Factors influencing maxillary dental arch development in children after Sommerlad-Furlow palatoplasty.
10.7518/hxkq.2024.2024094
- Author:
Jue WANG
1
;
Yuanyuan LI
1
;
Ming WU
1
;
Bing SHI
1
;
Qian ZHENG
1
;
Renkai LIU
2
;
Chenghao LI
1
Author Information
1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
2. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
- Publication Type:Journal Article
- Keywords:
Sommerlad-Furlow palatoplasty;
cleft palate;
maxillary arch;
nasopharyngeal incision
- MeSH:
Humans;
Child, Preschool;
Male;
Cleft Palate/surgery*;
Female;
Child;
Infant;
Dental Arch/growth & development*;
Maxilla/growth & development*;
Cleft Lip/surgery*;
Age Factors;
Sex Factors;
Palate/surgery*;
Infant, Newborn
- From:
West China Journal of Stomatology
2025;43(2):197-203
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:This study aims to investigate factors influencing dental arch development in patients aged 0-6 years with cleft palate after Sommerlad-Furlow (SF) palatoplasty.
METHODS:A total of 183 patients who underwent primary SF repair for cleft lip and palate before 18 months of age were included. Follow-ups were conducted at different ages, and digital dental casts of the maxillary dental arch were obtained using 3-matic Research 12.0 software. The length and width of the dental arch and palate were measured to explore developmental changes in the maxillary dental arch of the patients after the procedure. The study also investigated the influence of gender, age, cleft palate type, and relaxation incision on maxillary dental arch development.
RESULTS:After SF, maxillary dental arch measurements showed statistically significant differences between children aged 0-2 years and those aged 3-6 years (P<0.05). However, no statistically significant differences were observed among different age groups within the 3-6 years range. Statistically significant differences were detected between males and females, with males having greater width of the posterior dental arch and palate (P=0.001) and shorter length of the anterior dental arch and entire dental arch (P<0.05). The unilateral cleft lip and palate group had shorter dental arch length (P<0.01) and wider posterior palate (P<0.01) than the cleft palate only group. Maxillary dental arch measurements had no statistically significant differences between groups with or without a relaxing incision.
CONCLUSIONS:Gender and age influence the width of the maxillary dental arch in children aged 0-6 years after SF, while age and cleft palate type affect dental arch length.
