A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft).

@article{Prahl2001ARP,
  title={A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft).},
  author={Charlotte Prahl and Anne Marie Kuijpers-Jagtman and Martin A. van’t Hof and Birte Prahl-Andersen},
  journal={European journal of oral sciences},
  year={2001},
  volume={109 5},
  pages={
          297-305
        }
}
Aim of the study was to evaluate the effect of infant orthopaedics (IO) on maxillary dimensions in infants with unilateral cleft lip and palate (UCLP). The study design was a prospective two-arm randomised controlled trial in parallel with three participating academic Cleft Palate Centres. Treatment was assigned by means of a computerised balanced allocation method. One group (IO+) wore passive maxillary plates during the first year of life, the other group (IO-) did not. Maxillary casts, made… Expand
A randomized prospective clinical trial of the effect of infant orthopedics in unilateral cleft lip and palate: prevention of collapse of the alveolar segments (Dutchcleft).
TLDR
Infant orthopedics does not prevent collapse and can be abandoned as a tool to improve maxillary arch form. Expand
A Randomized Prospective Clinical Trial of the Effect of Infant Orthopedics in Unilateral Cleft Lip and Palate: Prevention of Collapse of the Alveolar Segments (Dutchcleft)
Objective: To study the effect of infant orthopedics (IO) on maxillary arch form and position of the alveolar segments. Design: Prospective two-arm randomized, controlled trial in parallel with threeExpand
Infant Orthopedics Has No Effect on Maxillary Arch Dimensions in the Deciduous Dentition of Children with Complete Unilateral Cleft Lip and Palate (Dutchcleft)
TLDR
Considering the Dutchcleft results to date, there is no need to perform infant Orthopedics for unilateral cleft lip and palate patients, and infant orthopedics had no observable effect on the maxillary arch dimensions or on the contact and collapse scores in the deciduous dentition at the ages of 4 and 6 years. Expand
The Effect of Infant Orthopedics on the Occlusion of the Deciduous Dentition in Children with Complete Unilateral Cleft Lip and Palate (Dutchcleft)
TLDR
Considering the occlusion only, there is no need to perform IO in children with unilateral cleft lip and palate, and there were no significant differences found for the 5-year-old index; the Huddart-score; and overjet, overbite, and sagittal occlusions. Expand
Erratum to: Transverse dental arch relationship at 9 and 12 years in children with unilateral cleft lip and palate treated with infant orthopedics: a randomized clinical trial (DUTCHCLEFT)
TLDR
Transverse dental arch relationships at 9 and 12 years of age do not differ between children with UCLP treated with or without infant orthopedics, and there is no orthodontic need to perform IO as applied in this study in children withUCLP. Expand
Transverse dental arch relationship at 9 and 12 years in children with unilateral cleft lip and palate treated with infant orthopedics: a randomized clinical trial (DUTCHCLEFT)
TLDR
Transverse dental arch relationships at 9 and 12 years of age do not differ between children with UCLP treated with or without infant orthopedics, and there is no orthodontic need to perform IO as applied in this study in children withUCLP. Expand
Infant Orthopedics and Facial Growth in Complete Unilateral Cleft Lip and Palate until Six Years of Age (Dutchcleft)
TLDR
For infants with UCLP whose surgical management included soft palate repair at 12 months and delayed hard palate closure, cephalometric outcomes at ages 4 and 6 provide no indication for the type of IO used in this study. Expand
Comparison of two treatment protocols in children with unilateral complete cleft lip and palate: Tridimensional evaluation of the maxillary dental arch.
  • P. K. Jorge, W. Gnoinski, +6 authors T. Oliveira
  • Medicine
  • Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
  • 2016
TLDR
The results reported here suggest that the use of infant orthopedic plate as applied in protocol 1 may favor correct arch form establishment in infants with unilateral complete cleft lip and palate. Expand
Maxillary Growth in Cleft Lip and Palate Patients, With and Without Vomerine Flap Closure of the Hard Palate at the Time of Lip Repair
TLDR
The results of this study support the statement that VF repair does not significantly affect maxillary growth in patients with a UCLP, when assessed cephalometrically at 10 years of age. Expand
Infant Orthopedics and Facial Appearance: A Randomized Clinical Trial (Dutchcleft)
TLDR
Infant orthopedics have no effect on facial appearance in a Prospective two-arm randomized controlled trial in parallel with three participating academic cleft palate centers. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 22 REFERENCES
Early Orthopaedic Treatment of Unilateral Cleft Lip and Palate
  • W. Shaw
  • Medicine
  • British journal of orthodontics
  • 1978
TLDR
Serial frontal and lateral cephalometric radiographs with implants and study models of 31 infants' who received orthopaedic treatment for unilateral cleft lip and palate, were analysed and it is clear that in the early months of life, the divided maxillary arch can be made to assume near normal dimensions by inward rotation of the anterior ends of the segments. Expand
Effects of early maxillary orthopaedics in coordination with delayed surgery for cleft lip and palate.
TLDR
In spite of a wide variation of arch size and width at birth, normalization of arch form occurs within the first one and a half years of life, due to the considerable growth rate, which is similar to that in normals. Expand
Three-dimensional comparison between the palatal forms in complete unilateral cleft lip and palate with and without Hotz plate from cheiloplasty to palatoplasty.
TLDR
The palatal forms in 20 infants with a complete unilateral cleft lip, and palate were studied from birth until 18 months of age and suggest that the appliance could stimulate the growth of the segments and prevent collapse of the maxillary arch from the force of lip closure. Expand
Changes produced by presurgical orthopedic treatment before cheiloplasty in cleft lip and palate patients.
  • V. Koželj
  • Medicine
  • The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 1999
TLDR
The morphological characteristics of the upper part of the mouth change if the functional conditions in the oral cavity are changed, and Infants with presurgical orthopedics become more similar to noncleft contemporaries than those without presurgical Orthopedics. Expand
Prelexical development of unilateral cleft lip and palate babies with reference to presurgical infant orthopaedics: a randomized prospective clinical trial
Presurgical infant orthopaedics (PIO) is widely used to treat children with clefts. However, consensus on the relevance of this treatment is lacking. A prospective clinical trial is under way toExpand
Short-term cost-effectiveness analysis of presurgical orthopedic treatment in children with complete unilateral cleft lip and palate.
TLDR
The combination of a clinical trial and an economic evaluation makes it possible to relate effects to costs involved in treatment alternatives to determine the cost-effectiveness of presurgical orthopedic treatment (PSOT). Expand
Transverse maxillary arch changes with the use of preoperative orthopedics in unilateral cleft palate infants.
  • J. Ball, D. Dibiase, B. Sommerlad
  • Medicine
  • The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 1995
TLDR
Preoperative orthopedics may have helped changes in arch width and cleft width during infants' maxillary arches at birth by removing the effects of the tongue action and allowing unrestricted growth of the palatal shelves. Expand
Palatal changes after lip surgery in different types of cleft lip and palate.
TLDR
The results showed that lip closure has a strong effect in the anterior alveolar region, but this effect was restricted to 3 months after surgery and changes in complete clefts were more explicit than in incomplete cleft forms. Expand
Presurgical orthopedics in the surgical management of unilateral cleft lip and palate.
TLDR
Although it is now generally accepted that presurgical orthopedic treatment does not give significant orthodontic benefits, there are still numerous opinions indicating that pres surgical orthopedics does facilitate primary reconstructive surgery for cleft lip and palate. Expand
A six-center international study of treatment outcome in patients with clefts of the lip and palate: Part 1. Principles and study design.
  • W. Shaw, C. Asher-Mcdade, +7 authors R. The
  • Medicine
  • The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 1992
TLDR
The design of an intercenter comparative study of treatment outcome in the treatment of children with a unilateral complete cleft of the lip and palate is described and treatment schemes of the participating centers are described. Expand
...
1
2
3
...