title: Incisor and molar overjet, arch contraction, and molar relationship in the mixed dentition in repaired complete unilateral cleft lip and palate: A qualitative and quantitative appraisal.
abstract: OBJECTIVE
  To compare the mixed dentition incisor and molar overjet, severity of contraction of the dental arch, and the sagittal molar relationship on the cleft side vs the noncleft side in children with repaired complete unilateral cleft of the lip and palate (UCLP).
  
  
  METHODS
  Orthodontic records taken prior to orthodontic preparation for alveolar bone grafting were screened to select study casts from patients with nonsyndromic repaired complete UCLP who did not have mandibular skeletal or dental asymmetry. The study sample comprised dental casts from 74 children aged 8.9 ± 1 years. Standardized digital photographs were acquired at 1:1 magnification. A coordinate system was developed using digital image-processing software (Photoshop CS4 and Adobe Illustrator). Incisor and molar overjet, Angle's classification, and arch contraction were recorded. Descriptive statistics, paired t-tests, and kappa statistics were used to compare the cleft and noncleft sides.
  
  
  RESULTS
  A negative overjet of -1 to -5 mm was often present at the incisors, with greater frequency and magnitude on the cleft side. Class II molar relation was more frequent on the cleft side (61.1%) than on the noncleft side (47.2%). Significantly greater contraction of the cleft side deciduous canine and deciduous first molar was noted, while the difference was very minor at the first permanent molar.
  
  
  CONCLUSIONS
  Cleft side maxillary arch contraction was most severe in the deciduous canine and first deciduous molar region and progressively less severe in the posterior region of the arch. A greater frequency and severity of negative overjet and Class II molar relationship was seen on the cleft side.
authors.forename: Suteeta
authors.initials: S
authors.lastname: Disthaporn
authors.forename: Sunjay
authors.initials: S
authors.lastname: Suri
authors.forename: Bruce
authors.initials: B
authors.lastname: Ross
authors.forename: Bryan
authors.initials: B
authors.lastname: Tompson
authors.forename: Diogenes
authors.initials: D
authors.lastname: Baena
authors.forename: David
authors.initials: D
authors.lastname: Fisher
authors.forename: Wendy
authors.initials: W
authors.lastname: Lou
mesh_terms: D002648:Child; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003724:Dental Arch / Q000002:abnormalities*; D003818:Dentition, Mixed; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008312:Malocclusion, Angle Class II / Q000150:complications*; D008445:Maxillofacial Development; D003765:Models, Dental; D057887:Overbite / Q000150:complications*; D012189:Retrospective Studies
keywords: Angle classification; Arch contraction; Cleft; Malocclusion; Negative overjet