A comparison between landmark and surface shape measurements in a sample of cleft lip and palate patients after secondary alveolar bone grafting.
OBJECTIVE
To compare landmark vs surface-shape measurements in a sample of patients with cleft lips and palates following secondary alveolar bone grafting.


METHODS
The faces of 10 patients (4 males and 6 females) with an unilateral cleft lip and palate were captured using a 3D surface camera system before and 6 weeks after alveolar bone grafting. In each face, six coordinates were registered. The pre- and postoperative images were superimposed on areas that were not affected by the surgery. Using 3D modeling software landmarks, nasal symmetry, and surface-to-surface deviation, analysis was performed. All data were subjected to standard statistical analyses.


RESULTS
Color map surface-to-surface comparison revealed a significant anteroposterior elevation in the nasal region of the cleft side after surgery.


CONCLUSIONS
The ala, alar base, and paranasal areas are increased anteroposteriorly after secondary bone grafting. This surgery tends to diminish the asymmetry in nasal morphology typically seen in patients with unilateral cleft lip and palate. Overall, 3D surface-to-surface analysis allows for a better quantification of treatment changes.
Department of Orthodontics, School of Dentistry, University of Alabama at Birmingham, AL 35294, USA. ckau@uab.edu
Chung H
CH
Kau
Liana
L
Medina
Jeryl D
JD
English
James
J
Xia
Jamie
J
Gateno
John
J
Teichgraber
D000293:Adolescent; D000704:Analysis of Variance; D059925:Anatomic Landmarks; D016025:Bone Transplantation; D002508:Cephalometry; D002648:Child; D002971:Cleft Lip / Q000473:pathology*; D002972:Cleft Palate / Q000473:pathology*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D009666:Nose / Q000033:anatomy & histology*; D010780:Photogrammetry; D023861:Photography, Dental; D055815:Young Adult