Secondary Care of Cleft Lip and Palate: Analysis of Dentofacial Orthopedic and Orthognathic Treatments

Ferri, Joël; Schlund, Matthias; Nicot, Romain; Lauwers, Ludovic; Nazat, D; Touzet-Roumazeille, Sandrine

doi:10.1097/scs.0000000000007398

Cited by 2 publications

(1 citation statement)

References 53 publications

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“…The maxillary arch tends to show a post-therapeutic reduction of its transversal and sagittal dimensions [ 6 , 15 ]. Palatal scar tissue probably compromises stability in patients with CLP [ 16 ]. In patients with unilateral CLP, Sumardi et al identified the following factors for a long-term relapse: age at the end of treatment, gap closure in agenesis of the lateral incisor and occlusion at the end of treatment [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors for long-term relapse of orthodontic treatment in patients with cleft lip and palate. A clinical follow-up study

Achterrath,

Graf,

Guevara

et al. 2024

Clin Oral Invest

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Objectives To identify predictors for long-term relapse of orthodontic therapy in patients with cleft lip and palate (CLP). Materials and methods Patients with uni- and bilateral non-syndromal CLP were followed up at least two years after completion of their orthodontic therapy. Plaster casts of the start of treatment (T1), after completion of treatment (T2), and at follow-up (T3) were measured using the modified Huddart Bodenham Index. Characteristics of multidisciplinary therapy were taken from the patient files. Potentially influencing factors of relapse were investigated using logistic regression analyses and Spearman correlations. Results In total 58.07% of the included 31 patients showed a stable treatment outcome at follow-up after an average of 6.9 years. Even if relapse occurred, 61.54% of these patients still showed improvement regarding their occlusion compared to baseline. Predictors for the occurrence of relapse were the severity of dysgnathia at baseline (p = 0.039) and the extent of therapeutic change (p = 0.041). The extent of therapeutic change was additionally a predictor for the extent of post-therapeutic relapse (ρ = 0.425; p = 0.019). Conclusions Patients with CLP benefit from their orthodontic therapy in the long term despite an increased tendency to relapse. Clinical relevance Results of this long-term study could be used to adapt the treatment concept for patients with CLP and reinforce the significance of a patient-centered orthodontic treatment concept for affected patients.

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