The Effects of Gingivoperiosteoplasty following Alveolar Molding with a Pin-Retained Latham Appliance versus Secondary Bone Grafting on Midfacial Growth in Patients with Unilateral Clefts

Matic, Damir B.; Power, Stephanie

doi:10.1097/prs.0b013e3181811a6d

Cited by 48 publications

(34 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Specifically, active appliances (Latham) and NAM appliances have their own surgical techniques with gingivoperiosteoplasty (GPP) in treatment protocols. There are contradictory results of GPP on facial growth in the literature (Henkel, 1997;Wood et al, 1997;Santiago et al, 1998;Lee et al, 2004;Grisius et al, 2006;Matic et al, 2008;Power et al, 2009). Thus, in the CCTs comparing the effects of PSIO within different surgical techniques, it is not easy to differentiate whether the positive or negative results are due to the PSIO or to the surgical technique.…”

Section: Discussionmentioning

confidence: 95%

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Uzel¹,

Alparslan

2011

The Cleft Palate Craniofacial Journal

112

View full text Add to dashboard Cite

Objective: This study aimed to assess the scientific evidence on the efficiency of presurgical infant orthopedic appliances in patients with cleft lip and palate to shed light on a specific, contemporary discussion of whether the appliances have long-term advantages with respect to treatment outcomes.Design: A systematic review. Methods: Two literature surveys from the five electronic databases were performed with a 1-month interval. Randomized controlled trials and controlled clinical trials (controls had no presurgical infant orthopedics) that had followup periods of a minimum of 6 years were included in the study. The exceptions to the follow-up limit were studies related to feeding and parent satisfaction.Results: Of the 319 articles retrieved in the literature surveys, 12 were qualified for the final analysis. The level of evidence of these articles ranged from 1b to 4. Eight randomized controlled trials and four controlled clinical trials were available on eight treatment outcomes. The longest follow-up period of the randomized controlled trials was 6 years. No randomized controlled trials were found on active presurgical infant orthopedic appliances and on nasoalveolar molding appliances.Conclusions: Based on the results, presurgical infant orthopedic appliances have no long-term positive effects on seven of the eight studied treatment outcomes in patients with cleft lip and palate. More randomized controlled trials need to be done to have evidence regarding the effects of presurgical infant orthopedics in different surgical protocols. Also, the encouraging results about the effect of nasolaveolar molding appliances on nasal symmetry have to be supported by future randomized controlled trials.

show abstract

Section: Discussionmentioning

confidence: 95%

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Uzel¹,

Alparslan

2011

The Cleft Palate Craniofacial Journal

112

View full text Add to dashboard Cite

show abstract

“…Many studies have reported that in patients who underwent GPP performed during primary lip closure, the maxillary growth was more restricted compared to the non-GPP patients (14)(15)(16). Contrary to the claims, the Millard-type GPP has been shown to not have an effect on the long-term maxillary growth (17).…”

Section: Gingivoperiosteoplastymentioning

confidence: 73%

Presurgical Nasoalveolar Molding of Bilateral Cleft Lip and Palate Infants: An Orthodontist’s Point of View

Altuğ¹

2017

Turk J Orthod

View full text Add to dashboard Cite

Nonsyndromic complete cleft lip and palate deformity is primarily functional, then esthetic, and finally but not least importantly, a dental challenge. Feeding and facial appearance are important during the first years of a newborn. Nutrition is universally provided by passive feeding plates. If the Cleft Team prefers to use active plates, alveolar molding combined with nasal approaches in infants is the best method to improve esthetics to date. Orthodontists are predominantly responsible for achieving both the goals. After those difficulties have been met in early days of the life, dentists are mainly responsible for the treatment thereafter. If the infants have a dentoalveolar unity without any fistulas and correctly aligned maxillary deciduous teeth, this is a real success. Therefore, this article is an overview of presurgical infant orthopedics and its contribution to subsequent dental practice.

show abstract

“…Primary Millard's GPP was also associated with poor dental arch relationship. Although a number of studies have addressed the issue of Millard's GPP predisposition to poor maxillary growth, no clear conclusion has been reached as all the GPP patients also had active PSO [13][14][15][16][17]. Similarly, all the nonGPP patients did not have PSO.…”

Section: Discussionmentioning

confidence: 83%

“…One group found no difference in maxillary growth following GPP [11,12]. In contrast, others found poor maxillary growth in patients who had GPP [13][14][15][16][17]. However, it is impossible to clarify whether the growth disturbance was attributable to the active PSO or Millard's GPP.…”

Section: Introductionmentioning

confidence: 77%

Predictors of poor dental arch relationship in young children with unilateral cleft lip and palate

2011

View full text Add to dashboard Cite

The aim of this cross-sectional outcome study using retrospective data capture of treatment histories was to examine the characteristics of young children with unilateral cleft lip and palate who had poor dental arch relationship (i.e., Goslon 5). The study sample comprised 120 children born with nonsyndromic complete unilateral cleft lip and palate between 1995 and 2003, and were aged between 5.0 and 7.0 years (mean age, 5.1 years) at the time of data collection. The dental arch relationship was assessed using the Goslon yardstick from intraoral dental photographs. An independent investigator recorded treatment histories from the clinical notes. The inter- and intraexaminer agreements evaluated by weighted kappa statistics were high. There was no association between dental arch relationship and the type of presurgical orthopedics or pharyngeal flap. Dental arch relationship was associated with the initial cleft size (odds ratio, OR = 1.3; 95% confidence interval, CI = 1.1-1.5, p < 0.01), surgeon grade for palate repair (OR = 5.0, 95% CI = 1.2-19.9, p < 0.05), and primary gingivoperiosteoplasty (OR = 2.8, 95% CI = 1.0-8.1, p = 0.05). These data suggest that intraoral dental photographs provide a reliable method for rating dental arch relationship. Wide initial cleft, high-volume surgeon, and primary gingivoperiosteoplasty are predictors of poor dental arch relationship outcome in young children with unilateral cleft lip and palate. These findings may improve treatment outcome by modifying the treatment protocol for patients with unilateral cleft lip and palate.

show abstract

The Effects of Gingivoperiosteoplasty following Alveolar Molding with a Pin-Retained Latham Appliance versus Secondary Bone Grafting on Midfacial Growth in Patients with Unilateral Clefts

Cited by 48 publications

References 30 publications

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Presurgical Nasoalveolar Molding of Bilateral Cleft Lip and Palate Infants: An Orthodontist’s Point of View

Predictors of poor dental arch relationship in young children with unilateral cleft lip and palate

Contact Info

Product

Resources

About