Evidence map›Paper›PMID 40075336›Full record

ArticleBMC oral health2025

Advanced or delayed? a retrospective study of skeletal maturation in children with a cleft lip and palate.

Xiaoyi Wu, Wenying Kuang, Gufeng Liu, Xiao Liu, Shiyu Yuan, Luyi Zhang, Cui Huang, Wenjun Yuan

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Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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8 authors.

Xiaoyi Wu *State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China.
Wenying Kuang *Department of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, People's Republic of China.
Gufeng LiuState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China.
Xiao LiuDepartment of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, People's Republic of China.
Shiyu YuanDepartment of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, People's Republic of China.
Luyi ZhangDepartment of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, People's Republic of China.
Cui HuangState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China. huangcui@whu.edu.cn.
Wenjun YuanDepartment of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, People's Republic of China. yuanwenjun@whu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe developmental patterns of children with cleft lip and palate (CLP) can affect the therapeutic effects. However, a consensus has not been reached on whether the development of children with CLP is delayed or advanced. We aimed to characterize the developmental patterns of children with CLP by skeletal maturation and to explore the relationship between skeletal maturation and dentition in children with CLP.

methodsThis retrospective study included 425 children, aged 4-18 years, categorized into three groups: unilateral cleft lip and palate (UCLP, 157), bilateral cleft lip and palate (BCLP, 134), and non-cleft controls (NCLP, 134). Skeletal maturation stages were assessed using the 5-stage cervical vertebral maturation (CVM) method. Adenoidal and tonsil hypertrophy was also assessed based on cephalometric radiographs. Dentition stages were evaluated based on the eruption of mandibular teeth. Logistic regression models were used to analyze the relationship between CLP and skeletal maturation, adjusting for adenoidal and tonsil hypertrophy and sex. The children were further subgrouped by sex, cleft type, and age to examine developmental patterns and the relationship between skeletal maturation and dentition.

resultsIn both sexes, children with CLP exhibited delayed skeletal maturation at specific developmental stages compared to NCLP children, but eventually caught up to their non-cleft peers. This delay and subsequent catch-up occurred approximately three years earlier in girls with CLP than in boys. While dentition stages showed a strong correlation with CVM stages, the diagnostic utility of dentition for assessing skeletal maturation was found to be limited.

conclusionsChildren with CLP exhibit a delayed onset of the growth spurt, followed by a period of catch-up growth. Additionally, dentition stage should not be used as a surrogate marker for skeletal maturation when evaluating the developmental potential of children with CLP.

Indexed as

Bone DevelopmentCleft LipCleft PalateAdenoidsAdolescentAge Determination by SkeletonCase-Control StudiesCephalometryCervical VertebraeChildChild, PreschoolFemaleHumansHypertrophyMalePalatine TonsilAge determination by skeletonBone developmentChildren developmentDentitionOrofacial clefts

Identifiers

PMID40075336
PMCPMC11899798

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