| Treatment effects on facial development in patients with unilateral cleft lip and palate. | |
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MedLine Citation:
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PMID: 7833335 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Retrospective studies into the effects of some aspects of treatment on facial development were based on x-ray films obtained in 58 men with unilateral cleft lip and palate operated on by palatal pushback. Because of mandibular retroposition, individuals subjected to systematic orthodontic treatment had better sagittal jaw relations and occlusion of incisors than insufficiently treated patients. The retroposition was attained with orthodontic proclination of upper incisors leading to a positive overjet and retraining the anterior development of the mandible. In patients with complete clefts operated on at about 6 years of age, sagittal jaw relations were more favorable than in those who had surgical repair at 4 years of age. The superior results in the group operated at a later age were due, in part, to the slighter retrusion of the maxilla. These differences were not apparent in incomplete clefts nor in patients with isolated cleft palate reported earlier. On the basis of these observations, a differentiated approach was proposed for determining the most convenient age for palatoplasty, according to individual types of clefts and their extent. The findings provided evidence of the essential role of orthodontic therapy for the configuration of the lower face in clefts. |
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Authors:
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Z Smahel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association Volume: 31 ISSN: 1055-6656 ISO Abbreviation: Cleft Palate Craniofac. J. Publication Date: 1994 Nov |
Date Detail:
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Created Date: 1995-03-02 Completed Date: 1995-03-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9102566 Medline TA: Cleft Palate Craniofac J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 437-45 Citation Subset: D; IM |
Affiliation:
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Faculty of Natural Sciences, Charles University, Prague, Czech Republic. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Cephalometry Child Child, Preschool Cleft Lip / pathology, physiopathology*, radiography, surgery* Cleft Palate / pathology, physiopathology*, radiography, surgery* Dental Occlusion Humans Incisor / pathology Male Malocclusion / pathology, physiopathology, therapy Mandible / growth & development, pathology Maxilla / growth & development, pathology Maxillofacial Development* Orthodontics, Corrective Palatal Expansion Technique Pharynx / surgery Retrospective Studies Surgical Flaps / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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