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Frontal and Axial Evaluation of Craniofacial Morphology in Repaired Unilateral Cleft Lip and Palate Patients Utilizing Cone Beam Computed Tomography; An Observational Study

Author

Listed:
  • Anuraj Singh Kochhar

    (Former Orthodontist Max Hospital Gurgaon, Haryana 122001, India)

  • Maninder Singh Sidhu

    (Department of Orthodontics, Faculty of Dental Sciences, SGT University Gurugram, Haryana 122006, India)

  • Mona Prabhakar

    (Department of Orthodontics, Faculty of Dental Sciences, SGT University Gurugram, Haryana 122006, India)

  • Ritasha Bhasin

    (Faculty of Dentistry, University of Toronto, Toronto, ON M5G1G6, Canada)

  • Gulsheen Kaur Kochhar

    (Department of Pediatric & Preventive Dentistry, National Dental College & Hospital, Punjab 140507, India)

  • Himanshu Dadlani

    (Department of Periodontology, Kalka Dental College & Hospital, Meerut 250006, India)

  • Gianrico Spagnuolo

    (Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy)

Abstract

The current study was conducted to assess the extent of maxillary arch collapse on the cleft vis-a-vis non-cleft sides in the same individual presenting withunilateral cleft lip and palate (UCLP), using cone-beam computed tomography (CBCT). Thirty-one children (eighteen boys andthirteen girls) with surgically repaired UCLP, who met the inclusion criteria, were selected. Following the acquisition of CBCT scans, fourteen bilateral landmarks were selected. The distance of the bilateral landmark was calculated from the midsagittal plane on the cleft and non-cleft sides for both frontal and axial views. Tracings were done;the data obtained was subjected to statistical analysis;and intra-observer variability was checked with intraclass correlation coefficient (ICC) and two-way ANOVA. Subsequently, the measurements were subjected to paired t -tests at the 95% level of significance with Bonferroni correction. A significant reduction of pyriforme and an alveolar crest above the maxillary 1st molar were discerned in frontal analysis on the cleft side. In the axial view, the zygomatic arch, malar, porion and alveolar crest at the molar region were non-significant, but the alveolar crest at the premolar region ( p < 0.004)) was significantly decreased. In the frontal analysis, pyriforme and the alveolar crest above the maxillary 1st molar, and, in the axial view, premolar widths, showed significant reduction when comparing the cleft vis-a-vis non-cleft sides.

Suggested Citation

  • Anuraj Singh Kochhar & Maninder Singh Sidhu & Mona Prabhakar & Ritasha Bhasin & Gulsheen Kaur Kochhar & Himanshu Dadlani & Gianrico Spagnuolo, 2020. "Frontal and Axial Evaluation of Craniofacial Morphology in Repaired Unilateral Cleft Lip and Palate Patients Utilizing Cone Beam Computed Tomography; An Observational Study," IJERPH, MDPI, vol. 17(21), pages 1-9, October.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7786-:d:434118
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    References listed on IDEAS

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    1. Rosa Valletta & Roberto Rongo & Ada Carolina Pango Madariaga & Roberta Baiano & Gianrico Spagnuolo & Vincenzo D’Antò, 2020. "Relationship between the Condylion–Gonion–Menton Angle and Dentoalveolar Heights," IJERPH, MDPI, vol. 17(9), pages 1-10, May.
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    Cited by:

    1. Altayeb Abdalla Ahmed & Rawia Mohamed Ahmed & Ahmed Jamleh & Gianrico Spagnuolo, 2021. "Morphometric Analysis of the Mandibular Canal, Anterior Loop, and Mental Foramen: A Cone-Beam Computed Tomography Evaluation," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    2. Rohan Diwakar & Anuraj Singh Kochhar & Harshita Gupta & Harneet Kaur & Maninder Singh Sidhu & Helen Skountrianos & Gurkeerat Singh & Michele Tepedino, 2021. "Effect of Craniofacial Morphology on Pharyngeal Airway Volume Measured Using Cone-Beam Computed Tomography (CBCT)—A Retrospective Pilot Study," IJERPH, MDPI, vol. 18(9), pages 1-11, May.

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