:: Volume 2, Issue 3 (Journal of Research in Dental & Maxillofacial Sciences summer 2017) ::
J Res Dentomaxillofac Sci 2017, 2(3): 36-42 Back to browse issues page
Effects of Tongue Plate on the Nasomaxillary Complex of Patients with Unilateral Cleft Lip and Cleft Palate
S Eslami1, R Showkatbakhsh2, M Narimani3, Z Kamalee4, A Jamilian *5
1- Postgraduate Student, Orthodontics Dept,Dental Branch of Tehran, Islamic Azad University, Tehran, Iran., Islamic Azad University, Tehran, Iran.
2- Professor, Orthodontics Dept,Dentistry Faculty,Shahid Beheshti University of Medical Sciences, Tehran, Iran, Shahid Beheshti and medical sciences
3- Associate Professor, Orthodontics Dept, Member of Craniomaxillofacial Research Center, Dental Branch of Tehran, Islamic Azad University, Tehran, Iran., Islamic Azad University, Tehran, Iran
4- MSc National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Shahid Beheshti University of Medical Sciences
5- Professor, Fellow of Orthognathic Surgery, Orthodontics Dept, Member of Craniomaxillofacial Research Center, Dental Branch of Tehran, Islamic Azad University, Tehran, Iran. , info@jamilian.net
Abstract:   (2051 Views)

Background and aim: Cleft lip and cleft palate are among the most common orofacial abnormalities. Patients with these deformities commonly present with midface deficiency and need challenging treatment modalities that focus on improving the position of the maxilla. Tongue plate appliance is an intraoral device that has shown promising results in the treatment of growing patients with maxillary deficiency. Nonetheless, the effects of tongue plate on patients with cleft lip and cleft palate have not been evaluated yet. This study aimed to assess the effects of tongue plate on growing patients with cleft lip and palate.
Materials and methods: Twenty-four growing patients (12 girls and 12 boys) with non-syndromic unilateral cleft lip and cleft palate between the ages of 6-12 years volunteered to participate in this quasi-experiment. All the patients had undergone the preliminary stages of lip and palate closure during infancy, but none of them had received bone grafts. They were treated with tongue plate appliance for 18±3 months. Lateral cephalograms were obtained and were analyzed at the beginning and at the end of the treatment. Paired t-test was used for statistical analysis of normally-distributed data; otherwise, Wilcoxon test was used.
Results: Paired t-test showed that the Sella-Nasion-Point A (SNA) angle was increased from 76.3±0.2 to 77.3±0.14 degrees, and the Point A-Nasion-Point B (ANB) angle was enhanced from -2.26±0.17 to 0.93±0.82 degrees (P<0.001).
Conclusion: Tongue plate appliance has shown favorable results in the treatment of class 3 malocclusion and maxillary deficiency in growing patients with cleft lip and cleft palate.
 

Keywords: Cleft lip, Cleft palate, Growth, maxillary deficiency, tongue plate
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Type of Study: Original article | Subject: Oral & maxillofacial surgery
* Corresponding Author Address: Islamic Azad University, Tehran, Iran
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Volume 2, Issue 3 (Journal of Research in Dental & Maxillofacial Sciences summer 2017) Back to browse issues page