Mandibular Radiomorphometric Characteristics of Individuals with Bilateral or Unilateral Cleft Lip and Palate.

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Cleft Palate-Craniofacial Journal Pub Date : 2024-10-01 Epub Date: 2023-05-25 DOI:10.1177/10556656231178504

Taner Ozturk, Sertan Soylu, Gokhan Coban, Gokhan Turker

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Abstract

Objective: This study aimed to investigate and compare the mandibular radiomorphometric characteristics of patients with unilateral or bilateral cleft lip and palate (CLP) with those of individuals without CLP and to determine whether there was a difference.

Design: Retrospective cohort study.

Setting: Orthodontic Department in Faculty of Dentistry.

Patients and interventions: Mandibular cortical bone thickness was measured on high-quality panoramic radiographs taken from 46 patients with unilateral or bilateral CLP aged 13-15 years and 21 control patients.

Main outcome measures: Three radiomorphometric indices [antegonial index (AI), mental index (MI), and panoramic mandibular index (PMI)] were measured bilaterally. AutoCAD software was used for MI, PMI, and AI measurements.

Results: Left MI values were significantly lower in individuals with unilateral cleft lip and palate (UCLP; 0.029 ± 0.04) than in individuals with bilateral cleft lip and palate (BCLP; 0.033 ± 0.07). In addition, right MI values of individuals with right UCLP (0.26 ± 0.06) were significantly lower than those of individuals with left UCLP (0.34 ± 0.06) or BCLP (0.32 ± 0.08). No difference was observed between individuals with BCLP and left UCLP. These values did not differ between groups.

Conclusions: Antegonial index and PMI values did not differ between individuals with different types of CLP or when compared with control patients. In patients with UCLP, cortical bone thickness was found to be reduced on the cleft side compared to the intact side. Patients with UCLP with a right-sided cleft had a more substantial decrease in cortical bone thickness.

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双侧或单侧唇腭裂患者的下颌骨放射形态特征。

研究目的本研究旨在调查和比较单侧或双侧唇腭裂（CLP）患者与非唇腭裂患者的下颌骨放射形态特征，并确定两者之间是否存在差异：设计：回顾性队列研究：患者和干预措施：在 46 名 13-15 岁单侧或双侧 CLP 患者和 21 名对照组患者的高质量全景照片上测量下颌骨皮质骨厚度：测量双侧的三个放射形态指数[前额指数（AI）、精神指数（MI）和下颌骨全景指数（PMI）]。AutoCAD软件用于测量MI、PMI和AI：结果：单侧唇腭裂患者（UCLP；0.029 ± 0.04）的左侧 MI 值明显低于双侧唇腭裂患者（BCLP；0.033 ± 0.07）。此外，右侧 UCLP 患者的右 MI 值（0.26 ± 0.06）明显低于左侧 UCLP 患者（0.34 ± 0.06）或 BCLP 患者（0.32 ± 0.08）。BCLP患者与左侧UCLP患者之间没有差异。这些值在不同组间没有差异：结论：不同类型的CLP患者之间或与对照组患者相比，前缘指数和PMI值没有差异。在 UCLP 患者中，发现与完整侧相比，裂隙侧的皮质骨厚度减少。右侧裂的 UCLP 患者的皮质骨厚度下降幅度更大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.