{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T10:54:52Z","timestamp":1780484092867,"version":"3.54.1"},"reference-count":46,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec id=\"st1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the mixed dentition incisor and molar overjet, severity of contraction of the dental arch, and the sagittal molar relationship on the cleft side vs the noncleft side in children with repaired complete unilateral cleft of the lip and palate (UCLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Orthodontic records taken prior to orthodontic preparation for alveolar bone grafting were screened to select study casts from patients with nonsyndromic repaired complete UCLP who did not have mandibular skeletal or dental asymmetry. The study sample comprised dental casts from 74 children aged 8.9 \u00b1 1 years. Standardized digital photographs were acquired at 1:1 magnification. A coordinate system was developed using digital image-processing software (Photoshop CS4 and Adobe Illustrator). Incisor and molar overjet, Angle's classification, and arch contraction were recorded. Descriptive statistics, paired\n                      <jats:italic>t<\/jats:italic>\n                      -tests, and kappa statistics were used to compare the cleft and noncleft sides.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A negative overjet of \u22121 to \u22125 mm was often present at the incisors, with greater frequency and magnitude on the cleft side. Class II molar relation was more frequent on the cleft side (61.1%) than on the noncleft side (47.2%). Significantly greater contraction of the cleft side deciduous canine and deciduous first molar was noted, while the difference was very minor at the first permanent molar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Cleft side maxillary arch contraction was most severe in the deciduous canine and first deciduous molar region and progressively less severe in the posterior region of the arch. A greater frequency and severity of negative overjet and Class II molar relationship was seen on the cleft side.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/091916-698.1","type":"journal-article","created":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T09:45:20Z","timestamp":1487065520000},"page":"603-609","source":"Crossref","is-referenced-by-count":11,"title":["Incisor and molar overjet, arch contraction, and molar relationship in the mixed dentition in repaired complete unilateral cleft lip and palate: A qualitative and quantitative appraisal"],"prefix":"10.2319","volume":"87","author":[{"given":"Suteeta","family":"Disthaporn","sequence":"first","affiliation":[{"name":"Former Clinical Orthodontic Fellow, The Hospital for Sick Children, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunjay","family":"Suri","sequence":"additional","affiliation":[{"name":"Associate Professor and Director, Graduate Specialty Program in Orthodontics, Faculty of Dentistry, University of Toronto, and Staff Orthodontist, The Hospital for Sick Children, Toronto, Ontario, Canada1."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Ross","sequence":"additional","affiliation":[{"name":"Professor, Faculty of Dentistry, University of Toronto, and Staff Orthodontist, The Hospital for Sick Children, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Tompson","sequence":"additional","affiliation":[{"name":"Associate Professor, Faculty of Dentistry, University of Toronto, and Head, Division of Orthodontics, The Hospital for Sick Children, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diogenes","family":"Baena","sequence":"additional","affiliation":[{"name":"Biomedical Photographer, The Hospital for Sick Children, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Fisher","sequence":"additional","affiliation":[{"name":"Medical Director, Cleft Lip and Palate Program, The Hospital for Sick Children, Toronto, Ontario, Canada, and Associate Professor, Department of Surgery, University of Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Lou","sequence":"additional","affiliation":[{"name":"Professor and Head, Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada, and Canada Research Chair in Statistical Methods for Health Care."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-87-4-603-b01","series-title":"Angle Orthod","first-page":"273","article-title":"Orthodontic treatment of cleft lip and palate, birth to adulthood","volume":"36","author":"Subtelny \n              JD.","year":"1966","unstructured":"Subtelny \n              JD. \n            \n          \n          Orthodontic treatment of cleft lip and palate, birth to adulthood. Angle Orthod. 1966;36:273\u2013292."},{"key":"i0003-3219-87-4-603-b02","series-title":"Cleft Palate Craniofac J","first-page":"219","article-title":"Position of upper permanent central incisors prior to eruption in unilateral cleft lip and palate","volume":"33","author":"Smahel \n              Z,","year":"1996","unstructured":"Smahel \n              Z, \n            \n            \n              Tomanov\u00e1 \n              M, \n            \n            \n              M\u00fcllerov\u00e1 \n              Z. \n            \n          \n          Position of upper permanent central incisors prior to eruption in unilateral cleft lip and palate. Cleft Palate Craniofac J. 1996;33:219\u2013224."},{"key":"i0003-3219-87-4-603-b03","series-title":"Cleft Lip and Palate","author":"Ross \n              RB,","year":"1972","unstructured":"Ross \n              RB, \n            \n            \n              Johnston \n              MC. \n            \n          \n          Cleft Lip and Palate. Baltimore, Md: Williams & Wilkins;1972."},{"key":"i0003-3219-87-4-603-b04","series-title":"Understanding Craniofacial Anomalies","first-page":"391","article-title":"Midfacial and mandibular dysmorphology and growth in facial clefting: clinical implications","author":"Ross \n              RB.","year":"2002","unstructured":"Ross \n              RB. \n            \n          \n          Midfacial and mandibular dysmorphology and growth in facial clefting: clinical implications. In: Mooney MP, Siegel MI, eds. Understanding Craniofacial Anomalies. Hoboken, NJ: Wiley-Liss;2002:391\u2013421."},{"key":"i0003-3219-87-4-603-b05","series-title":"Cleft Palate Craniofac J","first-page":"450","article-title":"Dentoalveolar growth inhibition induced by bone denudation on palates: a study of two isolated cleft palates with asymmetric scar tissue distribution","volume":"36","author":"Ishikawa \n              H,","year":"1999","unstructured":"Ishikawa \n              H, \n            \n            \n              Iwasaki \n              H, \n            \n            \n              Tsukada \n              H, \n            \n            \n              Chu \n              S, \n            \n            \n              Nakamura \n              S, \n            \n            \n              Yamamoto \n              K. \n            \n          \n          Dentoalveolar growth inhibition induced by bone denudation on palates: a study of two isolated cleft palates with asymmetric scar tissue distribution. Cleft Palate Craniofac J. 1999;36:450\u2013456."},{"key":"i0003-3219-87-4-603-b06","series-title":"Cleft Palate J","first-page":"139","article-title":"Dental arch dimensions in patients with unilateral cleft lip and palate","volume":"25","author":"Athanasiou \n              AE,","year":"1988","unstructured":"Athanasiou \n              AE, \n            \n            \n              Mazaheri \n              M, \n            \n            \n              Zarrinnia \n              K. \n            \n          \n          Dental arch dimensions in patients with unilateral cleft lip and palate. Cleft Palate J. 1988;25:139\u2013145."},{"key":"i0003-3219-87-4-603-b07","series-title":"Cleft Palate Craniofac J","first-page":"227","article-title":"Sri Lankan cleft lip and palate study model analysis: clefts of the secondary palate","volume":"30","author":"McCance \n              A,","year":"1993","unstructured":"McCance \n              A, \n            \n            \n              Roberts-Harry \n              D, \n            \n            \n              Sherriff \n              M, \n            \n            \n              Mars \n              M, \n            \n            \n              Houston \n              WJ. \n            \n          \n          Sri Lankan cleft lip and palate study model analysis: clefts of the secondary palate. Cleft Palate Craniofac J. 1993;30:227\u2013230."},{"key":"i0003-3219-87-4-603-b08","series-title":"Cleft Palate Craniofac J","first-page":"635","article-title":"The relationship between arch dimensions and the 5-year index in the primary dentition of patients with complete UCLP","volume":"39","author":"DiBiase \n              AT,","year":"2002","unstructured":"DiBiase \n              AT, \n            \n            \n              DiBiase \n              DD, \n            \n            \n              Hay \n              NJ, \n            \n            \n              Sommerlad \n              BC. \n            \n          \n          The relationship between arch dimensions and the 5-year index in the primary dentition of patients with complete UCLP. Cleft Palate Craniofac J. 2002;39:635\u2013640."},{"key":"i0003-3219-87-4-603-b09","series-title":"Cleft Palate Craniofac J","first-page":"385","article-title":"Early assessment of dental arch development in repaired unilateral cleft lip and unilateral cleft lip and palate versus control","volume":"42","author":"Garrahy \n              A,","year":"2005","unstructured":"Garrahy \n              A, \n            \n            \n              Millett \n              DT, \n            \n            \n              Ayoub \n              AF. \n            \n          \n          Early assessment of dental arch development in repaired unilateral cleft lip and unilateral cleft lip and palate versus control. Cleft Palate Craniofac J. 2005;42:385\u2013391."},{"key":"i0003-3219-87-4-603-b10","series-title":"Cleft Palate Craniofac J","first-page":"639","article-title":"Maxillary anterior tooth size and arch dimensions in unilateral cleft lip and palate","volume":"45","author":"Lewis \n              BR,","year":"2008","unstructured":"Lewis \n              BR, \n            \n            \n              Stern \n              MR, \n            \n            \n              Willmot \n              DR. \n            \n          \n          Maxillary anterior tooth size and arch dimensions in unilateral cleft lip and palate. Cleft Palate Craniofac J. 2008;45:639\u2013646."},{"key":"i0003-3219-87-4-603-b11","series-title":"Cleft Palate Craniofac J","first-page":"e196","article-title":"Leite Battisti Mde P, Garib DG. Association between dental arch widths and interarch relationships in children with operated unilateral complete cleft lip and palate","volume":"52","author":"dos Santos \n              PB,","year":"2015","unstructured":"dos Santos \n              PB, \n            \n            \n              Janson \n              G, \n            \n            \n              Assis \n              VH, \n            \n          \n          Leite Battisti Mde P, Garib DG. Association between dental arch widths and interarch relationships in children with operated unilateral complete cleft lip and palate. Cleft Palate Craniofac J. 2015;52:e196\u2013e200."},{"key":"i0003-3219-87-4-603-b12","series-title":"Eur J Orthod","first-page":"311","article-title":"Sousa Campos AE. Malocclusion characteristics of patients with cleft lip and\/or palate","volume":"33","author":"Vettore \n              MV,","year":"2011","unstructured":"Vettore \n              MV, \n            \n          \n          Sousa Campos AE. Malocclusion characteristics of patients with cleft lip and\/or palate. Eur J Orthod. 2011;33:311\u2013317."},{"key":"i0003-3219-87-4-603-b13","series-title":"Eur J Orthod","first-page":"647","article-title":"Cleft type and Angle's classification of malocclusion in Korean cleft patients","volume":"24","author":"Baek \n              SH,","year":"2002","unstructured":"Baek \n              SH, \n            \n            \n              Moon \n              HS, \n            \n            \n              Yang \n              WS. \n            \n          \n          Cleft type and Angle's classification of malocclusion in Korean cleft patients. Eur J Orthod. 2002;24:647\u2013653."},{"key":"i0003-3219-87-4-603-b14","series-title":"J Oral Maxillofac Surg","first-page":"913","article-title":"Long-term results after secondary bone grafting of alveolar clefts","volume":"45","author":"Enemark \n              H,","year":"1987","unstructured":"Enemark \n              H, \n            \n            \n              Sindet-Pedersen \n              S, \n            \n            \n              Bundgaard \n              M. \n            \n          \n          Long-term results after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg. 1987;45:913\u2013919."},{"key":"i0003-3219-87-4-603-b15","series-title":"Angle Orthod","first-page":"174","article-title":"Secondary bone graft and eruption of the permanent canine in patients with alveolar clefts: literature review and case report","volume":"70","author":"Da Silva Filho \n              OG,","year":"2000","unstructured":"Da Silva Filho \n              OG, \n            \n            \n              Teles \n              SG, \n            \n            \n              Ozawa \n              TO, \n            \n            \n              Filho \n              LC. \n            \n          \n          Secondary bone graft and eruption of the permanent canine in patients with alveolar clefts: literature review and case report. Angle Orthod. 2000;70:174\u2013178."},{"key":"i0003-3219-87-4-603-b16","series-title":"Cleft Palate Craniofac J","first-page":"229","article-title":"Management of alveolar cleft bone grafting\u2014state of the art","volume":"37","author":"Eppley \n              BL,","year":"2000","unstructured":"Eppley \n              BL, \n            \n            \n              Sadove \n              AM. \n            \n          \n          Management of alveolar cleft bone grafting\u2014state of the art. Cleft Palate Craniofac J. 2000;37:229\u2013233."},{"key":"i0003-3219-87-4-603-b17","series-title":"Eur J Orthod","first-page":"205","article-title":"Prediction of outcomes of secondary alveolar bone grafting in children born with unilateral cleft lip and palate","volume":"25","author":"Williams \n              A,","year":"2003","unstructured":"Williams \n              A, \n            \n            \n              Semb \n              G, \n            \n            \n              Bearn \n              D, \n            \n            \n              Shaw \n              W, \n            \n            \n              Sandy \n              J. \n            \n          \n          Prediction of outcomes of secondary alveolar bone grafting in children born with unilateral cleft lip and palate. Eur J Orthod. 2003;25:205\u2013211."},{"key":"i0003-3219-87-4-603-b18","series-title":"Br J Oral Maxillofac Surg","first-page":"308","article-title":"Long-term outcome of secondary alveolar bone grafting in patients with various types of cleft","volume":"44","author":"Jia \n              YL,","year":"2006","unstructured":"Jia \n              YL, \n            \n            \n              Fu \n              MK, \n            \n            \n              Ma \n              L. \n            \n          \n          Long-term outcome of secondary alveolar bone grafting in patients with various types of cleft. Br J Oral Maxillofac Surg. 2006;44:308\u2013312."},{"key":"i0003-3219-87-4-603-b19","series-title":"Eur J Orthod","first-page":"251","article-title":"Preliminary investigation of a modified Huddart\/Bodenham scoring system for assessment of maxillary arch constriction in unilateral cleft lip and palate subjects","volume":"25","author":"Mossey \n              PA,","year":"2003","unstructured":"Mossey \n              PA, \n            \n            \n              Clark \n              JD, \n            \n            \n              Gray \n              D. \n            \n          \n          Preliminary investigation of a modified Huddart\/Bodenham scoring system for assessment of maxillary arch constriction in unilateral cleft lip and palate subjects. Eur J Orthod. 2003;25:251\u2013257."},{"key":"i0003-3219-87-4-603-b20","series-title":"J Craniofac Genet Dev Biol","first-page":"69","article-title":"Dental arch dimensions in unoperated adult cleft-palate patients: an analysis of 37 cases","volume":"14","author":"Derijcke \n              A,","year":"1994","unstructured":"Derijcke \n              A, \n            \n            \n              Kuijpers-Jagtman \n              AM, \n            \n            \n              Lekkas \n              C, \n            \n            \n              Hardjowasito \n              W, \n            \n            \n              Latief \n              B. \n            \n          \n          Dental arch dimensions in unoperated adult cleft-palate patients: an analysis of 37 cases. 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Eur J Orthod. 2010;32:19\u201323."},{"key":"i0003-3219-87-4-603-b22","series-title":"Am J Orthod Dentofacial Orthop","first-page":"418","article-title":"Craniofacial computerized tomography analysis of the midface of patients with repaired complete unilateral cleft lip and palate","volume":"134","author":"Suri \n              S,","year":"2008","unstructured":"Suri \n              S, \n            \n            \n              Utreja \n              A, \n            \n            \n              Khandelwal \n              N, \n            \n            \n              Mago \n              SK. \n            \n          \n          Craniofacial computerized tomography analysis of the midface of patients with repaired complete unilateral cleft lip and palate. Am J Orthod Dentofacial Orthop. 2008;134:418\u2013429."},{"key":"i0003-3219-87-4-603-b23","series-title":"Arch Oral Biol","first-page":"837","article-title":"A histological study of tissue response to simulated cleft palate surgery at different ages in beagle dogs","volume":"36","author":"Wijdeveld \n              MG,","year":"1991","unstructured":"Wijdeveld \n              MG, \n            \n            \n              Maltha \n              JC, \n            \n            \n              Grupping \n              EM, \n            \n            \n              De Jonge \n              J, \n            \n            \n              Kuijpers-Jagtman \n              AM. \n            \n          \n          A histological study of tissue response to simulated cleft palate surgery at different ages in beagle dogs. 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Angle Orthod. 1966;36:273\u2013292."},{"key":"i0003-3219-87-4-603-b02","series-title":"Cleft Palate Craniofac J","first-page":"219","article-title":"Position of upper permanent central incisors prior to eruption in unilateral cleft lip and palate","volume":"33","author":"Smahel \n              Z,","year":"1996","unstructured":"Smahel \n              Z, \n            \n            \n              Tomanov\u00e1 \n              M, \n            \n            \n              M\u00fcllerov\u00e1 \n              Z. \n            \n          \n          Position of upper permanent central incisors prior to eruption in unilateral cleft lip and palate. Cleft Palate Craniofac J. 1996;33:219\u2013224."},{"key":"i0003-3219-87-4-603-b03","series-title":"Cleft Lip and Palate","author":"Ross \n              RB,","year":"1972","unstructured":"Ross \n              RB, \n            \n            \n              Johnston \n              MC. \n            \n          \n          Cleft Lip and Palate. 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Cleft Palate Craniofac J. 1999;36:450\u2013456."},{"key":"i0003-3219-87-4-603-b06","series-title":"Cleft Palate J","first-page":"139","article-title":"Dental arch dimensions in patients with unilateral cleft lip and palate","volume":"25","author":"Athanasiou \n              AE,","year":"1988","unstructured":"Athanasiou \n              AE, \n            \n            \n              Mazaheri \n              M, \n            \n            \n              Zarrinnia \n              K. \n            \n          \n          Dental arch dimensions in patients with unilateral cleft lip and palate. 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Eur J Orthod. 2002;24:647\u2013653."},{"key":"i0003-3219-87-4-603-b14","series-title":"J Oral Maxillofac Surg","first-page":"913","article-title":"Long-term results after secondary bone grafting of alveolar clefts","volume":"45","author":"Enemark \n              H,","year":"1987","unstructured":"Enemark \n              H, \n            \n            \n              Sindet-Pedersen \n              S, \n            \n            \n              Bundgaard \n              M. \n            \n          \n          Long-term results after secondary bone grafting of alveolar clefts. 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Angle Orthod. 2000;70:174\u2013178."},{"key":"i0003-3219-87-4-603-b16","series-title":"Cleft Palate Craniofac J","first-page":"229","article-title":"Management of alveolar cleft bone grafting\u2014state of the art","volume":"37","author":"Eppley \n              BL,","year":"2000","unstructured":"Eppley \n              BL, \n            \n            \n              Sadove \n              AM. \n            \n          \n          Management of alveolar cleft bone grafting\u2014state of the art. 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