Factors influencing maxillary dental arch development in children after Sommerlad-Furlow palatoplasty

doi:10.7518/hxkq.2024.2024094

Abstract

Abstract:

Objective This study aims to investigate factors influencing dental arch development in patients aged 0-6 years with cleft palate after Sommerlad-Furlow (SF) palatoplasty. Methods A total of 183 patients who underwent primary SF repair for cleft lip and palate before 18 months of age were included. Follow-ups were conducted at different ages, and digital dental casts of the maxillary dental arch were obtained using 3-matic Research 12.0 software. The length and width of the dental arch and palate were measured to explore developmental changes in the maxillary dental arch of the patients after the procedure. The study also investigated the influence of gender, age, cleft palate type, and relaxation incision on maxillary dental arch development. Results After SF, maxillary dental arch measurements showed statistically significant differences between children aged 0-2 years and those aged 3-6 years (P<0.05). However, no statistically significant differences were observed among different age groups within the 3-6 years range. Statistically significant differences were detected between males and females, with males having greater width of the posterior dental arch and palate (P=0.001) and shorter length of the anterior dental arch and entire dental arch (P<0.05). The unilateral cleft lip and palate group had shorter dental arch length (P<0.01) and wider posterior palate (P<0.01) than the cleft palate only group. Maxillary dental arch measurements had no statistically significant differences between groups with or without a relaxing incision. Conclusion Gender and age influence the width of the maxillary dental arch in children aged 0-6 years after SF, while age and cleft palate type affect dental arch length.

Key words: cleft palate, Sommerlad-Furlow palatoplasty, nasopharyngeal incision, maxillary arch

CLC Number:

R782.2⁺2

Wang Jue, Li Yuanyuan, Wu Ming, Shi Bing, Zheng Qian, Liu Renkai, Li Chenghao. Factors influencing maxillary dental arch development in children after Sommerlad-Furlow palatoplasty[J]. West China Journal of Stomatology, 2025, 43(2): 197-203.

Figures/Tables 5

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测量指标/mm	男（n=84）	女（n=99）	P值
前牙弓宽度	28.31±2.80	27.86±2.58	0.260
后牙弓宽度	39.86±3.27	37.71±3.05	0.001
前腭弓宽度	23.61±2.82	23.19±2.40	0.275
后腭弓宽度	31.92±3.10	30.31±2.38	0.001
前牙弓长度	6.29±1.60	6.92±1.80	0.014
全牙弓长度	20.49±2.07	21.49±2.72	0.007

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