The Eurocleft Study: Intercenter Study of Treatment Outcome in Patients with Complete Cleft Lip and Palate. Part 3: Dental Arch Relationships

Mølsted, Kirsten; Brattström, Viveca; Prahl-Andersen, Birte; Shaw, William C.; Semb, Gunvor

doi:10.1597/02-119.3.1

Cited by 139 publications

(120 citation statements)

References 14 publications

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“…When searching the literature it was seen that the results of the intercenter studies were in accordance with the RCTs. The centers that practice PSIO did not show demonstrable advantages in terms of the facial growth and the occlusion in patients with UCLP treated with different types of PSIO appliances (Ross, 1987;Mars et al, 1992;Mølsted et al, 1992;Brattströ m et al, 2005;Mølsted et al, 2005). Although specific causal factors cannot be identified with this type of study and it does not give strong evidence regarding the relationships of the treatment outcomes and the use of PSIO, the results should be taken into consideration.…”

Section: Facial Growth Maxillary Arch and Occlusionmentioning

confidence: 92%

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

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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.

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Section: Facial Growth Maxillary Arch and Occlusionmentioning

confidence: 92%

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

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“…What is more, maxilla protrusion of these patients was favorably compared with three best European centers defined with letters A, B and E [9] ( Table 1). …”

Section: Evaluation Of Treatment Results In Unilateral Cleftsmentioning

confidence: 92%

“…The appearance which did not call the attention of the society, comprehensible speech, acceptable maxillary protrusion (SNA>75) as well as 3 highest degrees in dental model analysis according to GOSLON method were regarded as satisfactory outcomes [9].…”

Section: Evaluation Of Treatment Results In Unilateral Cleftsmentioning

confidence: 99%

“…In UCLP patients treated with the use of extended vomer flaps, maxilla protrusion were favorably compared with three the best European centers [9], and their speech was better in comparison with the group of patients operated on according to Veau technique [5]. An evaluation was performed at the earliest in 18 year old patients, so it should be regarded as a final outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Orthodontic measurements might serve as an exception [9]. However, numerous factors affecting treatment results preclude general evaluation of applied procedures.…”

Section: Introductionmentioning

confidence: 99%

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