inter first and second premolar distances (

CONCLUSIONS: Changes occurred in the mandibular arch expressed as changes in the transverse dimensions and interarch relationship measured by the MHB Index. A younger age at the end of treatment, space closure for a missing maxillary lateral incisor and a higher GOSLON score at the end of treatment negatively influence the interarch transverse deterioration especially in the first two years after treatment. For the transverse dimensional changes in the mandibular arch such influencing factors could not be determined.

©2021 Sumardi et al.

Keywords: Complete unilateral cleft lip and palate; Dental casts; Long-term outcome; Mandibular dental arch; Modified Huddart-Bodenham Index; Unilateral cleft lip, alveolus, and palate

Conflict of interest statement

Anne Marie Kuijpers-Jagtman is an academic editor for PeerJ. All other authors declare that they have no competing interests.

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