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DOI :10.17096/jiufd.95754   IUP :10.17096/jiufd.95754    Full Text (PDF)

EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS

Işıl Aras, Derya Baykal, Merve Bulut, Servet Doğan

Purpose: The aim of this study was to compare the mandibular hard and soft tissue measurements of unilateral and bilateral cleft lip and palate patients with non-cleft individuals. 

Materials and Methods: The study sample comprised of lateral cephalograms of 45 subjects. Sample included 15 non-cleft (NC), 15 unilateral cleft lip and palate (UCLP) and 15 bilateral cleft lip and palate (BCLP) cases whose age were between 15 to 17. 1 angular 13 linear measurements were carried out using Arnett and Gunson soft tissue cephalometric analysis and 4 angular measurements were calculated with Steiner Analysis. 

Results: Mandibular incisor inclinations relative to the occlusal plane (Md1-Md OP) were significantly greater and mandibular incisor projections (Md1-TVL) were significantly retrusive in cleft subjects (p<0.05). Projection values pertaining to lower lip anterior (LLATVL), soft tissue B point (B’-TVL), and soft tissue pogonion (Pog’-TVL) were significantly deficient as well in cleft patients (p<0.05). Sagittal position of the maxilla (SNA) (p<0.001) and intermaxillary relation of the jaws (ANB) were significantly deficient in UCLP subjects (p<0.05) and BCLP individuals (p<0.01). LLA-TVL and B’-TVL correlated with SNB in cleft patients (p<0.05). 

Conclusion: Decreased lower lip and chin projection values suggest that mandibular region of cleft patients should be taken into account in forming the treatment plan to improve the esthetic outcome of orthodontic and plastic surgery interventions. 
Keywords: Cleft lip and palate, lateral cephalograms, incisor inclination, lower lip projection, chin
DOI :10.17096/jiufd.95754   IUP :10.17096/jiufd.95754    Full Text (PDF)

Dudak Damak Yarıklı Hastalarda Mandibular Sert ve Yumuşak Dokuların Değerlendirilmesi

Işıl Aras, Derya Baykal, Merve Bulut, Servet Doğan

Amaç: Bu çalışmanın amacı tek ve çift taraflı dudakdamak yarıklı hastaların alt çenelerinin sert ve yumuşak dokularından elde edilen ölçümlerin dudak-damak yarığı olmayan bireyler ile karşılaştırılmasıdır. 

Gereç ve Yöntem: Bu çalışmada 45 bireyden elde edilen lateral sefalometrik filmler kullanılmıştır. Örneklem yaşları 15-17 arasında değişen,15 dudak-damak yarığı olmayan, 15 tek taraflı dudak-damak yarıklı ve 15 çift taraflı dudakdamak yarıklı hastadan oluşmaktadır.  Arnett ve Gunson yumuşak doku sefalometrik analizinden 1 açısal 13 doğrusal ölçüm, Steiner analizinden 4 açısal ölçüm kullanılmıştır. 

Bulgular: Dudak-damak yarıklı bireylerde, oklüzal düzleme göre alt çene kesici eğimleri (Md1-Md OP) önemli derecede artarken, mandibular kesici projeksiyonları (Md1-TVL) anlamlı derecede retruziv olarak bulunmuştur (p<0.05). Alt dudak anterior (LLA-TVL), yumuşak doku B noktası (LLATVL) ve yumuşak doku pogonion (Pog’-TVL) projeksiyon değerleri de dudak-damak yarıklı hastalarda istatistiksel olarak anlamlı derecede yetersiz bulunmuştur (p<0.05). Üst çenenin sagittal pozisyonu (SNA) (p<0.001) ve  çenelerarası ilişkiyi belirleyen ANB açısal değeri tek taraflı dudak damak yarıklı bireylerde (p<0.05) ve çift taraflı dudak-damak yarıklı bireylerde (p<0.001) önemli derecede yetersiz bulunmuştur. Dudak-damak yarıklı bireylerdeki LLA-TVL ve B’-TVL değerleri SNB açısı ile korelasyon göstermiştir (p<0.05). 

Sonuç: Azalmış alt dudak ve çene ucu projeksiyon değerleri, dudak damak yarıklı hastaların tedavi planı oluşturulurken ortodontik ve plastik cerrahi işlemlerden estetik olarak daha başarılı sonuçlar alınması için alt çenenin de dikkate alınması gerektiğini göstermektedir.
Keywords: Dudak damak yarığı, lateral sefalometrik film, kesici eğimi, alt dudak projeksiyonu, çene ucu

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APA

Aras, I., Baykal, D., Bulut, M., & Doğan, S. (2017). EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS. European Oral Research, 51(2), 14-22. https://doi.org/10.17096/jiufd.95754


AMA

Aras I, Baykal D, Bulut M, Doğan S. EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS. European Oral Research. 2017;51(2):14-22. https://doi.org/10.17096/jiufd.95754


ABNT

Aras, I.; Baykal, D.; Bulut, M.; Doğan, S. EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS. European Oral Research, [Publisher Location], v. 51, n. 2, p. 14-22, 2017.


Chicago: Author-Date Style

Aras, Işıl, and Derya Baykal and Merve Bulut and Servet Doğan. 2017. “EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS.” European Oral Research 51, no. 2: 14-22. https://doi.org/10.17096/jiufd.95754


Chicago: Humanities Style

Aras, Işıl, and Derya Baykal and Merve Bulut and Servet Doğan. “EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS.” European Oral Research 51, no. 2 (Apr. 2024): 14-22. https://doi.org/10.17096/jiufd.95754


Harvard: Australian Style

Aras, I & Baykal, D & Bulut, M & Doğan, S 2017, 'EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS', European Oral Research, vol. 51, no. 2, pp. 14-22, viewed 23 Apr. 2024, https://doi.org/10.17096/jiufd.95754


Harvard: Author-Date Style

Aras, I. and Baykal, D. and Bulut, M. and Doğan, S. (2017) ‘EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS’, European Oral Research, 51(2), pp. 14-22. https://doi.org/10.17096/jiufd.95754 (23 Apr. 2024).


MLA

Aras, Işıl, and Derya Baykal and Merve Bulut and Servet Doğan. “EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS.” European Oral Research, vol. 51, no. 2, 2017, pp. 14-22. [Database Container], https://doi.org/10.17096/jiufd.95754


Vancouver

Aras I, Baykal D, Bulut M, Doğan S. EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS. European Oral Research [Internet]. 23 Apr. 2024 [cited 23 Apr. 2024];51(2):14-22. Available from: https://doi.org/10.17096/jiufd.95754 doi: 10.17096/jiufd.95754


ISNAD

Aras, Işıl - Baykal, Derya - Bulut, Merve - Doğan, Servet. “EVALUATION OF MANDIBULAR HARD AND SOFT TISSUES IN CLEFT PATIENTS”. European Oral Research 51/2 (Apr. 2024): 14-22. https://doi.org/10.17096/jiufd.95754



TIMELINE


Submitted10.06.2016
Accepted14.07.2016
Published Online01.05.2017

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