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"Latar Belakang: Celah bibir dan langit-langit merupakan kelainan bawaan yang umum ditemukan yang terjadi saat perkembangan janin karena kegagalan proses pertumbuhan organ wajah. Defisiensi pertumbuhan maksila secara tiga dimensi (3D) sering ditemukan pada penderita celah bibir dan langit-langit terutama pada kasus unilateral. Pasien yang telah menjalani prosedur operasi menunjukkan adanya penurunan tinggi basis kranial, maksila yang lebih pendek, retrograntik maksila berlebihan dan inklinasi gigi insisif atas dan bawah yang lebih ke lingual. Perawatan bertahap dibutuhkan untuk penanganan pasien dengan celah bibir dan langit-langit seperti bedah perbaikan tulang alveolar, restorasi prostodontik, dan koreksi dental definitif. Tujuan: Menganalisis pengaruh labioplasti dan palatoplasti terhadap tinggi maksila, volume sinus maksilaris dan ukuran sella turcica pada pasien celah bibir dan langit-langit unilateral. Material dan Metode: Penelitian analitik observasional dengan desain potong lintang. Subjek penelitian ini adalah anak berusia ³13 tahun dengan celah bibir dan langit-langit unilateral, telah dilakukan labioplasti dan palatoplasti, serta tidak mengikuti prosedur perawatan ortodontik cekat di RSAB Harapan Kita, Jakarta dalam kurun waktu 2011-2013. Berdasarkan kriteria inklusi dan eksklusi diperoleh jumlah samepl sebanyak 12 subjek. Setiap subjek dilakukan pengambilan gambaran radiografi CBCT untuk penilaian tinggi maksila, volume sinus maksilaris dan ukuran sella turcica. Perbandingan tinggi maksila dan volume sinus maksilaris dilakukan pada sisi celah dan sisi normal, sedangkan perbandingan ukuran sella turcica dilakukan secara deskriptif menggunakan data sekunder. Hasil penelitian: Terdapat perbedaan tinggi maksila dan volume sinus maksilaris yang signifikan antara sisi celah dan sisi normal (p=0,00 dan p=0,01). Terdapat perbedaan ukuran lebar dan kedalaman sella turcica antara subjek dengan kelompok kontrol. Kesimpulan: Labioplasti dan palatoplasti mempengaruhi tinggi maksila, volume sinus maksilaris dan ukuran sella turcica pada pasien dengan celah bibir dan langit-langit unilateral......Background: Cleft lip and palate is a common congenital disorder that formed during fetal development due to failure of the developmental processes of the face. Three-dimensional (3D) maxillary growth deficiency is often found in patients with cleft lip and palate, particularly in unilateral cases. Patients who had undergone surgical procedures show a decrease on cranial base height, shorter maxilla, severe maxillary retrograntic and more lingual inclination of upper and lower incisor teeth. Multistage treatment is neccessary for patients with the lips and palate such as alveolar bone repair, prosthodontic restoration, and definitive dental correction. Objective: To analyze the effect of labioplasty and palatoplasty to maxillary height, maxillary sinus volume and sella turcica size in patients with unilateral cleft lip and palate. Materials and Methods: Observational analytic study with cross-sectional design. The subjects of this study were children ³13-years-old with unilateral cleft lip and palate, had undergone labioplasty and palatoplasty, and did not undergo fixed orthodontic treatment procedures at RSAB Harapan Kita, Jakarta in the period of 2011-2013. Based on the inclusion and exclusion criteria, a total of 12 subjects were obtained. Each subject took a CBCT radiographic to assess the maxillary height, maxillary sinus volume and sella turcica size. Comparison of maxillary height and maxillary sinus volume was performed on the cleft and normal sides, while the comparison of the size of the sella turcica was performed descriptively using secondary data. Results: There are significant differences in the maxilla height and maxillary sinus volume between the cleft side and the normal side (p = 0.00 and p = 0.01). There is a difference in width and height of the sella turcica between the subject and the control group. Conclusion: Labioplasty and palatoplasty affect maxillary height, maxillary sinus volume and sella turcica size in patients with unilateral cleft lip and palate."

"ABSTRACTThe objective of this study is to characterize and compare tooth agenesis codes and their prevalence in a population of Spanish patients with unilateral cleft lip and palate (UCLP) and bilateral cleft lip and palate (BCLP), and to determine if the extent of the cleft (BCLP or UCLP) was associated with the number of absent teeth. This retrospective cross-sectional human study included 118 patients with complete BCLP (29) or UCLP (89) and permanent dentition from first molar to first molar. Congenitally missing teeth were identified on panoramic radiographs using the tooth agenesis code (TAC) to identify agenesis codes. Agenesis prevalence was 50.6 and 51.7% for UCLP and BCLP patients, respectively. The lateral upper incisor was the most frequently absent tooth, especially in the cleft quadrant. Numbers of absent teeth ranged from 1 to 6. This study represents a different approach from previous agenesis investigations in cleft patients. These Spanish patients showed a high number of ageneses, presenting nineteen different tooth agenesis codes. A total of five TACs were unique, in other words, observed in a single patient in the sample. No statistically significant relationship was found between the extent of the cleft and the number of absent teeth. The TAC system makes it possible to identify agenesis codes with simultaneous absence of teeth not detected in general prevalence studies."

"Pendahuluan: mengetahui perbedaan ukuran angular dentokraniofasial antara anak dengan celah bibir dan langit-langit unilateral dan bilateral komplit pasca labiopalatoplasti dibandingkan dengan anak tanpa celah bibir dan langit-langit. Material dan metode: Subyek penelitian terdiri dari 16 anak dengan celah bibir dan langit-langit unilateral komplit pasca labiopalatoplasti, 16 anak dengan celah bibir dan langit-langit bilateral komplit pasca labiopalatoplasti, 16 anak tanpa celah bibir dan langit-langit yang berada pada status maturasi vertebra servikalis I dan II. Tahap maturasi vertebra servikalis ditentukan dengan metode oleh Baccetti dkk (2002). Uji statistik yang dilakukan meliputi uji untuk distribusi data yang normal, uji t berpasangan, dan anova dengan tingkat signifikansi p < 0,5. Hasil: Terdapat perbedaan bermakna pada sudut insisif atas – bidang maksila antara kelompok unilateral dan normal; terdapat perbedaan bermakna pada sudut ANB, sudut SN/MP, dan sudut insisif atas – bidang maksila antara kelompok bilateral dan normal; terdapat perbedaan bermakna pada sudut SNA, sudut insisif atas – bidang maksila antara kelompok unilateral dan bilateral. Kesimpulan: Inklinasi insisif atas paling terpengaruh oleh celah bibir dan langit-langit. Inklinasi maksila ditemukan sedikit retrusif untuk kelompok celah bibir dan langit-langit unilateral komplit, sedangkat sedikit protrusif untuk kelompok celah bibir dan langit-langit bilateral komplit. Hubungan sagital kelompok bilateral ditemukan paling protrusif, diikuti kelompok normal, dan selanjutnya kelompok unilateral. Kecuraman bidang mandibula ditemukan pada kelompok bilateral......Introduction: To evaluate dentocraniofacial morphology of children with complete unilateral and bilateral cleft lip and palate following labioplasty and palatoplasty. Analysis was made when the children were at first and second stages of cervical vertebral maturation stage, before the peak of maxillary growth. Materials and methods: Sixteen digital cephalometric images of subjects with complete unilateral and bilateral cleft lip and palate following labioplasty and palatoplasty were compared with 16 normal stage-matched controls. Cervical vertebral maturation stage was determined by Method of Baccetti et al (2002). Statistics included tests for normal distribution, paired t test, and anova with the significance level p < .05. Results: There were significant cephalometric differences in UI/MxPl angle between unilateral and normal group; ANB angle, SN/MP angle, UI/MxPl angle between bilateral and normal group; SNA angle, UI/MxPl angle between unilateral and bilateral group. Conclusion: The inclination of upper incisor was most affected by cleft lip and palate. The maxilla inclination was found a little retrusive for unilateral cleft lip and palate, while a little protrusive for bilateral. Sagittal relationship of bilateral was found the most protrusive followed by normal and unilateral group. Mandibular steepness was found for bilateral cleft lip and palate."