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Results for “Maxillofacial Development”

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At least 1,009 records · Page 56Linked to original sources
PubMed1990

Cleft lip and palate patients prior to delayed closure of the hard palate: evaluation of maxillary morphology and the effect of early stimulation on pre-school speech.

Speech and maxillary development were analysed in two groups of patients with unilateral cleft lip and palate; both groups had early jaw orthopaedic treatment and a surgical regimen that included two-stage lip surgery (mean ages of 2 and 19 months) and soft palate repair (8 months). Closure of the hard palate was postponed until the children were 8 to 10 years of age. The first group comprised 10 consecutive patients who were analysed at 5 and 7 years of age, and the second group seven patients who were studied at the age of 5. Both groups were thus investigated before the repair of the cleft in the hard palate. In addition to surgical and jaw orthopaedic treatment, the second group of patients received early stimulation of lip and tongue tip movements. Our results indicated that hypernasality was less a problem than was retracted palatal or velar articulation of dental consonants. These deviations tended to be reduced, however, after early stimulation. There seemed to be no clear association between the size of the residual cleft in the hard palate and the extent of speech development. The average size of the residual cleft in our patients was comparatively small, and decreased further during follow up. We conclude that preschool children with unilateral cleft lip and palate may develop good speech, in spite of the residual cleft, if they use an intraoral plate and are given extra lip and tongue tip stimulation, together with early speech therapy if necessary.

Child↗
PubMed1990

[Facial asymmetry of nondental origin. Review and synthesis].

This article highlights a certain number of clinical conditions where one can encounter facial asymmetry. Among the many different etiological factors detailed are developmental anomalies, including those associated with under-development or over-development, asymmetry associated with trauma, as well as, those related to tumors. An in-depth analysis will allow a dentist to review differential diagnosis relative to asymmetry and note those within their competency level.

Facial Asymmetry↗
PubMed2001

Clinical implication of Roux's concept in orofacial orthopedics.

Long-term follow-up studies have revealed that the shields of the function regulator are capable of influencing the circumoral soft tissue capsule in size and shape. As a result, the disturbed or restricted displacement of teeth and jaw bones could be corrected. The dramatic changes in dentoskeletal development thus achieved demonstrate the morphogenetic impact of the circumoral capsule. In clinical application, the function regulator offers the opportunity to realize Roux's concept of functional orthopedics in the treatment of orofacial dysmorphology, as has long been practiced in the medical field of orthopedics.

Biomechanical Phenomena↗
PubMed1984

The influence of age at operation for clefts on the development of the jaws.

In this follow-up study of adult cleft patients with a unilateral cheilognathopalatoschisis, the effect on maxillo-mandibular development of the age at which the palatoplasty had been performed was investigated. It was concluded that it makes little difference whether the hard palate is closed at the age of 3 or 6 years.

Adult↗
PubMed1996

Multiple supernumeraries: the importance of clinical and radiographic follow-up.

The occurrence of multiple supernumerary teeth is a rare phenomenon. Three cases of multiple supernumeraries are presented which illustrate problems which may arise during long-term follow-up: resorption of adjacent teeth, enlargement of the follicles, movement of the unerupted teeth and development of further supernumeraries. These cases highlight the importance of adequate initial surveillance, anticipation of potential problems, assessing the risk-benefits of surgery and long-term monitoring, in some cases following the surgical removal of supernumeraries.

Adolescent↗
PubMed2004

Transverse craniofacial features and their genetic predisposition in families with nonsyndromic unilateral cleft lip and palate.

OBJECTIVE: The purpose of this study was to evaluate the transverse craniofacial form in families with nonsyndromic cleft lip and palate (NSCLP). It was hypothesized that affected as well as noncleft NSCLP family members are characterized by a common array of craniofacial features that differ from the general population. DESIGN: This was a prospective cross-sectional investigation that included affected children with NSCLP and their noncleft parents and siblings. PATIENTS, PARTICIPANTS: A total of 114 subjects (14 affected girls, 17 affected girls, 15 unaffected male siblings, 10 unaffected female siblings, 29 unaffected biological mothers, and 29 unaffected biological fathers) were included. Subject records comprised of posteroanterior cephalometric radiographs obtained from all 114 subjects. MAIN OUTCOME MEASURES: The width of midfacial structures, including the orbit and nose, was increased in NSCLP families, compared with published norms. Interestingly, the face was disproportionally wider in relation to total facial height. The transverse craniofacial form of children with or without clefts significantly correlated with that of their parents. Mothers displayed strong correlation with their affected and unaffected sons, whereas fathers correlated to their daughters, suggesting a possible sex-linked developmental influence. CONCLUSION: Better understanding of the genetic inheritance of craniofacial features associated with cleft lip and palate may ultimately contribute to the development of cleft risk assessment methods.

Adolescent↗
PubMed1979

[Growth in the width and length of the dental arch in children with unilateral cleft lip and cleft palate].

A study of casts of the dentitions of children with cheilognathopalatoschisis made over an extended period emphasizes that the development and the growth of the maxillary dental arch in width and length are considerably reduced as compared to children without clefts. Consequently, therapeutical measures must be taken to maintain the length and width of the maxillary dental arch.

Adolescent↗
PubMed1990

The long face syndrome and impairment of the nasopharyngeal airway.

Experimental evidence suggests that altered muscular function can influence craniofacial morphology. The switch from a nasal to an oronasal breathing pattern induces functional adaptations that include an increase in total anterior face height and vertical development of the lower anterior face. While some animals studies have suggested predictable growth patterns may occur, studies in human subjects have been much more controversial. Therefore, individual variations in response should be expected from the alteration of a long face syndrome patient's breathing mode.

Airway Obstruction↗
PubMed1986

Change in facial shape in micro-, macro- and normocephalics.

In view of the dubious scientific validity of traditional cephalometric analyses, the more accurate technique of biorthogonal analysis was used in this study. Developed from D'Arcy Thompson's transformation grids, this technique showed similar craniofacial shape changes in micro-, macro- and normocephalics between the ages of 12 and 16 years, implying the contrasts in facial form between these 3 samples predominantly reflect size rather than shape differences.

Adolescent↗
PubMed1997

Effect of alveolar bone grafting in the mixed dentition on maxillary growth in complete unilateral cleft lip and palate patients.

OBJECTIVE: This study was conducted to evaluate the effects on facial growth of alveolar bone grafting in the mixed dentition for patients with UCLP. DESIGN: Retrospective cephalometric study. SETTING: Craniofacial Treatment and Research Centre, The Hospital for Sick Children, Toronto, Ontario, Canada. PATIENTS: The 58 patients participating in the study had a history of complete unilateral cleft lip and palate, all of which were repaired by the same plastic surgeon. INTERVENTIONS: Twenty-one patients received an iliac-crest alveolar bone graft at a mean age of 10.3 years, while 37 did not receive an alveolar bone graft. Lateral cephalometric radiographs were obtained on all patients at two different times:at a mean age of 9.4 years (prior to bone grafting in the grafted group) and at a mean age of 15.2 years. MAIN OUTCOME MEASURES: All radiographs were traced and digitized by the same person, using cephalometric computer software. Superimposition and cephalometric analysis was undertaken to investigate the differences between the two groups in the 5.6-year experimental period. A two-way analysis of covariance was used for evaluation of the statistical significance of the results. RESULTS: No statistically significant differences were found in 14 of the 15 cephalometric measurements performed. Harvold's maxillary unit length was statistically significantly shorter in the grafted group, although a lack of correlation with angular measurements and inherent problems with this specific measurement raise doubts in this finding. CONCLUSION: Mixed dentition bone grafting does not affect subsequent vertical and A-P development of the maxilla in complete unilateral cleft lip and palate patients during the first several postoperative years.

Adolescent↗
PubMed2000

Cephalometric comparisons of craniofacial and upper airway structures in young children with obstructive sleep apnea syndrome.

We studied 15 children of preschool age who had obstructive sleep apnea syndrome to evaluate their dentofacial morphology in relation to the pharyngeal airway space. We found that (1) sleep apnea was often associated with mandibular retrognathia, (2) the lower incisors tended to exhibit a retrocline, (3) there were no significant differences in angular and linear measurements in the cranial base between patients with sleep apnea and a control group of 30 nonapneic children, and (4) the apneic children had a narrower epipharyngeal airway space than did the controls. These findings suggest that obstructive sleep apnea is probably caused by both adenoidal hypertrophy and abnormal development of the facial skeleton. We highly recommend cephalometric analysis as a valuable tool for conducting the presurgical evaluation of sleep apnea in children of preschool age.

Adenoids↗
PubMed1990

[Investigation of the maxillary dental arches at different development stages].

Our research was carried out on maxillary casts obtained from 40 patients at prepubertal and postpubertal stages. The individuals were divided into four groups and each group consisted of 10 boys and 10 girls. The cases at prepubertal and postpubertal stages, had mixed dentitions and permanent dentitions respectively. On these casts intermolar and intercanine arch width, arch length, ratio, palatal vault depth and palatal volume measurements were performed. In the maxillary dental arch, the changes associated with the development in both sexes and the differences between the sexes with respect to the measurements were evaluated by paired t-test. The correlation of these measurements were also analysed. Consequently our findings were evaluated in the light of recent publications in the literature.

Adolescent↗
PubMed1986

The role of the orthodontist in the treatment of adolescents with orofacial clefts.

In the orthodontic treatment of patients with clefts the main aim is to maximize the growth and development of the maxillary complex and, at the same time, to improve functional efficiency and facial aesthetics. The commonest malocclusions found in adolescents with lip and palate clefts are: frontal or anterior crossbite; posterior or buccal crossbite which is either unilateral or bilateral; retrusion of the middle third of the face to a greater or a lesser degree; open bite; and finally malformation and displacement of the teeth adjacent to the cleft. Treatment may be divided into: correction of malocclusions in the transverse plane; correction in the antero-posterior plane; vertical corrections; and correction of misplaced individual teeth. Posterior (lateral) crossbite can be corrected by both gradual and rapid (forced) expansion using various removable appliances. Following this, correction of anterior crossbite and restoration of vertical occlusal relationships will be necessary. Finally, misplaced individual teeth will need to be repositioned. Traumatic surgery and consequent scar tissue affects the growth of the maxillary arch and the development of the occlusion. This was demonstrated in a comparative analysis of monozygotic and dizygotic twins discordant for clefts as well as in twin pairs whose clefts were non-identical in type and extent. The adolescents who still have unoperated clefts have special problems.

Adolescent↗
PubMed1984

Long term results of reconstruction of the septum in the acute phase of a septal abscess in children.

The long term results of our two first cases of septal reconstruction in the acute phase of a septal abscess in childhood are described. Follow-up periods were 19 and 17 years respectively. The development of the nasal pyramid was normal apart from a slight to moderate sagging of the cartilaginous dorsum. Length, width and prominence developed within normal limits and nasal function remained undisturbed. Reconstruction of the septum in the acute phase of a septal abscess seems also on the long term effective in preventing the well known disturbance of growth, form and function of the nose.

Abscess↗
PubMed1996

[Effect of breathing mode and nose ventilation on growth of the facial bones].

Correlations between breathing mode and craniofacial morphology were investigated in 47 children at the ages of 6-15 years (average, 9.9 years). Apart from history and clinical examination, nasal endoscopy, rhinomanometry and measurements of cephalometric radiographs were included in the analysis. After separating the patients into a "normal face" group and a "long face" group by measuring the angle between the frontal skull base and the mandibular plane, we analyzed the data in attempting to correlate nasal obstruction with craniofacial development. Findings demonstrated a significant predominance of mouth-breathing compared to nasal breathing in the vertical growth patterns studied. Furthermore, significant differences were found during nasal endoscopy in the growth pattern and were attributed to large adenoids. These findings were confirmed separately in all patients up to the age of 9 years, but differences were clearer. Rhinomanometry and planimetric measurements of the sizes of the adenoids in craniofacial radiographs showed no unambiguous differences between the patient groups. Our present study was not able to establish clear causal correlations between mouth-breathing, craniofacial development and adenoid size, suggesting that existing genetically determined craniofacial growth patterns are modulated by exogenic influences. Nonetheless, our results show a correlation between obstructed nasal breathing, large adenoids and vertical growth patterns.

Adenoids↗
PubMed1997

The nasal septum and the development of the midface. A longitudinal study of a pair of monozygotic twins.

The development of the nose and the growth of the midface has been followed in a pair of identical twins. One of them (twin A) had nasal septum destruction after septal haematoma and abscess at the age of 7 years, and was treated by immediate implantation of homologous septal cartilage from a tissue bank. From 7-17 years of age the growth and development of the nose and face were followed. Lateral cephalograms, photographs, acoustic rhinometry and rhinoscopy were performed. Twin B presented a normal nasal and facial growth and served as control. Twin A developed a saddle nose, an upward displacement of the anterior part of the maxilla, diminished vertical development of the nasal cavity, and a retrognathically positioned maxilla due to decreased anteroposterior maxillary growth. This case report seems to indicate that the cartilaginous nasal septum is an important factor influencing vertical and sagittal growth of the maxilla.

Abscess↗
PubMedDate not supplied

Growth analysis of a patient with ectodermal dysplasia treated with endosseous implants: a case report.

Congenital absence of multiple teeth and poorly developed alveolar ridges are associated with ectodermal dysplasia. Affected patients often require dental prosthetic treatment during their developmental years. Maxillofacial growth and development in a preadolescent female patient with ectodermal dysplasia following oral rehabilitation with maxillary and mandibular endosseous dental implants is reported. Four maxillary and 4 mandibular implants were successfully integrated and restored at 8 years of age. Growth analysis 12 years later revealed that the implants followed maxillary and mandibular growth displacement. Minor impaction of the maxillary implants was observed, and mandibular implants were affected by the mandibular growth rotation, which led to a change in implant inclination. The treatment outcome is compared to similar previously reported studies and cases.

Anodontia↗