Abstract
Objective: Evaluation of the effect of infant orthopedics (IO) on the occlusion of the deciduous dentition in patients with unilateral cleft lip and palate (UCLP).
Design: Prospective, two-arm, randomized, controlled clinical trial with three participating cleft palate centers (Dutchcleft).
Setting: Cleft Palate Centers of the University Medical Center Nijmegen, Academic Center of Dentistry Amsterdam, and Dijkzigt University Hospital Rotterdam, The Netherlands.
Patients: Children with complete UCLP (n = 54) were included. Interventions: In a concealed allocation procedure, half of the patients was randomized to wear a plate till surgical closure of the soft palate (IO+), and the other half (IO-) did not have a plate.
Mean Outcome Measures: Dental arch relationships were assessed at 4 and 6 years of age with the 5-year-old index; the Huddart-score; and measurements of overjet, overbite, and sagittal occlusion.
Results: There were no significant differences found between the IO+ and IO- groups for the 5-year-old index; the Huddart-score; and overjet, overbite, and sagittal occlusion.
Conclusions: IO had no observable effect on the occlusion in the deciduous dentition at 4 and 6 years of age. Considering the occlusion only, there is no need to perform IO in children with UCLP.
| Original language | English |
|---|---|
| Pages (from-to) | 633-641 |
| Number of pages | 9 |
| Journal | Cleft Palate-Craniofacial Journal |
| Volume | 41 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Nov-2004 |
| Externally published | Yes |
Keywords
- cleft palate
- deciduous dentition
- dental occlusion
- infant orthopedics
- malocclusion
- multicenter
- randomized clinical trial
- treatment outcome
- DENTAL ARCH RELATIONSHIPS
- PROSPECTIVE CLINICAL-TRIAL
- MAXILLARY ARCH
- GOSLON YARDSTICK
- HOTZ PLATE
- SURGERY
- UCLP
- MANAGEMENT
- DIMENSIONS
- TODDLERS