LATERAL CEPHALOMETRIC EVALUATION IN CLEFT PALATE PATIENTS
|
|
- Osborn Bradley
- 6 years ago
- Views:
Transcription
1 POLSKI PRZEGLĄD CHIRURGICZNY 2009, 81, 1, /v LATERAL CEPHALOMETRIC EVALUATION IN CLEFT PALATE PATIENTS PRADEEP JAIN, ANAND AGARWAL, ARVIND SRIVASTAVA Department of Plastic Surgery, Institute of Medical Sciences Banaras Hindu University in Varanasi, India Kierownik: prof. P. Jain The aim of the study. The lateral cephalometric study in children with cleft palate was carried out to find out the cause of maxillary retrusion and to see if there were other changes induced by this entity in the maxillofacial morphology. Material and methods. Lateral cephalometric evaluation of 28 patients with un-operated cleft palate (group A), 12 patients with operated cleft palate (group B) and 10 controls (group C) was done by tracing the lateral cephalographs, marking the various landmarks and taking the mean of each measurements made thrice. Results. It showed significant decrease in maxillary length and S-N-ANS angle indicating maxillary hypoplasia in all group A patients, significantly so in years age group. Group B patients having undergone palatal repair in their childhood revealed significant increase in lower anterior facial height, the other parameters being insignificantly altered when compared with control. Conclusions. The findings suggest an intrinsic deficiency not only in maxilla but contrary to the past belief also in mandible. There was no significant difference in the cephalometric measurements between un-operated and operated cleft palate patients. Key words: cephalometry, cleft palate, maxillary retrusion, mid-face hypoplasia The cleft palate and/or lip is one of the most common congenital birth defects affecting the human race. As Surgeons became more and more successful in cleft surgery, they began focusing their attention on facial growth problems in their patients. This led to the trend among some Surgeons to delay hard palate closure until completion of maxillary growth to avoid adverse effect of surgery on it. However, the majority persisted with early one stage closure between months of age or even earlier. The present work is an attempt to evaluate the maxillofacial growth in cleft palate patients, both un-operated and operated, to find out the scientific basis for early versus delayed hard palate closure. MATERIAL AND METHODS 40 cases of cleft palate, from 4-20 years of age, were included in the study, both un-operated (group A, n=28) and operated (group B, n=12). All patients in group B were operated using Kilner-Wardill method at the age 18 months till 2 years by one surgeon. These patients were divided according to growth potential in 4-6 yrs, yrs and yrs age groups. Ten persons of same age and sex were taken as control (group C). None of the patients had any orthodontic therapy, orthognathic surgery or alveolar bone grafting. The lateral cephalometric radiography was done in all the patients and control keeping constant distance between mid position of skull and X-ray tube (5 feet). During the exposure, the teeth were kept in occlusion and the lips in repose. X-ray film was taken for skeletal measurements at 55 k voltage and 25 MAS. The radiographs were traced, the measurements were made three times and the mean was taken as the true value. The cephalometric landmarks marked on the tracings and measurements made were as follows (fig.1)
2 24 P. Jain et al. Fig. 1. Skaletal pattern: cephalometric landmarks S midpoint of sella turicia, ANS anterior nasal spine, N nasion, Me menton, Ar articulare, Pg prognathion RESULTS The maximum number of un-operated patients in group A (n=12, male 8; female 4) were in 4-6 years age group, closely followed by yrs age group (n=10, all male). Surprisingly, 6 un-operated male patients belonged to years age group. All the patients in group B (n=12, male 8, female 4) were operated around the age of 2 yrs, 10 years back. Comparison of cephalometric data of unoperated children (4-6 yrs, group A) with control shows significant decrease in anterior cranial base length, maxillary and mandibular length in the former (tab. 1). The other parameters were insignificantly altered. Similar study in yrs age group revealed significant decrease in lower anterior facial height, mandibular index and facial height index (tab. 2). However the measurements in yrs. old un-operated cleft palate patients showed significant decrease once again in maxillary length and mandibular length and also in S-N-ANS angle and facial height index (tab. 3). On the other hand, the operated children with 10 years follow-up revealed significant increase in only lower anterior facial height with all other parameters being insignificantly altered generally on the lower side (tab. 4). Comparison of these data between group A and group B did not reveal any significant difference. DISCUSSION The growth and development of maxilla in patients with cleft lip and palate has been of great concern for a long time. The technique of reconstruction and timing of surgical intervention have been blamed to significantly affect the three dimensional growth of maxilla resulting into its collapse. However, many unoperated patients in different age groups have also presented with retarded maxillary growth and marked collapse of dental arch. There are many authors (1-5) who did not report any maxillary retrusion in un-operated adults with unilateral cleft lip and palate. On the contrary, Rusen (6) did not find any incre- Table 1. Cephalometric analysis of skeletal measurements (4-6 yrs) group A vs group C 66,2 69,6 73,6 43,2 58,4 70 1,05 1,11 0,75 +3,3 +3,06 +6,56 +3,66 +3,28 +6,7 +0,07 +0,14 +0,82 70, ,09 1,22 0,81 +1,3 +8,1 +1,82 +6,37 +8,1 +2,58 +0,01 +0,09 +0,10 t value 2,48 4,68 3,65 0, ,94 1,33 1,42 p value <0,05 <0,001 <0,01 >0,05 >0,05 <0,05 >0,05 >0,05 >0,05
3 Lateral cephalometric evaluation in cleft palate patients 25 Table 2. Cephalometric analysis of skeletal measurements (10-12 yrs) group A vs group C 74, ,5 52, ,5 1,06 1,27 0,80 +4,2 +4,8 +9,7 +5,5 +2,9 +3,56 +0,06 +0,07 +0,09 72,5 81, ,13 1,37 0,94 +2,4 +5,8 +4,1 +1,8 +0, ,12 +0,10 +0,04 t value 0,78 0,84 0,88 0,52 5,97 1,2 1,31 2,20 3,20 p value >0,05 >0,05 >0,05 >0,05 <0,001 >0,05 >0,05 <0,05 <0,01 Table 3. Cephalometric analysis of skeletal measurements (16-20 yrs) group A vs group C 76,5 79,6 111, ,8 67 1,04 1,46 0,77 +4,2 +1,7 +4,4 +2,4 +2,8 +2,7 +0,04 +0,10 +0,02 79,07 86,9 123,3 59,4 65,5 73,0 1,10 1,56 0,90 +1, ,9 +1,4 +1,6 +2,8 +0,02 +0,08 +0 t value 0,80 5,75 2,71 1,64 3,38 2,65 1,74 1,19 7,17 p value >0,05 <0,01 <0,05 >0,05 <0,05 <0,05 >0,05 >0,05 <0,001 Table 4. Cephalometric analysis of skeletal measurements (10-12 yrs.) group B vs group C ,5 63 1,01 1,27 0,88 +1,4 +2,8 +0,0 +4, ,4 +0,05 +0,02 +0,07 72,5 81, ,13 1,37 0,94 +2,4 +5,8 +4,1 +1,8 +1,8 +7,0 +0,12 +0,10 +0,04 t value 0,64 0,64 0,30 1,90 6,30 2,16 1,67 2,70 1,60 p value >0,05 >0,05 >0,05 >0,05 <0,001 >0,05 >0,05 >0,05 >0,05
4 26 P. Jain et al. ase in maxillary retrusion that could be attributed to cleft palate repair. He reported significant degree of maxillary retrusion in both unoperated and operated patients. He also could not find, like us, and some others (4, 7) any significant difference between un-operated and operated patients. Some other research workers (8, 9) have also concluded that maxillary growth is similar in cleft palate patients irrespective of the time of surgery. The length of the maxilla in all our un-operated cleft palate patients, irrespective of the age, was shorter than in controls. It was significantly so in both 4-6 years and years age groups. The decrease in S-N-ANS angles in all the un-operated patients also strengthens the fact that there is maxillary hypoplasia significantly so in years old ones. Other parameters like upper anterior facial height (<Ż in all), lower anterior facial height (>in all, significantly in older children and adults), maxillary index (<Ż in all) and facial height index (significantly <Ż in older children and adults) in un-operated cleft palate patients indicate to only one conclusion that there is maxillary hypoplasia even in absence of surgical intervention. Had the surgical trauma to the maxillary periosteum been the primary cause inhibiting maxillary growth, there would not have been any degree of maxillary hypoplasia in non-operated patients. Contrary to long held view that the cleft palate affects the growth and development only of maxilla, our cephalometric evaluation of both group A and B patients show decrease in mandibular length, mandibular index and also facial height index. Motohashi et al. (10) also showed a considerable degree of facial deformity not only in the midface but also in mandible. Corbo et al. (11) also reported retrusion of both maxilla and the mandible in the children operated for cleft lip and palate. Difference in the results reported by various authors could be due to small sample size, wide age distribution and mixed population with varying cleft severity and of operated, partially operated and un-operated children. Thus our study suggests an intrinsic deficiency in maxillary growth and rules out surgery as the only important cause behind maxillary hypoplasia. This also strengthens the view that one should repair cleft of both hard and soft palate in one stage around 1 year of age and be more concerned with speech development. Gaggl et al. (12) found more severe impairment of the growth of maxilla in sagittal and frontal plane after two stage operation of the cleft palate. Stein et al. (13) advocated early one stage repair of the cleft palate as there was no significant difference in the sagittal and vertical craniofacial dimensions whether the palate was closed in one or two stages. Early timely surgical intervention in developed countries obviates the opportunity to come across large number of un-operated children with cleft palate and a chance to clarify whether the maxillary retrusion could be attributed to surgical intervention alone. It is necessary to examine in detail a large number of patients with unrepaired cleft palate as a part of multicenter study and compare them with operated ones. However, it would be difficult to do so in near future because of free of cost surgery and other financial help from various organizations to the children with cleft lip and palate in the developing countries. REFERENCES 1. Ortiz-Monasterio F, Serrano RA, Barrera PG et al.: A study of untreated adult cleft palate patients. Plast Reconstr Surg 1966; 38: Bishara SE, de Arrendondo RSM, Vales HP et al.: Dentofacial relationships in persons with unoperated clefts. Comparisons between three cleft types. Am J Orthod 1985; 87: Mars M, Houston WJB: A preliminary study of facial growth and morphology in unoperated male unilateral cleft lip and palate subjects over 13 years of age. Cleft Palate J 1990; 27: Normando ADC, Filho OGS, Filho LC: Influence of surgery on maxillary growth in cleft lip and/or palate patients. J Craniomaxillofac Surg 1992; 28: Filho LC, Taniguchi SM, Filho OGS: Craniofacial morphology of adult unoperated complete unilateral cleft lip and palate patients. Cleft Palate Craniofac J 1993; 30: Rusen KM: Craniofacial morphology in adult nonoperated and operated cleft palate patients. Cleft Palate Craniofac J 1996; 33: Bishara SE: Cephalometric evaluation of facial growth in operated and nonoperated individuals with isolated clefts of the palate. Cleft Palate J 1973; 10:
5 Lateral cephalometric evaluation in cleft palate patients Robertson NRE, Jolleys A: The timing of hard palate repair. Scand J Plast Reconstr Surg 1974; 8: Ross RB: Treatment variables affecting facial growth in complete unilateral cleft lip and palate 1. Treatment affecting growth. Cleft Palate J 1987; 24: Motohashi N, Kuroda T, Filho LC et al.: P-A cephalometric analysis of nonoperated adult cleft lip and palate. Cleft Palate Craniofac J 1994; 31: Corbo M, Dujardin T, de Maertelaer V et al.: Dentocraniofacial morphology of 21 patients with unilateral cleft lip and palate: a cephalometric study. Cleft Palate Craniofac J 2005; 42: Gaggl A, Feichtinger M, Schultes G et al.: Cephalometric and occlusal outcome in adults with unilateral cleft lip, palate and alveolus after two different surgical techniques. Cleft Palate Craniofac J 2003; 40: Stein S, Dunsche A, Gellrich NC et al.: One-ortwo-stage palate closure in patients with unilateral cleft lip and palate: comparing cephalometric and occlusal outcome. Cleft Palate Craniofac J 2007; 44: Received: r. Adress correspondence: Department of Plastic Surgery, Institute of Medical Science, Banaras Hindu University, Varanasi , U.P., India
Original Research. Figure 1: (a) Unilateral complete cleft of the lip and palate, (b) unilateral complete skeletal cleft with a Simonart s band.
Received: 14 th August 2015 Accepted: 19 th November 2015 Conflicts of Interest: None Source of Support: Nil Original Research Simonart s Bands and Facial Growth in Unilateral Cleft Lip and Palate Patients:
More informationUnilateral Cleft Palate, a case report.
Original Article Published on 29-09-05 Yaşar Göyenç* Hakan Gürcan Gürel** Author s affiliations: * PhD, Professor ** DDS, Research Assistant Department of Orthodontics, Faculty of Dentistry, Selcuk University,
More informationMorphologic and Management Characteristics of Individuals With Unilateral Cleft Lip and Palate Who Required Maxillary Advancement
Morphologic and Management Characteristics of Individuals With Unilateral Cleft Lip and Palate Who Required Maxillary Advancement Snehlata Oberoi, D.D.S., M.D.S, Radhika Chigurupati, B.D.S., D.M.D, Karin
More informationCephalometric Findings in a Normal Nigerian. Population Sample and Adult Nigerians with Unrepaired Clefts
Cephalometric Findings in a Normal Nigerian Population Sample and Adult Nigerians with Unrepaired Clefts MICHAEL C. ISIEKWE, B.D.S., D. ORTH. GABRIEL O. A. SOWEMIMO, M.B., F.R.C.S. Lagos, Nigeria Cephalometric
More informationTreatment VariablesAffecting Growth in Unilateral Cleft Lip
Treatment VariablesAffecting Growth in Unilateral Cleft Lip and Palate. Part 5: Timing of Palate : Cephalometric radiographs of a sample of 538 males with complete unilateral cleft lip and palate were
More informationORTHOGNATHIC SURGERY
ORTHOGNATHIC SURGERY MEDICAL POLICY Effective Date: February 1, 2017 Review Dates: 1/93, 7/95, 10/97, 4/99, 10/00, 8/01, 12/01, 4/02, 2/03, 1/04, 1/05, 12/05, 12/06, 12/07, 12/08, 12/09, 12/10, 12/11,
More informationORAL AND CRANIOFACIAL CHARACTERISTICS OF UNTREATED ADULT UNILATERAL CLEFT LIP AND PALATE INDIVIDUALS
Short Communication ORAL AND CRANIOFACIAL CHARACTERISTICS OF UNTREATED ADULT UNILATERAL CLEFT LIP AND PALATE INDIVIDUALS M. S. Ravi Professor, Dept. of Orthodontics, A. B. Shetty Memorial Institute of
More informationThe America Association of Oral and Maxillofacial Surgeons classify occlusion/malocclusion in to the following three categories:
Subject: Orthognathic Surgery Policy Effective Date: 04/2016 Revision Date: 07/2018 DESCRIPTION Orthognathic surgery is an open surgical procedure that corrects anomalies or malformations of the lower
More informationSoft and Hard Tissue Changes after Bimaxillary Surgery in Chinese Class III Patients
Original Article Soft and Hard Tissue Changes after Bimaxillary Surgery in Chinese Class III Patients Ming Tak Chew a Abstract: Cephalometric studies have shown that the Chinese race tends to have a greater
More informationMaxillary Expansion and Protraction in Correction of Midface Retrusion in a Complete Unilateral Cleft Lip and Palate Patient
Case Report Maxillary Expansion and Protraction in Correction of Midface Retrusion in a Complete Unilateral Cleft Lip and Palate Patient Masayoshi Kawakami, DDS, PhD a ; Takakazu Yagi, DDS, PhD b ; Kenji
More informationTreatment Variables Affecting Facial Growth in Complete. Unilateral Cleft Lip and Palate. Part 7: An Overview of Treatment.
Treatment Variables Affecting Facial Growth in Complete Unilateral Cleft Lip and Palate. Part 7: An Overview of Treatment and Facial Growth Facial growth in a sample of 538 males with complete unilateral
More informationIJCMR 553. ORIGINAL RESEARCH Different Population- Different Analysis A Cephalometric Study. Sachin Singh 1, Jayesh Rahalkar 2 ABSTRACT INTRODUCTION
IJCMR 553 ORIGINAL RESEARCH Different Population- Different Analysis A Cephalometric Study Sachin Singh 1, Jayesh Rahalkar 2 ABSTRACT Introduction: Cephalometric norms derived for Caucasian population
More informationOriginal Research. This appraisal is based on a system of cephalometric analysis that was developed at Indiana University by Burstone and Legan.
Received: 08 th June 2015 Accepted: 13 th September 2015 Conflicts of Interest: None Source of Support: Nil Original Research Hard Tissue Cephalometric Norms for Orthognathic Surgery in Karnataka Population
More informationOral Health Status of Russian Children with Unilateral Cleft Lip and Palate
Oral Health Status of Russian Children with Unilateral Cleft Lip and Palate Objective: To evaluate the oral and dental health of Russian children who underwent Frolova primary palatoplasty. Design: Eighty-nine
More informationThe characteristics of profile facial types and its relation with mandibular rotation in a sample of Iraqi adults with different skeletal relations
The characteristics of profile facial types and its relation with mandibular rotation in a sample of Iraqi adults with different skeletal relations Sara M. Al-Mashhadany, B.D.S., M.Sc. (1) Nagham M.J.
More informationORTHOGNATHIC SURGERY
Status Active Medical and Behavioral Health Policy Section: Surgery Policy Number: IV-16 Effective Date: 10/22/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members should
More informationCephalometric Analysis
Cephalometric Analysis of Maxillary and Mandibular Growth and Dento-Alveolar Change Part III In two previous articles in the PCSO Bulletin s Faculty Files, we discussed the benefits and limitations of
More informationTreatment Variables Affecting Facial Growth in. Unilateral Cleft Lip and Palate. Part 3: Alveolus Repair and
Treatment Variables Affecting Facial Growth in Complete Unilateral Cleft Lip and Palate. Part 3: Alveolus Repair and Bone Grafting Facial growth in a sample of 439 males with unilateral complete cleft
More informationThree-Dimensional Cephalometry Using Helical Computer Tomography: Measurement Error Caused by Head Inclination
Original Article Three-Dimensional Cephalometry Using Helical Computer Tomography: Measurement Error Caused by Head Inclination Kumiko Togashi, DDS a ; Hideki Kitaura, DDS, PhD b ; Koichi Yonetsu, DDS,
More informationLongitudinal dento-skeletal changes in UCLP patients following maxillary distraction osteogenesis using RED system
J Med Dent Sci 2004; 51: 27 33 Original Article Longitudinal dento-skeletal changes in UCLP patients following maxillary distraction osteogenesis using RED system Eduardo Yugo Suzuki, Nobuyoshi Motohashi
More informationChanges in soft tissue thickness after Le Fort I osteotomy in different cleft types
Arja Heliövaara, DDS, PhD Orthodontist Jyri Hukki, MD, PhD Senior Consultant in Plastic Surgery Reijo Ranta, DDS, PhD Docent and Senior Orthodontist Aarne Rintala, MD, PhD Assistant Professor of Plastic
More informationChapter 7. General discussion and conclusions
Chapter 7 General discussion and conclusions General discussion and conclusions Summary In this chapter the results, as reported in this thesis, are discussed. The study focussed on maxillary and mandibular
More informationOF THE LIP AND PALATE. By T. D. FOSTER, M.D.S., F.D.S., D.Orth.R.C.S. School of Dental Surgery, University of Birmingham
MAXILLARY DEFORMITIES IN REPAIRED CLEFTS OF THE LIP AND PALATE By T. D. FOSTER, M.D.S., F.D.S., D.Orth.R.C.S. School of Dental Surgery, University of Birmingham IN patients with repaired clefts of the
More informationPatients with cleft lip and palate (CLP) usually
Comparison of Treatment Outcome and Stability Between Distraction Osteogenesis and LeFort I Osteotomy in Cleft Patients With Maxillary Hypoplasia Seung-Hak Baek, DDS, MSD, PhD,* Jin-Kyung Lee, DDS, 1 Jong-Ho
More informationOrthodontic Morphological Evaluation of Treacher Collins Syndrome
Cong. Anorn., 39: 243-253,1999 Original Orthodontic Morphological Evaluation of Treacher Collins Syndrome Sachio UMEMURA Department of Orthodontics, Ohu University School of Dentistry, 31-1 Misumido Tomita,
More informationEvaluation of the maxillary morphological changes following distraction in CLP patients decrease in the Ul to NF except for Case 6. me [35] instance,血e small maxillary advancement of 2.4 mm and maxillary
More informationComparative Study of Tweed Triangle in Angle Class II Division 1 Malocclusion between Nepalese and Chinese Students
GENERAL SECTION Bishnu Prasad Sharma: Comparative Study of Tweed Triangle in Nepali and Chinese ORGINAL ARTICLE Comparative Study of Tweed Triangle in Angle Class II Division 1 Malocclusion between Nepalese
More informationOrthognathic treatment of facial asymmetry due to temporomandibular joint ankylosis
Orthognathic treatment of facial asymmetry due to temporomandibular joint ankylosis Ayse Gulsen 1, Serhat Sibar 2, Selahattin Ozmen 3 1 Department of Plastic, Reconstructive, and Aesthetic Surgery, Gazi
More information06/12/18. [Note: When orthognathic surgery is not a covered benefit, it is non-covered for any diagnosis, including sleep apnea.]
Reference #: MC/B002 Page: 1 of 5 PRODUCT APPLICATION: PreferredOne Community Health Plan (PCHP) PreferredOne Administrative Services, Inc. (PAS) ERISA PreferredOne Administrative Services, Inc. (PAS)
More informationOF LINGUAL ORTHODONTICS
EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS CANDIDATE NUMBER: KDr. KP. kanarelis CASE NUMBER: 1 Year: 2010 WBLO 01 RESUME OF CASE 1 CASE CATEGORY: ADULT MALOCCLUSION NAME : IOANNIS.G BORN: 03.01.1989 SEX:
More informationFacial planning for orthodontists and oral surgeons
ADVANCES IN ORTHODONTICS & DENTOFACIAL SURGERY Facial planning for orthodontists and oral surgeons G. William Arnett, DDS, FACD, a and Michael J. Gunson, DDS, MD b Santa Barbara, Calif The bite indicates
More informationPostnatal Growth. The study of growth in growing children is for two reasons : -For health and nutrition assessment
Growth of The Soft Tissues Postnatal Growth Postnatal growth is defined as the first 20 years of growth after birth krogman 1972 The study of growth in growing children is for two reasons : -For health
More informationFinite Element Modeling of Complete Unilateral Cleft and Palate using MIMICS
I J C T A, 9(37) 2016, pp. 257-262 International Science Press Finite Element Modeling of Complete Unilateral Cleft and Palate using MIMICS (Maxillary dimensional changes in a Finite element model of a
More informationCorrelation Between Naso Labial Angle and Effective Maxillary and Mandibular Lengths in Untreated Class II Patients
9 International Journal of Interdisciplinary and Multidisciplinary Studies,2014,Vol 1,No.3,9-14. Available online at httt://www.ijims.com ISSN: 2348 0343 Correlation Between Naso Labial Angle and Effective
More informationThe effect of tooth agenesis on dentofacial structures
European Journal of Orthodontics 19 (1997) 71 78 9 1997 European Orthodontic Society The effect of on dentofacial structures Sema Yª and Tuba Department of Orthodontics, Faculty of Dentistry, Gazi University,
More informationCHAPTER 8 SECTION 1.4 ORAL SURGERY TRICARE/CHAMPUS POLICY MANUAL M DEC 1998 SPECIAL BENEFIT INFORMATION
TRICARE/CHAMPUS POLICY MANUAL 6010.47-M DEC 1998 SPECIAL BENEFIT INFORMATION CHAPTER 8 SECTION 1.4 Issue Date: October 8, 1986 Authority: 32 CFR 199.4(e)(10) I. DESCRIPTION There are certain oral surgical
More informationPre- and Postsurgical Facial Growth in Patients. with Crouzon's and Apert's Syndromes
Pre- and Postsurgical Facial Growth in Patients with Crouzon's and Apert's Syndromes Sven KrRreiBora, D.D.S., Dr. Obpont. HowArRDp Apuss, D.D.S., M.S. Our report deals with 8 patients with Crouzon's and
More informationInterview with Vincent KOKICH
DOI: 10.1051/odfen/2010302 J Dentofacial Anom Orthod 2010;13:218-222 Ó RODF / EDP Sciences Interview with Vincent KOKICH Conducted by and translated by Sophie ROZENCWEIG Dr. Kokich, it has always been
More informationHow predictable is orthognathic surgery?
European Journal of Orthodontics 26 (2004) 303 309 European Journal of Orthodontics vol. 26 no. 3 European Orthodontic Society 2004; all rights reserved. How predictable is orthognathic surgery? Charlotte
More informationUNIVERSITY OF LONDON THESIS
R E F E R E N C E O N L Y UNIVERSITY OF LONDON THESIS Degree p V v o Year ~7po!> Name of Author C ra q, F- C O P Y R IG H T This is a thesis accepted for a Higher Degree of the University of London. It
More informationMAHP Orthognathic Surgery Guidelines. Medical Policy Statement. Criteria
Introduction The word orthognathic comes from the Greek words for straighten and jaw. Orthognathic surgery is the surgical correction of abnormalities of the mandible and/or maxilla. 1 It involves the
More informationDental Research Journal
Dental Research Journal Case Report Binder s syndrome: Report of two cases Hitesh Vij 1, Puneet Batra 2, Partha Sadhu 3, Ruchieka Vij 1 1 Departments of Oral Pathology and Microbiology and 2 Orthodontics,
More informationOrthodontics-surgical combination therapy for Class III skeletal malocclusion
[Downloaded free from http://www.contempclindent.org on Tuesday, July 16, 2013, IP: 164.100.31.82] Click here to download free Android application for this jou Orthodontics-surgical combination therapy
More informationComparison between the external gonial angle in panoramic radiographs and lateral cephalograms of adult patients with Class I malocclusion
425 Journal of Oral Science, Vol. 51, No. 3, 425-429, 2009 Original Comparison between the external gonial angle in panoramic radiographs and lateral cephalograms of adult patients with Class I malocclusion
More informationComparison of Skeletal Changes between Female Adolescents and Adults with Hyperdivergent Class II Division 1 Malocclusion after Orthodontic Treatment
Comparison of Skeletal Changes between Female Adolescents and Adults with Hyperdivergent Class II Division 1 Malocclusion after Orthodontic Treatment Yun DING 1, Jian Hui ZHAO 2, Jin Rong DENG 1, Xiu Jing
More informationMaxillary Growth Control with High Pull Headgear- A Case Report
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 01 Ver. X January. (2018), PP 09-13 www.iosrjournals.org Maxillary Growth Control with High
More informationCase Report. Orthognathic Correction of Class II Open Bite. Using the Piezoelectric System and MatrixORTHOGNATHIC Plating System.
Case Report Orthognathic Correction of Class II Open Bite. Using the Piezoelectric System and MatrixORTHOGNATHIC Plating System. Orthognathic Correction of Class II Open Bite. Using the Piezoelectric System
More informationA correlation between a new angle (S-Gn-Go angle) with the facial height
A correlation between a new angle (S-Gn-Go angle) with the facial height Esraa S. Jassim B.D.S., M.Sc. (1) Marwan S. Al-Daggistany B.D.S., M.Sc. (1) Jinan E. Saloom B.D.S., M.Sc. (1) ABSTRACT Background:
More informationOrtho-surgical Management of Severe Vertical Dysplasia: A Case Report
Case Report Ortho-surgical Management of Severe Vertical Dysplasia: A Case Report 1 Vinni Arora, 2 Rekha Sharma, 3 Sachin Parashar 1 Senior Resident, 2 Professor and Head of Department, 3 Former Resident
More informationOrthognathic surgical norms for a sample of Saudi adults: Hard tissue measurements
The Saudi Dental Journal (2010) 22, 133 139 King Saud University The Saudi Dental Journal www.ksu.edu.sa www.sciencedirect.com ORIGINAL ARTICLE Orthognathic surgical norms for a sample of Saudi adults:
More informationJefferson Cephalometric Analysis--Face and Health Focused
Jefferson Cephalometric Analysis--Face and Health Focused Google: Jefferson Ceph Analysis Video Instruction for video instruction. Note: video instruction teaches how to find Center O. Center O is now
More informationMaxillary Advancement Surgery and Nasolabial Soft Tissue Changes
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 3 Ver. VIII (March. 2017), PP 23-29 www.iosrjournals.org Maxillary Advancement Surgery and
More informationEUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS
EUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS Dr. Masatoshi Sana Year: ESLO 01 RÉSUMÉ OF CASE 8 CASE CATEGORY: TRANS / VERTICAL DISCREPANCY NAME: Akiko T. BORN : 15/03/1973 SEX: F PRE-TREATMENT RECORDS: AGE:
More informationNon-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document.
ORTHOGNATHIC SURGERY Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices and drugs
More informationThe changes of soft tissue profile. skeletal class II patients with mandibular retrognathy treated with extraction of maxillary first premolars
The changes of soft tissue profile in skeletal class II patients with mandibular retrognathy (Hendri et al) The changes of soft tissue profile in skeletal class II patients with mandibular retrognathy
More informationOrthognathic surgery. Dr. Mohamed Rahil. ((Maxillofacial surgeon))
Orthognathic surgery Dr. Mohamed Rahil ((Maxillofacial surgeon)) Tikrit dentistry college 2015 2016 Orthognathic surgery is the art and science of diagnosis, and treatment of facial disproportion. These
More informationCase Report. Eduardo Yugo Suzuki a ; Masayo Watanabe b ; Boonsiva Buranastidporn c ; Yoshiyuki Baba d ; Kimie Ohyama e ; Masatoshi Ishii f
Case Report Simultaneous Maxillary Distraction Osteogenesis Using a Twin-Track Distraction Device Combined with Alveolar Bone Grafting in Cleft Patients: Preliminary Report of a Technique Eduardo Yugo
More informationTopic: Orthognathic Surgery Date of Origin: October 5, Section: Surgery Last Reviewed Date: December 2013
Medical Policy Manual Topic: Orthognathic Surgery Date of Origin: October 5, 2004 Section: Surgery Last Reviewed Date: December 2013 Policy No: 137 Effective Date: March 1, 2014 IMPORTANT REMINDER Medical
More informationMaxillary Protraction Effects on Anterior Crossbites
Original Article Maxillary Protraction Effects on Anterior Crossbites Repaired Unilateral Cleft Versus Noncleft Prepubertal Boys Haichao Jia a ; Weiran Li b ; Jiuxiang Lin b ABSTRACT Objective: To test
More informationEvaluation of maxillary protrusion malocclusion treatment effects with prosth-orthodontic method in old adults
Evaluation of maxillary protrusion malocclusion treatment effects with prosth-orthodontic method in old adults Peicheng Xu, DDS, MSD, a and Honghu Liu, DDS, PhD b a Shanghai Xuhui Dental Hospital and b
More informationMandibular Dysmorphology in Patients with Unilateral Cleft Lip and Cleft Palate
Original Article 502 Mandibular Dysmorphology in Patients with Unilateral Cleft Lip and Cleft Palate Lun-Jou Lo, MD; Fen-Hwa Wong 1, PhD; Yu-Ray Chen, MD; Ho-Fai Wong 2, MD Background: Conventional studies
More informationCopyright by 2018 Gaziantep University School of Medicine - Available online at
DOI: 10.5152/EurJTher.2018.743 Manuscript Type: Original Article Title: EFFECT OF VERTICAL GROWTH PATTERN ON MAXILLARY AND FRONTAL SINUS SIZE Authors: 1 Merve Göymen, 2 Güzin Bilgin, 1 Ayşegül Güleç Institutions:
More informationOF LINGUAL ORTHODONTICS
EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS CANDIDATE NUMBER: KDr. KP. kanarelis CASE NUMBER: 2 Year: 2010 WBLO 01 RESUME OF CASE 2 CASE CATEGORY: ADULT MALOCCLUSION NAME : MARIA A. BORN: 18.04.1983 SEX:
More informationBONE GRAFTING IN TREATMENT OF CLEFT LIP AND PALATE 337
PRIMARY BONE GRAFTING IN THE TREATMENT OF CLEFT LIP AND PALATE WITH SPECIAL REFERENCE TO ALVEOLAR COLLAPSE By FRANK ROBINSON, F.R.C.S., and BARRIE WOOD, L.D.S. Burns and Plastic Surgery Unit, Booth Hall
More informationIdentification of Cephalometric Landmarks in Unilateral Cleft Lip and Palate Patients: Are There Alternatives for Point A, ANS, and PNS?
Identification of Cephalometric Landmarks in Unilateral Cleft Lip and Palate Patients: Are There Alternatives for Point A, ANS, and PNS? Catharina A.M. Bongaarts, D.D.S., Martin A. van t Hof, Ph.D., Birte
More informationUNIVERSITY OF MEDICINE AND PHARMACY GR. T. POPA - IASI FACULTY OF DENTAL MEDICINE
UNIVERSITY OF MEDICINE AND PHARMACY GR. T. POPA - IASI FACULTY OF DENTAL MEDICINE ABSTRACT CONTRIBUTIONS OF THREE-DIMENSIONAL IMAGING TO THE DIAGNOSIS AND MANAGEMENT OF CLEFT LIP AND PALATE PhD ADVISOR,
More informationSURGICAL - ORTHODONTIC TREATMENT OF CLASS II DIVISION 1 MALOCCLUSION IN AN ADULT PATIENT: A CASE REPORT
Case Report International Journal of Dental and Health Sciences Volume 02, Issue 02 SURGICAL - ORTHODONTIC TREATMENT OF CLASS II DIVISION 1 MALOCCLUSION IN AN ADULT PATIENT: A CASE REPORT Amit Dahiya 1,Minakshi
More informationJ of Evolution of Med and Dent Sci/ eissn , pissn / Vol.4/ Issue 47/ June 11, 2015 Page 8176
CORRECTION OF ALVEOLAR ARCH MALALIGNMENT AFTER TOTAL CORRECTION IN UNILATERAL AND BILATERAL GR III CLEFTS T. Mohana Rao 1, D. Mukunda Reddy 2, R. Srikanth 3, N. Rambabu 4, R. Parvathi 5 HOWTOCITETHISARTICLE:
More informationEUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS
EUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS CANDIDATE NUMBER : 13 Dr. Masatoshi Sana CASE NUMBER : Year : ESLO 01 RÉSUMÉ OF CASE 2 CASE CATEGORY: CLASS I MALOCCLUSION NAME: BORN: SEX: Yukari K. 08/03/1979
More informationQuantitation of transverse maxillary dimensions using computed tomography: a methodological and reproducibility study
European Journal of Orthodontics 26 (2004) 209 215 European Journal of Orthodontics vol. 26 no. 2 European Orthodontic Society 2004; all rights reserved. Quantitation of transverse maxillary dimensions
More informationFigure 1. Basic anatomy of the palate
CHAPTER 10 CLEFT LIP AND PALATE Chen Yan, MD and Sanjay Naran, MD I. ANATOMY AND DEFINITIONS A. Cleft Lip (CL) alone, Cleft Lip with Cleft Palate (CLP), and Cleft Palate (CP) alone 1. CL alone and CLP
More informationEvaluation of Correlation between Wits Appraisal and a New Method for Assessment of Sagittal Relationship of Jaws
Original Article Evaluation of Correlation between Wits Appraisal and a New Method for Assessment of Sagittal Relationship of Jaws Z. Hedayati 1, S. Heidari 2, F. Khaje 3 1 Orthodontic Research Center,
More informationComparison of craniofacial characteristics of typical Chinese and Caucasian young adults
European Journal of Orthodontics 33 (2011) 205 211 doi:10.1093/ejo/cjq054 Advance Access Publication 13 August 2010 The Author 2010. Published by Oxford University Press on behalf of the European Orthodontic
More informationEUROPEAN SOCIETY OF LINGUAL ORTHODONTICS
EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS KANARELIS PANAGIOTIS (TAKIS) CASE NUMBER: 1 Year: 2012 WBLO 1 RÉSUMÉ OF CASE 1 CASE CATEGORY: ADULT MALOCCLUSION NAME:
More informationDefinition and History of Orthodontics
In the name of GOD Definition and History of Orthodontics Presented by: Dr Somayeh Heidari Orthodontist Reference: Contemporary Orthodontics Chapter 1 William R. Proffit, Henry W. Fields, David M.Sarver.
More informationCase Report: Long-Term Outcome of Class II Division 1 Malocclusion Treated with Rapid Palatal Expansion and Cervical Traction
Case Report Case Report: Long-Term Outcome of Class II Division 1 Malocclusion Treated with Rapid Palatal Expansion and Cervical Traction Roberto M. A. Lima, DDS a ; Anna Leticia Lima, DDS b Abstract:
More informationCephalometric Characteristics of Bangladeshi adults with Class II Malocclusion
Abstract International Research Journal of Medical Sciences ISSN 2320 7353 Cephalometric Characteristics of Bangladeshi adults with Class II Malocclusion Mohammad Khursheed Alam, Shifat A Nowrin, Fazal
More informationThe Position of Anatomical Porion in Different Skeletal Relationships. Tarek. EL-Bialy* Ali. H. Hassan**
The Position of Anatomical Porion in Different Skeletal Relationships Tarek. EL-Bialy* Ali. H. Hassan** Abstract Previous research has shown that the position of glenoid fossa differs in different skeletal
More informationChapter 2. Material and methods
Chapter 2 Material and methods Material and methods Summary This chapter describes the subjects and methods being used in this study. Between 1986 and 1997 9 expeditions were undertaken in remote areas
More informationCairo Dental Journal (24) Number (I), 77:84 January, Haitham Sayed Attia 3, Mohamed Saied Hamed 1 and Monteser El Koutobey 2
Cairo Dental Journal (24) Number (I), 77:84 January, 2008 Anthropometric Analysis of cases of Unilateral Cleft Lip Versus cases of Complete Unilateral Cleft Lip and Palate Haitham Sayed Attia 3, Mohamed
More informationStudy models of 5 year old children as predictors of surgical outcome in unilateral cleft lip and palate
European Journal of Orthodontics 19 (1997) 165-170 1997 European Orthodontic Society Study models of 5 year old children as predictors of surgical outcome in unilateral cleft lip and palate Nikki Atack,
More informationAnterior Face Height Values in a Nigerian Population
Original Article Anterior Face Height Values in a Nigerian Population Folaranmi N, Isiekwe M 1 Departments of Child Dental Health, University of Nigeria Teaching Hospital, Enugu, 1 Lagos University Teaching
More informationProfessor, Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital,
Dr. Ellen Wen-Ching Ko, DDS, MS Professor, Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan Professor, Graduate Institute of Craniofacial and Dental Science, Chang
More informationUnilateral Cleft Lip Repair by using White-skin-roll Flap from Cleft Side of Lip
Unilateral Cleft Lip Repair by using White-skin-roll Flap from Cleft Side of Lip Background: With all due consideration to the restoration of function, post-operative aesthetic appearance of the cleft
More informationAssessment of Dentoalveolar Compensation in Subjects with Vertical Skeletal Dysplasia: A Retrospective Cephalometric Study
10.5005/jp-journals-10021-1169 ORIGINAL ARTICLE JIOS Assessment of Dentoalveolar Compensation in Subjects with Vertical Skeletal Dysplasia: A Retrospective Cephalometric Study 1 Bhumi Narendra Modi, 2
More informationEUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS
EUROPEAN SOCIETY OF LINGUAL ORTHODONTISTS CANDIDATE NUMBER: 44 CASE NUMBER: 1 Year: ESLO 01 RÉSUMÉ OF CASE 1 CASE CATEGORY: ADULT MALOCCLUSION NAME: K.N BORN: 03/03/1980 SEX: Male PRE-TREATMENT RECORDS:
More informationComparison of Facial Morphology in Two Populations With Complete Unilateral Cleft Lip and Palate From Two Different Centers
Comparison of Facial Morphology in Two Populations With Complete Unilateral Cleft Lip and Palate From Two Different Centers John Daskalogiannakis, D.D.S., M.Sc., F.R.C.D.(C.), Gabriëlle E.H.M. Dijkman,
More informationCleft lip and palate (CLP) is the most frequent
CASE REPORT Ideal treatment protocol for cleft lip and palate patient from mixed to permanent dentition Roberto Rocha, a Daltro Eneas Ritter, b Arno Locks, a Leonardo Koerich de Paula, c and Regis Meller
More informationNon-surgical management of skeletal malocclusions: An assessment of 100 cases
Non-surgical management of skeletal malocclusions: An assessment of 100 cases In early 1970 s reduced risks associated with surgical procedures allowed the treatment planning process for skeletal malocclusions
More informationCephalometric Assessment of Sagittal Relationship Between Maxilla and Mandible among Egyptian Children
Australian Journal of Basic and Applied Sciences, 3(2): 706-712, 2009 ISSN 1991-8178 Cephalometric Assessment of Sagittal Relationship Between Maxilla and Mandible among Egyptian Children 1 1 2 Nadia L.
More informationPREDICTING LOWER LIP AND CHIN RESPONSE TO MANDIBULAR ADVANCEMENT WITH GENIOPLASTY A CEPHALOMETRIC STUDY
PREDICTING LOWER LIP AND CHIN RESPONSE TO MANDIBULAR ADVANCEMENT WITH GENIOPLASTY A CEPHALOMETRIC STUDY Dr. Deepthi T. Amanna Authors : Dr. Deepthi T. Amanna Assistant Professor Dr. E.T. Roy Professor
More informationEUROPEAN BOARD OF ORTHODONTISTS APPENDIX 1 CASE PRESENTATION 2005
EUROPEAN BOARD OF ORTHODONTISTS APPENDIX 1 CASE PRESENTATION 2005 This appendix contains all the pre-printed forms to produce the 8 case presentations. EUROPEAN BOARD OF ORTHODONTISTS CASE NUMBER: 2005
More informationAnkylosed primary teeth with no permanent successors: What do you do? -- Part 1
Ankylosed primary teeth with no permanent successors: What do you do? -- Part 1 March 3, 2015 By David M. Sarver, DMD, MS The clinical problem You have a seven-year-old patient who comes to your office
More informationDeveloping Facial Symmetry Using an Intraoral Device: A Case Report
Developing Facial Symmetry Using an Intraoral Device: A Case Report by Theodore R. Belfor, D.D.S.; and G. Dave Singh, D.D.Sc., Ph.D., B.D.S. Dr. Theodore Belfor graduated from New York University College
More informationEffects of camouflage treatment on dentofacial structures in Class II division 1 mandibular retrognathic patients
European Journal of Orthodontics 27 (2005) 524 531 doi:10.1093/ejo/cji046 Advance Access publication 27 July 2005 The Author 2005. Published by Oxford University Press on behalf of the European Orthodontics
More informationAESTHETIC ORTHOGNATHIC SURGERY
c0435 ESTHETIC ORTHOGNTHIC SURGERY Stephen. aker, MD, DDS, and Harvey Rosen, MD, DMD CHPTER 87 s0010 p0010 s0020 p0015 s0025 p0020 s0030 p0025 s0035 p0030 s0040 p0035 s0045 p0040 1. What is orthognathic
More informationAre We Similar to Caucasians Orthognathic Surgery for North Indians
International Journal of Dental Sciences and Research, 2014, Vol. 2, No. 4, 80-86 Available online at http://pubs.sciepub.com/ijdsr/2/4/3 Science and Education Publishing DOI:10.12691/ijdsr-2-4-3 Are We
More informationInterrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report
www.scielo.br/jaos http://dx.doi.org/10.1590/1678-775720140371 Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report José
More informationKJLO. A Sequential Approach for an Asymmetric Extraction Case in. Lingual Orthodontics. Case Report INTRODUCTION DIAGNOSIS
KJLO Korean Journal of Lingual Orthodontics Case Report A Sequential Approach for an Asymmetric Extraction Case in Lingual Orthodontics Ji-Sung Jang 1, Kee-Joon Lee 2 1 Dream Orthodontic Clinic, Gimhae,
More informationDoes a correlation exist between nasal airway volume and craniofacial morphology: A cone beam computed tomography study
Original Research Does a correlation exist between nasal airway volume and craniofacial morphology: A cone beam computed tomography study Jeenal V Gupta, Makhija PG, Gupta KC 1 Departments of Orthodontics
More information