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Órgano Ofical de la Facultad de Estomatología de la Benemérita Universidad Autónoma de Puebla
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2016, Number 54

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Oral 2016; 17 (54)

Factors involved in maxillary growth in patients with unilateral cleft palate cleft lip and palate of six to 18 years who attend the orthodontic service of the Hospital para el Niño Poblano

Álvarez CEV, Ochoa CS, San Martín BW, Gutierrez BM, Salazar CMÁ
Full text How to cite this article

Language: Spanish
References: 7
Page: 1364-1369
PDF size: 178.65 Kb.


Key words:

cleft lip cleft palate, maxillary growth, scar tissue.

ABSTRACT

Introduction. Cleft lip alveolus palate (CLAP) is the most frequent congenital malformation of head and neck. The incidence range is one per 700 births. Alterations in development by CLAP cause different changes in the lip, alveolar ridge and palate, affecting soft and hard tissue. Inhibition of growth and development of the facial level in children with FLAP is a well-known and discussed topic. Objective. Identify the factors involved in maxillary growth in patients with unilateral cleft lip alveolus palate in children six to 18 yearsold who were attended on the orthodontic service of the HNP. Materials and methods. It was an observational, descriptive, retrospective study, with a transverse design, with a sample of 92 files, carrying out photographic analysis in an observational radiographic way, Steiner 's analysis, taken the angles SNA, SNB, ANB and t student analysis. The analyzed variables were compared with those of the cephalometric analysis. Results. Prevalence was found larger in male gender, with a mean of eigth years. Observationally, the photographic analysis was performed with relevant results were found in the anterior crossbite (ACB) 94.50 %, labial scar tissue 68.74 %, maxillary collapse 65.20 %. We performed the Steiner analysis, with the t student, SNA-SNB, all analyzed with the radiographic results found that the factors involved in maxillary growth were palatine scar tissue, maxillary collapse and scarring labial tissue. Conclusion. The knowledge of the existence of factors involved in the maxillary growth of patients with CLAP, allow us to avoid the presence of these alterations by means of care protocols.


REFERENCES

  1. Navas M.C. Crecimiento maxilar según severidad de hendidura labial, alveolar y palatina unilateral, Cirugía Plástica Ibero-Latinoamericana, 2012; 38 (4).

  2. Rodríguez MT, Labio y paladar fisurado, Aspectos generales que se deben conocer en la atención primaria de salud, Rev Cubana Med Gen Integr 2001; 17 (4):379-85.

  3. Hernández MN, Guerra ME, Prevalencia de hendidura de labio y/ o palatinas en los pacientes que acudieron al centro de investigación y atención a pacientes con malformaciones craneofaciales y prótesis maxilofacial durante el año 2000-2012, Acta Odontológica Venezolana, 2013; 51 (3).

  4. Daskalogiannakis J, Dijkman G, Kujipers A, Ross B, Comparison of Facial Morphology in Two Populations With CompleteUnilateral Cleft Lip and Palate From Two Different Centers, Cleft Palate– Craniofacial Journal, 2006: 43 (4): 471-476.

  5. Suarez MF, Labio y paladar hendido, abordaje multidisciplinario, An Med Asoc Med Hosp ABC, 1995; 40(3):103-105

  6. Hernández, Ma., Características postquirurtgicas dento-bucomaxilo- faciales de niños con hendidura de labio y paladar, Acta odontológica venezolana, 2014; 52: (2).

  7. Bichara LM, Araújo RC, Flores-Mir C, Normando D, Impact of primary palatoplasty on the maxilla mandibular sagittal relationship in patients with unilateral cleft lip and palate: a systematic review and meta-analysis, Int. J. Oral Maxillofac. 2015; 44 (1): 50-56.




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Oral. 2016;17