Changes in the Transverse Dimension of the Maxillary Arch of 5-Year-Olds Born With UCLP Since the Introduction of Nationwide Guidance

Charlotte Molyneaux; Martyn Sherriff; Yvonne Wren; Anthony Ireland; Jonathan Sandy

doi:10.1177/10556656211028511

Changes in the Transverse Dimension of the Maxillary Arch of 5-Year-Olds Born With UCLP Since the Introduction of Nationwide Guidance

Charlotte Molyneaux^*, Martyn Sherriff, Yvonne Wren, Anthony Ireland, Jonathan Sandy

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

5 Citations (Scopus)

Abstract

OBJECTIVE: To determine whether the transverse dimensions of the maxillary arch of 5-year-old children with unilateral cleft lip and palate (UCLP) have changed following centralization of cleft services in the United Kingdom.

DESIGN: Retrospective cross-sectional study.

SETTING: Digital analysis of UCLP maxillary dental casts.

PARTICIPANTS: All available maxillary dental casts from 5-year-old participants of the Clinical Standards Advisory Group (CSAG, N = 114) and Cleft Care UK (CCUK, N = 175) studies.

INTERVENTIONS: Quantitative measurements of the intercanine width (ICW), intermolar width (IMW), and the distance from the midline to the greater and lesser side canine (GC/LC) and greater side and lesser side second primary molar (GE/LE). Degree measurements of the greater and lesser arch form angles, arch length, anterior palatal depth (APD), and posterior palatal depth were also measured.

MAIN OUTCOME: Differences between the transverse dimensions of the maxillary arch for the CSAG and CCUK cohorts.

RESULTS: In 5 (ICW, IMW, LC, LE, and APD) of the 11 measurements, there was a statistically significant difference between the CSAG and CCUK cohorts. In all of these, the CCUK values were greater than CSAG.

CONCLUSIONS: There have been small but positive improvements for the transverse maxillary dimensions since centralization of the UK cleft service.

Original language	English
Pages (from-to)	1064-1071
Number of pages	8
Journal	Cleft Palate-Craniofacial Journal
Volume	59
Issue number	8
Early online date	20 Jul 2021
DOIs	https://doi.org/10.1177/10556656211028511
Publication status	Published - Aug 2022

Bibliographical note

Funding Information:
Many thanks must go to Chris Keating (Maxillofacial Technician) who provided advice and support with the software and gave up his time to blind all of the dental casts. The author(s) received no financial support for the research, authorship, and/or publication of this article.

Publisher Copyright:
© 2021, American Cleft Palate-Craniofacial Association.

Keywords

CCUK
cleft lip and palate
CSAG
maxillary
transverse

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@article{9b3da1b74e4a488eabe6de4ae7bd9ad4,

title = "Changes in the Transverse Dimension of the Maxillary Arch of 5-Year-Olds Born With UCLP Since the Introduction of Nationwide Guidance",

abstract = "OBJECTIVE: To determine whether the transverse dimensions of the maxillary arch of 5-year-old children with unilateral cleft lip and palate (UCLP) have changed following centralization of cleft services in the United Kingdom.DESIGN: Retrospective cross-sectional study.SETTING: Digital analysis of UCLP maxillary dental casts.PARTICIPANTS: All available maxillary dental casts from 5-year-old participants of the Clinical Standards Advisory Group (CSAG, N = 114) and Cleft Care UK (CCUK, N = 175) studies.INTERVENTIONS: Quantitative measurements of the intercanine width (ICW), intermolar width (IMW), and the distance from the midline to the greater and lesser side canine (GC/LC) and greater side and lesser side second primary molar (GE/LE). Degree measurements of the greater and lesser arch form angles, arch length, anterior palatal depth (APD), and posterior palatal depth were also measured.MAIN OUTCOME: Differences between the transverse dimensions of the maxillary arch for the CSAG and CCUK cohorts.RESULTS: In 5 (ICW, IMW, LC, LE, and APD) of the 11 measurements, there was a statistically significant difference between the CSAG and CCUK cohorts. In all of these, the CCUK values were greater than CSAG.CONCLUSIONS: There have been small but positive improvements for the transverse maxillary dimensions since centralization of the UK cleft service.",

keywords = "CCUK, cleft lip and palate, CSAG, maxillary, transverse",

author = "Charlotte Molyneaux and Martyn Sherriff and Yvonne Wren and Anthony Ireland and Jonathan Sandy",

note = "Funding Information: Many thanks must go to Chris Keating (Maxillofacial Technician) who provided advice and support with the software and gave up his time to blind all of the dental casts. The author(s) received no financial support for the research, authorship, and/or publication of this article. Publisher Copyright: {\textcopyright} 2021, American Cleft Palate-Craniofacial Association.",

year = "2022",

month = aug,

doi = "10.1177/10556656211028511",

language = "English",

volume = "59",

pages = "1064--1071",

journal = "Cleft Palate-Craniofacial Journal",

issn = "1055-6656",

publisher = "SAGE Publications Inc.",

number = "8",

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T1 - Changes in the Transverse Dimension of the Maxillary Arch of 5-Year-Olds Born With UCLP Since the Introduction of Nationwide Guidance

AU - Molyneaux, Charlotte

AU - Sherriff, Martyn

AU - Wren, Yvonne

AU - Ireland, Anthony

AU - Sandy, Jonathan

N1 - Funding Information: Many thanks must go to Chris Keating (Maxillofacial Technician) who provided advice and support with the software and gave up his time to blind all of the dental casts. The author(s) received no financial support for the research, authorship, and/or publication of this article. Publisher Copyright: © 2021, American Cleft Palate-Craniofacial Association.

PY - 2022/8

Y1 - 2022/8

N2 - OBJECTIVE: To determine whether the transverse dimensions of the maxillary arch of 5-year-old children with unilateral cleft lip and palate (UCLP) have changed following centralization of cleft services in the United Kingdom.DESIGN: Retrospective cross-sectional study.SETTING: Digital analysis of UCLP maxillary dental casts.PARTICIPANTS: All available maxillary dental casts from 5-year-old participants of the Clinical Standards Advisory Group (CSAG, N = 114) and Cleft Care UK (CCUK, N = 175) studies.INTERVENTIONS: Quantitative measurements of the intercanine width (ICW), intermolar width (IMW), and the distance from the midline to the greater and lesser side canine (GC/LC) and greater side and lesser side second primary molar (GE/LE). Degree measurements of the greater and lesser arch form angles, arch length, anterior palatal depth (APD), and posterior palatal depth were also measured.MAIN OUTCOME: Differences between the transverse dimensions of the maxillary arch for the CSAG and CCUK cohorts.RESULTS: In 5 (ICW, IMW, LC, LE, and APD) of the 11 measurements, there was a statistically significant difference between the CSAG and CCUK cohorts. In all of these, the CCUK values were greater than CSAG.CONCLUSIONS: There have been small but positive improvements for the transverse maxillary dimensions since centralization of the UK cleft service.

AB - OBJECTIVE: To determine whether the transverse dimensions of the maxillary arch of 5-year-old children with unilateral cleft lip and palate (UCLP) have changed following centralization of cleft services in the United Kingdom.DESIGN: Retrospective cross-sectional study.SETTING: Digital analysis of UCLP maxillary dental casts.PARTICIPANTS: All available maxillary dental casts from 5-year-old participants of the Clinical Standards Advisory Group (CSAG, N = 114) and Cleft Care UK (CCUK, N = 175) studies.INTERVENTIONS: Quantitative measurements of the intercanine width (ICW), intermolar width (IMW), and the distance from the midline to the greater and lesser side canine (GC/LC) and greater side and lesser side second primary molar (GE/LE). Degree measurements of the greater and lesser arch form angles, arch length, anterior palatal depth (APD), and posterior palatal depth were also measured.MAIN OUTCOME: Differences between the transverse dimensions of the maxillary arch for the CSAG and CCUK cohorts.RESULTS: In 5 (ICW, IMW, LC, LE, and APD) of the 11 measurements, there was a statistically significant difference between the CSAG and CCUK cohorts. In all of these, the CCUK values were greater than CSAG.CONCLUSIONS: There have been small but positive improvements for the transverse maxillary dimensions since centralization of the UK cleft service.

KW - CCUK

KW - cleft lip and palate

KW - CSAG

KW - maxillary

KW - transverse

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U2 - 10.1177/10556656211028511

DO - 10.1177/10556656211028511

M3 - Article (Academic Journal)

C2 - 34282648

SN - 1055-6656

VL - 59

SP - 1064

EP - 1071

JO - Cleft Palate-Craniofacial Journal

JF - Cleft Palate-Craniofacial Journal

IS - 8

ER -

Changes in the Transverse Dimension of the Maxillary Arch of 5-Year-Olds Born With UCLP Since the Introduction of Nationwide Guidance

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