Dentofacial characteristics of Malay patients with repaired cleft lip and palate in Kelantan
| dc.contributor.author | Alam, Md. Badrul | |
| dc.date.accessioned | 2015-10-05T05:20:29Z | |
| dc.date.available | 2015-10-05T05:20:29Z | |
| dc.date.issued | 2005-11 | |
| dc.description.abstract | Cleft lip and palate (CLP) is the most common congenital facial defect. Patients with CLP suffer from feeding, breathing, middle ear infections as well as psychosocial and other problems. The treatment requires interventions from multiple disciplines which start from the first day of life and continue up to the age of 20 to 21 years. Prolong treatment from birth to adulthood is expensive and is a burden for the patient, family and for the society. The facial development of CLP patients often does not follow usual development of growth even after corrective surgeries. Growth impairment becomes progressively apparent as patients reach maturity regardless of the mechanisms. Therefore, an understanding about the anomalies of dentofacial region is important as it determine the facial harmony and balance. This is essential to achieve the ideal goal of treatment of cleft patients. A cross-sectional comparative study was done by direct facial measurements, by measuring lateral cephalometry and dental cast of 75 treated cleft and 75 noncleft Malay subjects. The age range was from 8 to 40 years. The study subjects were divided into three age groups: children (8 to 12yrs), adolescent (13 to 18 yrs) and adult (19 to 40 yrs) of both genders. Results of this study revealed that the measurements of dental arch dimensions and the upper and lower incisors' relation to the respective plane of CLP patients were significantly different from that of the noncleft subjects of all age groups. The anterior-posterior arch length, transverse dimensions in inter canine region, inter second permanent premolar or deciduous second molar region, inter first permanent molar region and in angular measurements for upper and lower central incisors to the respective maxillary and mandibular plane were found significantly higher in noncleft groups in all ages (p<0.05). The philtrum width and skeletal anterior-posterior angular measurements were found significantly higher for the cleft subjects while the upper lip height was significantly higher for noncleft subjects among all age groups. The study further revealed that certain facial (nasal width, nasal, philtrum and upper anterior facial heights) and skeletal (anterior-posterior: Sella-Nasion-Point B, SNB and Point A-Nasion-Point B, ANB; vertical: Maxilla-mandibular angle, MMA and anterior lower facial height, ALFH) measurements were unique to children, adolescent and adult study subjects. These dentofacial characteristics of Malay patients with repaired cleft lip and palate in Kelantan, as revealed by the present study, would be useful to develop a more ideal treatment protocol. It will, therefore, contribute a better quality of life to the CLP patients, their families and the society. | en_US |
| dc.identifier.uri | http://hdl.handle.net/123456789/1265 | |
| dc.language.iso | en | en_US |
| dc.subject | Malay patients with repaired cleft lip | en_US |
| dc.title | Dentofacial characteristics of Malay patients with repaired cleft lip and palate in Kelantan | en_US |
| dc.type | Thesis | en_US |
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