Volume 2, Issue 3 (7-2017)                   J Res Dent Maxillofac Sci 2017, 2(3): 36-42 | Back to browse issues page

‎ 10.29252/jrdms.2.3.36

XML Print

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.
2- Professor, Orthodontics Dept,Dentistry Faculty,Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Associate Professor, Orthodontics Dept, Member of Craniomaxillofacial Research Center, Dental Branch of Tehran
4- MSc National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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:   (5469 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
Full-Text [PDF 354 kb]   (1658 Downloads) |   |   Full-Text (HTML)  (790 Views)  
Type of Study: Original article | Subject: Oral & maxillofacial surgery
References
1. Molina-Solana R, Yanez-Vico RM, Iglesias-Linares A, Mendoza-Mendoza A, Solano-Reina E. Current concepts on the effect of environmental factors on cleft lip and palate. Int J Oral Maxillofac Surg 2013;42(2):177-84.
2. Farronato G, Cannalire P, Martinelli G, Tubertini I, Giannini L, Galbiati G, et al. Cleft lip and/or palate: review. Minerva Stomatol 2014;63(4):111-26.
3. Jamilian A, Jamilian M, Darnahal A, Hamedi R, Mollaei M, Toopchi S. Hypodontia and supernumerary and impacted teeth in children with various types of clefts. Am J Orthod Dentofacial Orthop 2015;147(2):221-5.
4. Jamilian A, Lucchese A, Darnahal A, Kamali Z,Perillo L. Cleft sidedness and congenitally missing teeth in patients with cleft lip and palate patients. Prog Orthod 2016;17:14.
5. Singh GD. Morphologic determinants in the etiology of class III malocclusions: a review. Clin Anat 1999;12(5):382-405.
6. Arosarena OA. Cleft lip and palate. Otolaryngol Clin North Am 2007;40(1):27-60.
7. Liao YF, Mars M. Long-term effects of clefts on craniofacial morphology in patients with unilateral cleft lip and palate. Cleft Palate Craniofac J 2005;42(6):601-09.
8. Rachmiel A. Treatment of maxillary cleft palate: distraction osteogenesis versus orthognathic surgery--part one: Maxillary distraction. J Oral Maxillofac Surg 2007;65(4):753-7.
9. Liou EJ, Tsai WC. A new protocol for maxillary protraction in cleft patients: repetitive weekly protocol of alternate rapid maxillary expansions and constrictions. Cleft Palate Craniofac J 2005;42(2):121-7.
10. Showkatbakhsh R, Jamilian A, Behnaz M, Ghassemi M, Ghassemi A. The short-term effects of face mask and fixed tongue appliance on maxillary deficiency in growing patients--a randomized clinical trial. Int J Orthod Milwaukee 2015;26(1):33-8.
11. Maspero C, Galbiati G, Perillo L, et al. Orthopaedic treatment efficiency in skeletal Class III malocclusions in young patients: RME-face mask versus TSME. Eur J Paediatr Dent 2012;13(3):225-230.
12. Jamilian A, Showkatbakhsh R. The effect of tongue appliance on the maxilla in Class III malocclusion due to maxillary deficiency. Int J Orthod Milwaukee 2009;20(3):11-4.
13. Showkatbakhsh R, Jamilian A, Ghassemi M, Ghassemi A4 Shayan A. Maxillary deficiency treatment by fixed tongue appliance--a case report. Int J Orthod Milwaukee 2013;24(3):31-4.
14. Perillo L, Vitale M, Masucci C, D'Apuzzo F, Cozza P, Franchi L. Comparisons of two protocols for the early treatment of Class III dentoskeletal disharmony. Eur J Orthod 2016;38(1):51-6.
15. Cozzani M, Lombardo L, Gracco A. Class III malocclusion with missing maxillary lateral incisors. Am J Orthod Dentofacial Orthop 2011;139(3):388-96.
16. Showkatbakhsh R, Toumarian L, Jamilian A, Sheibaninia A, Mirkarimi M, Taban T. The effects of face mask and tongue plate on maxillary deficiency in growing patients: a randomized clinical trial. J Orthod 2013;40(2):130-6.
17. Showkatbakhsh R, Jamilian A. A novel method of maxillary deficiency treatment by tongue plate--a case report. Int J Orthod Milwaukee 2011;22(1):31-4.
18. Franchi L, Baccetti T, De Toffol L, Polimeni A, Cozza P. Phases of the dentition for the assessment of skeletal maturity: a diagnostic performance study. Am J Orthod Dentofacial Orthop 2008;133(3):395-400.
19. Tome W, Yashiro K, Kogo M, Yamashiro T. Cephalometric Outcomes of Maxillary Expansion and Protraction in Patients With Unilateral Cleft Lip and Palate After Two Types of Palatoplasty. Cleft Palate Craniofac J 2016;53(6):690-4.
20. Manosudprasit M, Wangsrimongkol T, Pisek P, Chowchuen B, Somsuk T. Growth modification in unilateral cleft lip and palate patients with face mask. J Med Assoc Thai 2012;95 Suppl 11:S42-48.
21. Dogan S. The effects of face mask therapy in cleft lip and palate patients. Ann Maxillofac Surg 2012;2(2):116-20.
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.