Infant orthopedics and facial growth in complete unilateral cleft lip and palate until six years of age (Dutchcleft)
Objective: To evaluate longitudinally the effect of infant orthopedics (IO) on dentofacial cephalometric variables in unilateral cleft lip and palate (UCLP) patients from 4 to 6 years of age. Design: Prospective two-arm randomized controlled clinical trial in three cleft palate centers in The Netherlands (Dutchcleft trial). Patients: Fifty-four children with complete UCLP. Interventions: Patients were divided randomly into two groups. Half of the patients (IO+) had IO until surgical closure of the soft palate at the age of 652 weeks; the other half (IO-) received no intervention. Mean Outcome Measures: Cephalometric values representing soft tissue, hard tissue, and dental structures, measured on lateral headfilms made at 4 and 6 years of age. Results: In the IO+ group, 21 patients were analyzed; in the IO- group, 20 patients were analyzed at age 4 and 22 at age 6. No differences were found between IO+ and IO-, except for two measurements: The interincisal angle was larger and the mentolabial angle was smaller in the IO+ group. Conclusions: For infants with UCLP whose surgical management included soft palate repair at 12 months and delayed hard palate closure, cephalometric outcomes at ages 4 and 6 provide no indication for the type of IO used in this study.
|Keywords||Cephalometry, Cleft palate, Facial growth, Infant orthopedics, Multicenter, Orthodontics, Randomized clinical trial, Treatment outcome|
|Persistent URL||dx.doi.org/10.1597/08-034.1, hdl.handle.net/1765/25408|
Bongaarts, C.A.M., Prahl-Andersen, B., Bronkhorst, E.M., Prahl, C., Ongkosuwito, E.M., Borstlap, W.A., & Kuijpers-Jagtman, A.M.. (2009). Infant orthopedics and facial growth in complete unilateral cleft lip and palate until six years of age (Dutchcleft). Cleft Palate - Craniofacial Journal, 46(6), 654–663. doi:10.1597/08-034.1