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Published on: September 8, 2023
Craniofacial cephalometric morphologies in different cleft types: a retrospective cross-sectional study of 212
Ana López-Giménez1, Javier Silvestre-Rangil2, Francisco-Javier Silvestre2
1Nen Déu Hospital, Passeig de Maragall, 193-197, 08041, Barcelona, Spain.
Objective:
The aim of this study was to evaluate and compare the craniofacial cephalometric morphologies among different cleft types in a Spanish population.
Methods:
A retrospective cross-sectional study was carried out on 212 patients. The patients were subdivided into four groups according to their cleft types: unilateral cleft lip and palate; bilateral cleft lip and palate; cleft lip; and cleft palate. Angular and linear cephalometric measurements were taken on lateral radiographs.
Results:
Unilateral cleft lip and palate was associated with a dolichofacial growth pattern, skeletal Class III with correct maxillary position, and lingual incisor inclination. Bilateral cleft lip and palate was associated with a mesofacial growth pattern, skeletal Class I with protruded maxillary position, and lingual incisor inclination. Cleft palate was associated with a mesofacial growth pattern, skeletal Class III with correct maxillary position, and lingual incisor inclination. Cleft lip was associated with a brachyfacial growth pattern, skeletal Class I with protruded maxillary position, lingual upper incisor inclination, and corrects lower incisor inclination. Significant correlations were observed between cleft types and their craniofacial cephalometric measurements.
Conclusions:
The present information can be used for the determination of orthodontic treatment and even future orthognathic surgery planning, a requirement in most cleft patients.
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