A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate

Dental arch relationships (DARs) and palatal morphology (PM) were evaluated in in non-syndromic complete unilateral cleft lip and palate (UCLP) Italian patients after surgery. Pre- and postnatal factors affecting the results were investigated. Sixty-six children with UCLP (40 boys and 26 girls, with...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Patrizia Defabianis [verfasserIn] Rosa Guagnano [verfasserIn] Federica Romano [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	orofacial cleft cleft palate therapy dental arch treatment outcome

Übergeordnetes Werk:	In: Children - MDPI AG, 2014, 10(2023), 1559, p 1559
Übergeordnetes Werk:	volume:10 ; year:2023 ; number:1559, p 1559

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/children10091559

Katalog-ID:	DOAJ093433484

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520			\|a Dental arch relationships (DARs) and palatal morphology (PM) were evaluated in in non-syndromic complete unilateral cleft lip and palate (UCLP) Italian patients after surgery. Pre- and postnatal factors affecting the results were investigated. Sixty-six children with UCLP (40 boys and 26 girls, with a mean age of 10.1 ± 2.9 years), predominantly Caucasian (77%), were consecutively enrolled in this cross-sectional study. Twenty children had received a one-stage protocol consisting of an early periosteal palate surgical repair and lip closure and forty-six were submitted to a staged surgical protocol with delayed palate repair (DPR). A single clinician collected data on their medical history and carried out a dental examination. The DAR and PM were graded on dental casts according to the Eurocran index and dichotomised as favourable and unfavourable based on the treatment outcome. Multiple logistic regression analyses demonstrated that female sex (OR = 6.08, 95% CI: 1.47–25.23, <i<p</i< = 0.013), DPR (OR = 4.77, 95% CI: 1.14–19.93, <i<p</i< = 0.032) and the use of a neonatal plate (OR = 4.68, 95% CI: 1.27–17.16, <i<p</i< = 0.020) increased the odds of having favourable DAR, while only DPR (OR = 9.76, 95% CI: 2.40–39.71, <i<p</i< = 0.001) was significantly associated with a favourable PM. Based on these findings, only DPR had a significantly favourable effect on both DAR and DM in Italian children with complete UCLP.
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language	English
source	In Children 10(2023), 1559, p 1559 volume:10 year:2023 number:1559, p 1559
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topic_facet	orofacial cleft cleft palate therapy dental arch treatment outcome Pediatrics
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authorswithroles_txt_mv	Patrizia Defabianis @@aut@@ Rosa Guagnano @@aut@@ Federica Romano @@aut@@
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callnumber-first	R - Medicine
author	Patrizia Defabianis
spellingShingle	Patrizia Defabianis misc RJ1-570 misc orofacial cleft misc cleft palate therapy misc dental arch misc treatment outcome misc Pediatrics A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate
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topic_title	RJ1-570 A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate orofacial cleft cleft palate therapy dental arch treatment outcome
topic	misc RJ1-570 misc orofacial cleft misc cleft palate therapy misc dental arch misc treatment outcome misc Pediatrics
topic_unstemmed	misc RJ1-570 misc orofacial cleft misc cleft palate therapy misc dental arch misc treatment outcome misc Pediatrics
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title	A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate
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title_full	A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate
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author_browse	Patrizia Defabianis Rosa Guagnano Federica Romano
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title_sort	cross-sectional study of the dental arch relationship and palatal morphology after cleft surgery in italian children with unilateral cleft and lip palate
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title_auth	A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate
abstract	Dental arch relationships (DARs) and palatal morphology (PM) were evaluated in in non-syndromic complete unilateral cleft lip and palate (UCLP) Italian patients after surgery. Pre- and postnatal factors affecting the results were investigated. Sixty-six children with UCLP (40 boys and 26 girls, with a mean age of 10.1 ± 2.9 years), predominantly Caucasian (77%), were consecutively enrolled in this cross-sectional study. Twenty children had received a one-stage protocol consisting of an early periosteal palate surgical repair and lip closure and forty-six were submitted to a staged surgical protocol with delayed palate repair (DPR). A single clinician collected data on their medical history and carried out a dental examination. The DAR and PM were graded on dental casts according to the Eurocran index and dichotomised as favourable and unfavourable based on the treatment outcome. Multiple logistic regression analyses demonstrated that female sex (OR = 6.08, 95% CI: 1.47–25.23, <i<p</i< = 0.013), DPR (OR = 4.77, 95% CI: 1.14–19.93, <i<p</i< = 0.032) and the use of a neonatal plate (OR = 4.68, 95% CI: 1.27–17.16, <i<p</i< = 0.020) increased the odds of having favourable DAR, while only DPR (OR = 9.76, 95% CI: 2.40–39.71, <i<p</i< = 0.001) was significantly associated with a favourable PM. Based on these findings, only DPR had a significantly favourable effect on both DAR and DM in Italian children with complete UCLP.
abstractGer	Dental arch relationships (DARs) and palatal morphology (PM) were evaluated in in non-syndromic complete unilateral cleft lip and palate (UCLP) Italian patients after surgery. Pre- and postnatal factors affecting the results were investigated. Sixty-six children with UCLP (40 boys and 26 girls, with a mean age of 10.1 ± 2.9 years), predominantly Caucasian (77%), were consecutively enrolled in this cross-sectional study. Twenty children had received a one-stage protocol consisting of an early periosteal palate surgical repair and lip closure and forty-six were submitted to a staged surgical protocol with delayed palate repair (DPR). A single clinician collected data on their medical history and carried out a dental examination. The DAR and PM were graded on dental casts according to the Eurocran index and dichotomised as favourable and unfavourable based on the treatment outcome. Multiple logistic regression analyses demonstrated that female sex (OR = 6.08, 95% CI: 1.47–25.23, <i<p</i< = 0.013), DPR (OR = 4.77, 95% CI: 1.14–19.93, <i<p</i< = 0.032) and the use of a neonatal plate (OR = 4.68, 95% CI: 1.27–17.16, <i<p</i< = 0.020) increased the odds of having favourable DAR, while only DPR (OR = 9.76, 95% CI: 2.40–39.71, <i<p</i< = 0.001) was significantly associated with a favourable PM. Based on these findings, only DPR had a significantly favourable effect on both DAR and DM in Italian children with complete UCLP.
abstract_unstemmed	Dental arch relationships (DARs) and palatal morphology (PM) were evaluated in in non-syndromic complete unilateral cleft lip and palate (UCLP) Italian patients after surgery. Pre- and postnatal factors affecting the results were investigated. Sixty-six children with UCLP (40 boys and 26 girls, with a mean age of 10.1 ± 2.9 years), predominantly Caucasian (77%), were consecutively enrolled in this cross-sectional study. Twenty children had received a one-stage protocol consisting of an early periosteal palate surgical repair and lip closure and forty-six were submitted to a staged surgical protocol with delayed palate repair (DPR). A single clinician collected data on their medical history and carried out a dental examination. The DAR and PM were graded on dental casts according to the Eurocran index and dichotomised as favourable and unfavourable based on the treatment outcome. Multiple logistic regression analyses demonstrated that female sex (OR = 6.08, 95% CI: 1.47–25.23, <i<p</i< = 0.013), DPR (OR = 4.77, 95% CI: 1.14–19.93, <i<p</i< = 0.032) and the use of a neonatal plate (OR = 4.68, 95% CI: 1.27–17.16, <i<p</i< = 0.020) increased the odds of having favourable DAR, while only DPR (OR = 9.76, 95% CI: 2.40–39.71, <i<p</i< = 0.001) was significantly associated with a favourable PM. Based on these findings, only DPR had a significantly favourable effect on both DAR and DM in Italian children with complete UCLP.
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title_short	A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate
url	https://doi.org/10.3390/children10091559 https://doaj.org/article/23035789cda047c8b1a46c65e92d6fdb https://www.mdpi.com/2227-9067/10/9/1559 https://doaj.org/toc/2227-9067
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A Cross-Sectional Study of the Dental Arch Relationship and Palatal Morphology after Cleft Surgery in Italian Children with Unilateral Cleft and Lip Palate

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