Indiana University-Purdue University Indianapolis (IUPUI) / This investigation served as a follow-up of the unilateral and bilateral
cleft lip and palate patients who underwent primary alveolar bone grafting at
James Whitcomb Riley Hospital of the Indiana University Medical Center. The
sample consisted of 18 patients, 15 males and three females, who received
primary alveolar grafts between September 7, 1983 and March 5, 1985.
Thirteen had complete unilateral clefts, and five had complete bilateral clefts of
the lip and palate. The mean age of the group was 8 years, and none had
received orthodontic treatment.
The statistical analysis of the lateral cephalometric radiographs revealed
significant differences in maxillofacial growth between the Riley sample
population and the non-cleft, age-matched patients in the University of Michigan
Growth Study. The Riley data were, overall, statistically and proportionately
smaller than the normal population. These findings are due to the smaller
skeletal size of the Riley group.
Arch symmetry measurements indicated that at 8 years of age there were
significant differences from ideal or perfect symmetry. Due to existent dental
development and scarring from the palatal procedure, these findings were
expected. Ideal symmetry may not be a realistic achievement for the cleft
patients.
Palatal surface area values were visually analyzed through graphs. The
growth patterns of the Riley population were similar to those of the normal and
non-grafted cleft groups in a study from the University of Miami. The data
supports the theory that primary alveolar bone grafting, as performed at James Whitcomb Riley Hospital, does not result in growth attenuation.
| Identifer | oai:union.ndltd.org:IUPUI/oai:scholarworks.iupui.edu:1805/4386 |
| Date | January 1993 |
| Creators | Tanimura, Leslie K. |
| Contributors | Avery, David R., Hennon, David Kent, 1933-, Nelson, Charles L., Sadove, A. Michael, Branca, Ronald A. |
| Source Sets | Indiana University-Purdue University Indianapolis |
| Language | en_US |
| Detected Language | English |
| Type | Thesis |
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