Digital Workflow in the Analysis of Orofacial Cleft in Children: Case Series with 5 Years of Follow-Up

Autores

  • Eloá Cristina Passucci Ambrosio Pós-doutoranda do Departamento de Odontopediatria, Ortodontia e Saúde Coletiva, Faculdade de Odontologia de Bauru, Universidade de São Paulo (USP) 17012-901 Bauru - SP, Brasil https://orcid.org/0000-0003-2322-3832
  • Patrícia Bassani Camargo Mestra pelo Departamento de Odontopediatria, Ortodontia e Saúde Coletiva, Faculdade de Odontologia de Bauru, Universidade de São Paulo (USP) 17012-901 Bauru - SP, Brasil https://orcid.org/0000-0002-3649-1695
  • Paula Karine Jorge Pós-doutoranda do Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo (USP) 17012-901 Bauru - SP, Brasil
  • Cleide Felício Carvalho Carrara Odontopediatra do Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo (USP) 17012-901 Bauru - SP, Brasil https://orcid.org/0000-0002-3219-5936
  • Maria Aparecida Andrade Moreira Machado Professora Titular do Departamento de Odontopediatria, Ortodontia e Saúde Coletiva, Faculdade de Odontologia de Bauru, Universidade de São Paulo (USP) 17012-901 Bauru - SP, Brasil
  • Thais Marchini Oliveira Professora Associada do Departamento de Odontopediatria, Ortodontia e Saúde Coletiva, Faculdade de Odontologia de Bauru e do Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo (USP) 17012-901 Bauru - SP, Brasil

DOI:

https://doi.org/10.21270/archi.v12i1.6049

Palavras-chave:

Cleft Lip, Cleft Palate, Child, Dental Arch, Imaging, Three-Dimensional

Resumo

An objective was detailed the digital workflow steps to analyze dental arch of children with cleft lip and palate. Five children underwent impressions of the upper dental arches in the following stages: Stage 1 – before lip repair (3 months of life); Stage 2 – after lip repair/ before palate repair (12 months of life); Stage 3 – after palate repair (24 months of life); and Stage 4 – with early complete/ mixed deciduous dentition (from 5 years of age). After the impressions, dental casts were made with orthodontic plaster, and trimmed to obtain standardized dentoalveolar bases. Dental cast digitalization was performed using a 3D scanner coupled to a computer. Using stereophotogrammetry system software, anatomical landmarks were delimited for the evaluation of linear measurements, palatal surface area, volume, and dental arch superimposition. It is concluded that, the digital analysis of dental arches represents a significant change in the diagnostic process and treatment planning of children with orofacial clefts. The multiplicity of equipment and software guarantees reliable, reproducible, and valid tools for use in clinical practice and in scientific research.

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Referências

Carrara CFC, Ambrosio ECP, Mello BZF, Jorge PK, Soares S, Machado MAAM, et al. Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft. Ann Maxillofac Surg. 2016;6(2):246-50.

Kongprasert T, Winaikosol K, Pisek A, Manosudprasit A, Manosudprasit A, Wangsrimongkol B,et al. Evaluation of the Effects of Cheiloplasty on Maxillary Arch in UCLP Infants Using Three-Dimensional Digital Models. Cleft Palate Craniofac J. 2019;56(8):1013-19.

Ambrosio ECP, Fusco NDS, Carrara CFC, Bergamo MT, Lourenço Neto N, Cruvinel T, et al. Digital Volumetric Monitoring of Palate Growth in Children With Cleft Lip and Palate. J Craniofac Surg. 2022;33(2):e143-5.

Jorge PK, Gnoinski W, Laskos KV, Carrara CFC, Garib DG, Ozawa TO, et al. Comparison of two treatment protocols in children with unilateral complete cleft lip and palate: Tridimensional evaluation of the maxillary dental arch. J Craniomaxillofac Surg. 2016; 44(9):1117-22.

De Menezes M, Cerón-Zapata AM, López-Palacio AM, Mapelli A, Pisoni L, Sforza C. Evaluation of a Three-Dimensional Stereophotogrammetric Method to Identify and Measure the Palatal Surface Area in Children with Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2016;53(1):16-21.

Barreto MS, Faber J, Vogel CJ, Araujo TM. Reliability of digital orthodontic setups. Angle Orthod. 2016;86(2):255-59.

Pucciarelli V, Pisoni L, De Menezes M, Ceron-Zapata AM, Lopez-Palacio AM, Codari M, et al. Palatal Volume Changes in Unilateral Cleft Lip and Palate Paediatric Patients, 6th International Conference on 3D Body Scanning Technologies. Lugano, Switzerland: 2015.

Sforza C, De Menezes M, Bresciani EB, Cerón-Zapata AM, López-Palacio AM, Rodriguez-Ardila MJ, Berrio-Gutiérrez LM. Evaluation of a 3D Stereophotogrammetric Technique to measure the Stone Casts of Patients with Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2012; 49(4):477–83.

Freitas JA, das Neves LT, de Almeida AL, Garib DG, Trindade-Suedam IK, Yaedú RY, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 1: overall aspects. J Appl Oral Sci. 2012;20(1):9-15.

Freitas JA, Garib DG, Oliveira M, Lauris Rde C, Almeida AL, Neves LT, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies-USP (HRAC-USP)-Part 2: Pediatric Dentistry and Orthodontics. J Appl Oral Sci. 2012;20(2):268–81.

Carrara CFC, Jorge PK, Costa B, Machado MAAM, Oliveira TM, da Silva Dalben G. Customized Tray for Impression Taking in Children with Cleft Lip and Palate. Cleft Palate Craniofac J. 2022:10556656221095713.

Ambrosio ECP, Sforza C, Menezes M, Gibelli D, Codari M, Carrara CFC, et al. Longitudinal morphometric analysis of dental arch of children with cleft lip and palate: 3D stereophotogrammetry study. Oral Surg Oral Med Oral Pathol Oral Radiol.2018;126(6):463-8.

Mello BZF, Ambrosio ECP, Jorge PK, de Menezes M, Carrara CFC, Soares S, et al. Analysis of dental arch in children with oral cleft before and after the primary surgeries. J Craniofac Surg. 2019;30(8):2456-58.

Ambrosio ECP, Sforza C, de Menezes M, Carrara CFC, Soares S, Machado MAAM, et al. Prospective cohort 3D study of dental arches in children with bilateral orofacial cleft: Assessment of volume and superimposition. Int J Paediatr Dent 2021;31(5):606-12.

Falzoni MMM, Ambrosio ECP, Jorge PK, Sforza C, de Menezes M, de Carvalho Carrara CF, et al. 3D morphometric evaluation of the dental arches in children with cleft lip and palate submitted to different surgical techniques. Clin Oral Investig. 2022;26(2):1975-83.

Ambrosio ECP, Sforza C, Carrara CFC, Machado MAAM, Oliveira TM. Innovative method to assess maxillary arch morphology in oral cleft: 3D-3D superimposition technique. Braz Dent J. 2021;32(2):37-44.

Ambrosio ECP, Sforza C, De Menezes M, Carrara CFC, Machado MAAM, Oliveira TM. Post-surgical effects on the maxillary segments of children with oral clefts: New three-dimensional anthropometric analysis. J Craniomaxillofac Surg. 2018;46(9):1511-14.

Prado DZA, Ambrosio ECP, Jorge PK, Sforza C, De Menezes M, Soares S, et al. Evaluation of cheiloplasty and palatoplasty on palate surface area in children with oral clefts: longitudinal study. Br J Oral Maxillofac Surg. 2022;60(4):437-42.

Generali C, Primozic J, Richmond S, Bizzarro M, Flores-Mir C, Ovsenik M, et al. Three-dimensional evaluation of the maxillary arch and palate in unilateral cleft lip and palate subjects using digital dental casts. Eur J Orthod. 2017;39(6):641-45.

Jaklová LK, Hoffmannová E, Dupej J, Borský J, Jurovčík M, Černý M, et al. Palatal growth changes in newborns with unilateral and bilateral cleft lip and palate from birth until 12 months after early neonatal cheiloplasty using morphometric assessment. Clin Oral Investig. 2021;25(6):3809-21.

Jaklová LK, Borský J, Jurovčík M, Hoffmannová E, Černý M, Dupej J, et al. Three-dimensional development of the palate in bilateral orofacial cleft newborns 1 year after early neonatal cheiloplasty: classic and geometric morphometric evaluation. J Craniomaxillofac Surg. 2020;48(4):383-90.

Publicado

2023-01-22

Como Citar

Ambrosio, E. C. P., Camargo, P. B., Jorge, P. K., Carrara, C. F. C., Machado, M. A. A. M., & Oliveira, T. M. (2023). Digital Workflow in the Analysis of Orofacial Cleft in Children: Case Series with 5 Years of Follow-Up. ARCHIVES OF HEALTH INVESTIGATION, 12(1), 6–11. https://doi.org/10.21270/archi.v12i1.6049

Edição

Seção

Original Articles