Evidence map›Paper›PMID 42640358›Full record

ArticleClinical oral investigations2026

Four-year follow-up on maxillary arch outcomes with presurgical infant orthopedics in unilateral cleft lip, alveolus, and palate: a retrospective cohort study.

Puneet Batra, Ajay Kubavat, Anne Marie Kuijpers-Jagtman, Bruno Frazao Gribel, Dhruv Ahuja

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Article in Clinical oral investigations, 2026. 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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5 authors.

Puneet BatraDepartment of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India. drpuneetbatra@gmail.com.
Ajay KubavatDepartment of Orthodontics and Dentofacial Orthopedics, Narsinhbhai Patel Dental College, Sankalchand Patel University, Visnagar, Gujarat, India.
Anne Marie Kuijpers-JagtmanDepartment of Orthodontics, University Medical Centre Groningen (UMCG), Groningen, The Netherlands.
Bruno Frazao GribelCompass 3D: Inteligencia e Tecnologia para dentistas, Funcionarios, Belo Horizonte, Minas Gerais, Brazil.
Dhruv AhujaDepartment of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effects of different presurgical infant orthopedic (PSIO) modalities on maxillary arch morphology in children with complete unilateral cleft lip and palate (UCLP) at 4 years following cheiloplasty. MATERIALS AND

methodsIn this retrospective cohort study, 48 children with UCLP were included in four groups (n = 12 each): Modified Grayson's NAM, Dynacleft nasal elevator, aligner-based NAM with Dynacleft nasal elevator, and no-PSIO control. Digital maxillary models obtained at 4 years of age were analyzed for arch width, depth, length, arch form, vertical segment position, and segmental contact/collapse. Inter- and intraexaminer reliability were assessed using intraclass correlation coefficients (ICC). Intergroup comparisons were performed using one-way ANOVA and chi-square tests (α = 0.05).

resultsIntraclass correlation coefficients demonstrated good to excellent reliability, with ICC values ranging from 0.73 to 0.96. No statistically significant differences were found among the four groups for arch width, arch depth, arch length, arch form, vertical position of the lesser segment, or segmental contact/collapse (p > 0.05). Mean values across all transverse, sagittal, and vertical parameters were comparable, with no consistent pattern favoring any PSIO modality.

conclusionAt 4 years of age following primary cheiloplasty, no statistically significant differences in maxillary arch morphology were detected among the PSIO modalities and the no-PSIO group. Within the limitations of this retrospective cohort and its sample size, these findings do not demonstrate a detectable difference in the evaluated maxillary arch parameters among the four groups at 4 years of age. CLINICAL RELEVANCE: PSIO may provide early presurgical benefits, but no detectable differences in the evaluated maxillary arch parameters were observed among the four groups at 4 years of age in this cohort.

Indexed as

Cleft LipCleft PalateDental ArchMaxillaChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleRetrospective StudiesTreatment OutcomeMaxillary dental archNasoalveolar moldingPresurgical infant orthopedicsTreatment outcomeUnilateral cleft lip and palate

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.