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A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft).
- Source :
-
European journal of oral sciences [Eur J Oral Sci] 2001 Oct; Vol. 109 (5), pp. 297-305. - Publication Year :
- 2001
-
Abstract
- Aim of the study was to evaluate the effect of infant orthopaedics (IO) on maxillary dimensions in infants with unilateral cleft lip and palate (UCLP). The study design was a prospective two-arm randomised controlled trial in parallel with three participating academic Cleft Palate Centres. Treatment was assigned by means of a computerised balanced allocation method. One group (IO+) wore passive maxillary plates during the first year of life, the other group (IO-) did not. Maxillary casts, made at birth, and at 15, 24, 48, 78 wk were digitised three-dimensionally. Before lip closure alveolar, midpalatal and posterior cleft width reduced significantly more in IO(+) than in IO(-). After lip closure, the alveolar cleft width reduced significantly more in IO(-). Until soft palate closure the slope of the palatal vault flattened significantly by IO. It is concluded that IO only has a temporary effect on maxillary arch dimensions that does not last beyond surgical soft palate closure. Therefore, infant orthopaedics as a tool to improve maxillary arch form could be abandoned. However, other outcome variables like facial and dental appearance, speech outcome, and cost-effectiveness need to be investigated further in order to assess the comprehensive effect of infant orthopaedics.
- Subjects :
- Alveolar Process pathology
Analysis of Variance
Cephalometry
Cleft Lip pathology
Cleft Lip surgery
Cleft Palate pathology
Cleft Palate surgery
Cost-Benefit Analysis
Follow-Up Studies
Humans
Image Processing, Computer-Assisted
Infant
Lip pathology
Lip surgery
Models, Dental
Observer Variation
Palate, Soft pathology
Palate, Soft surgery
Prospective Studies
Reproducibility of Results
Single-Blind Method
Statistics as Topic
Treatment Outcome
Cleft Lip therapy
Cleft Palate therapy
Dental Arch pathology
Maxilla pathology
Palatal Obturators
Subjects
Details
- Language :
- English
- ISSN :
- 0909-8836
- Volume :
- 109
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- European journal of oral sciences
- Publication Type :
- Academic Journal
- Accession number :
- 11695749
- Full Text :
- https://doi.org/10.1034/j.1600-0722.2001.00056.x