Evidence map›Paper›PMID 40415028›Full record

ArticleClinical oral investigations2025

Growth pattern prediction of maxillary segments in infants with unilateral cleft lip and palate: a prospective in vivo study.

Sarah Bühling, Cedric Thedens, Sara Eslami, Iulia Dahmer, Babak Sayahpour, Nicolas Plein, Lukas Benedikt Seifert, Robert Sader, Stefan Kopp

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Article in Clinical oral investigations, 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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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Sarah BühlingDepartment of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt, Germany. buehling@med.uni-frankfurt.de.
Cedric ThedensDepartment of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt, Germany.
Sara EslamiDepartment of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt, Germany.
Iulia DahmerFaculty of Medicine, Institute of Biostatistics and Mathematical Modelling, Johann-Wolfgang Goethe University, Frankfurt, Germany.
Babak SayahpourDepartment of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt, Germany.
Nicolas PleinDepartment of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt, Germany.
Lukas Benedikt SeifertClinic for Oral, Maxillofacial, and Facial Surgery, University Hospital Basel, Basel, Switzerland.
Robert Sader *Clinic for Maxillofacial and Plastic Surgery, Johann-Wolfgang Goethe University, Frankfurt, Germany.
Stefan Kopp *Department of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the study was to identify the best prediction model for the growth pattern of the maxillary segments of infants with unilateral cleft lip and palate post birth and prior to the primary surgical cleft closure. MATERIALS AND

methods195 digital maxillary models of 50 infants with unilateral cleft lip and palate were collected during their preoperative alveolar molding therapy period. Intraoral scans were taken shortly after birth, at the monthly checkups and just before the surgical cleft closure at approximately 6 months of age. Surface measurements of maxillary segments were conducted using the diagnostic program OnyxCeph³™. For identifying the best fit for the growth pattern, mixed-effects regression models (fractional polynomials and B-splines) with the surface measurement as dependent variable, patient age (days) as predictor and the patient as random effect were fitted to the data. The best fit was selected according to the Akaike Information Criterium. A likelihood ratio test was performed for comparing the selected model with the intercept-only model.

resultsThe linear regression with mixed effects model showed the best fit for the total area, the area of the large segment and the area of the small segment. A highly significant association between the surface area and patient age was observed (p < 0.001). An increase of the area with time was estimated at 2.88 mm

conclusionThe growth pattern for the maxillary segments of patients with unilateral cleft lip and palate in the preoperative period can be best predicted by using a linear regression model. The growth curve model developed by the present study can be used in future treatment planning of patients with unilateral cleft lip and palate.

Indexed as

Cleft LipCleft PalateMaxillaMaxillofacial DevelopmentAge FactorsFemaleHumansInfantInfant, NewbornLinear ModelsMaleNasoalveolar MoldingProspective StudiesCleft lip palateGrowth curveMaxillaProspective studySurface

Identifiers

PMID40415028
PMCPMC12104111

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