The Etiology, Pathogenesis, State of The Dynamics of Occurrence of Tooth and Jaw Deformities in Children with Uranoplasty
Keywords:
Cleft Lip and Palate, Uranoplasty, Maxillary GrowthAbstract
This study evaluated craniofacial and dental arch development in children with congenital cleft lip and palate following uranoplasty. Cephalometric radiographs and digital dental models were used to assess maxillary growth, dental arch dimensions, palatal morphology, and occlusal relationships. The study included 40 patients with cleft lip and palate and a healthy control group. The results showed reduced sagittal and transverse maxillary growth, narrower upper dental arches, and increased dental and occlusal abnormalities in patients who underwent uranoplasty. Postoperative scar tissue and surgical techniques may restrict maxillary development and contribute to maxillary hypoplasia and transverse occlusal disorders. Two-stage uranoplasty demonstrated relatively more favorable maxillary growth than one-stage surgery. Regular orthodontic and cephalometric monitoring and early preventive intervention are recommended to support normal craniofacial and dental development.
References
[1] E. C. P. Ambrosio, A. C. Faria, D. G. Garib, and T. M. Oliveira, “Correlation between cleft width and dental arch symmetry in children with unilateral cleft lip and palate,” Brazilian Oral Research, pp. 1–8, 2023.
[2] K. A. M. Bongaarts, M. A. van’t Xof, B. Pral-Andersen, I. V. Dirks, and A. M. Kyoypers-Yagtman, “Infant orthopedics has no effect on maxillary arch dimensions in the deciduous dentition of children with complete unilateral cleft lip and palate,” Cleft Palate-Craniofacial Journal, vol. 43, pp. 665–672, 2006.
[3] P. Defabianis, R. Guagnano, and F. Romano, “Dental arch relationships and palatal morphology in children with unilateral cleft lip and palate after surgical treatment,” European Journal of Orthodontics, pp. 1–13, 2023.
[4] S. A. Elayah, T. Al-Gunaid, P. Sæle, and A. Ibrahim, “Impact of relaxing incisions on maxillofacial growth after palatoplasty: A cephalometric long-term follow-up study,” Annals of Medicine and Surgery, pp. 1–11, 2023.
[5] P. K. Jorge, R. Scariot, D. Garib, and T. M. Oliveira, “Surgical effects of rehabilitation protocols on dental arch occlusion in children with unilateral cleft lip and palate,” Brazilian Journal of Oral Sciences, pp. 1–9, 2022.
[6] R. E. Long, G. Semb, and V. K. Shou, “Orthodontic treatment of the patient with complete clefts of lip, alveolus and palate: Lessons of the past 60 years,” Cleft Palate-Craniofacial Journal, vol. 37, pp. 533–541, 2000.
[7] C. Molyneaux, M. Sherriff, Y. Wren, A. Ireland, and J. Sandy, “Changes in the transverse dimension of the maxillary arch of 5-year-olds born with unilateral cleft lip and palate,” Cleft Palate–Craniofacial Journal, pp. 1064–1071, 2021.
[8] M. Postnikov, A. Abdurakhmonov, N. Pankratova, et al., “Orthodontic treatment for congenital bilateral cleft lip and palate in early childhood,” Archiv Euromedica, pp. 162–166, 2021.
[9] K. R. Salgado, A. R. Vendt, N. K. F. Fagundes, et al., “Early or delayed palatoplasty in complete unilateral cleft lip and palate patients? A systematic review of the effects on maxillary growth,” Journal of Cranio-Maxillofacial Surgery, vol. 47, no. 11, pp. 1690–1698, 2019.
[10] J. C. Winters and D. J. Hurwitz, “Presurgical orthopedics in surgical management of unilateral cleft lip and palate,” Plastic and Reconstructive Surgery, vol. 95, pp. 755–764, 1995.
[11] N. Wongsirichat, A. Manosudprasit, and B. Mahardawi, “The characteristic of transverse dental arch relationship in patients with unilateral cleft lip and palate,” European Journal of Dentistry, pp. 764–772, 2025.
[12] Zawiślak, B. Wędrychowska-Szulc, K. Grocholewicz, and J. Janiszewska-Olszowska, “Craniofacial cephalometric morphology in adolescents with cleft palate only,” Journal of Clinical Medicine, pp. 1–13, 2024.
