{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T19:30:31Z","timestamp":1788809431151,"version":"build-2803163510"},"reference-count":48,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective:\u2002<\/jats:title>\n To assess the bone support of the teeth adjacent to a cleft using cone-beam computed tomography (CBCT).<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:\u2002<\/jats:title>\n The CBCT scans of 31 patients with unilateral cleft lip and palate (UCLP) were assessed. The data for teeth neighboring the cleft were compared with those of contralateral noncleft teeth. For each tooth analyzed, the distance between the cementoenamel junction (CEJ) and the bone crest (AC) at the buccal side was measured as was the thickness of the buccal bone level at 0, 1, 2, and 4 mm.<\/jats:p>\n <\/jats:sec>\n \n Results:\u2002<\/jats:title>\n The bone thicknesses of the central teeth at the cleft region at the crest and 2 mm apically were statistically significantly thinner than that of the central incisor at a noncleft region. The CEJ-AC distance for central teeth at the cleft region was higher than that for central teeth in a noncleft region.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:\u2002<\/jats:title>\n Subjects with UCLP showed reduced bone support at teeth neighboring the cleft compared with controls. This may cause some problems during orthodontic treatment.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/092614-691.1","type":"journal-article","created":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T10:07:11Z","timestamp":1423044431000},"page":"1003-1008","source":"Crossref","is-referenced-by-count":23,"title":["Assessment of the alveolar bone support of patients with unilateral cleft lip and palate: A cone-beam computed tomography study"],"prefix":"10.2319","volume":"85","author":[{"given":"Esra","family":"Ercan","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Periodontology, Karadeniz Technical University, Trabzon, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mevlut","family":"Celikoglu","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Orthodontics, Akdeniz University, Antalya, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suleyman Kutalmis","family":"Buyuk","sequence":"additional","affiliation":[{"name":"Research Assistant, Department of Orthodontics, Ordu University, Ordu, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Ercan","family":"Sekerci","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Oral and Maxillofacial Radiology, Erciyes University, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"r1","series-title":"Int J Paediatr Dent","first-page":"455","article-title":"Periodontal and microbiological parameters in children and adolescents with cleft lip and\/or palate","volume":"19","author":"Perdikogianni\n H,","year":"2009","unstructured":"Perdikogianni\n H, \n \n Papaioannou\n W, \n \n Nakou\n M, \n \n Oulis\n C, \n \n Papagiannoulis\n L. \n \n Periodontal and microbiological parameters in children and adolescents with cleft lip and\/or palate. Int J Paediatr Dent. 2009;19:455\u2013467."},{"key":"r2","series-title":"J Clin Periodontol","first-page":"49","article-title":"A split-mouth study on periodontal and microbial parameters in children with complete unilateral cleft lip and palate","volume":"30","author":"Quirynen\n M,","year":"2003","unstructured":"Quirynen\n M, \n \n Dewinter\n G, \n \n Avontroodt\n P, \n \n Heidbuchel\n K, \n \n Verdonck\n A, \n \n Carels\n C. \n \n A split-mouth study on periodontal and microbial parameters in children with complete unilateral cleft lip and palate. J Clin Periodontol. 2003;30:49\u201356."},{"key":"r3","series-title":"Cleft Palate Craniofac J","first-page":"59","article-title":"Oral health of individuals with cleft lip, cleft palate, or both","volume":"41","author":"Lages\n EM,","year":"2004","unstructured":"Lages\n EM, \n \n Marcos\n B, \n \n Pordeus\n IA. \n \n Oral health of individuals with cleft lip, cleft palate, or both. Cleft Palate Craniofac J. 2004;41:59\u201363."},{"key":"r4","series-title":"J Indian Soc Periodontol","first-page":"168","article-title":"Comparison of periodontal status among patients with cleft lip, cleft palate, and cleft lip along with a cleft in palate and alveolus","volume":"14","author":"Boloor\n V,","year":"2010","unstructured":"Boloor\n V, \n \n Thomas\n B. \n \n Comparison of periodontal status among patients with cleft lip, cleft palate, and cleft lip along with a cleft in palate and alveolus. J Indian Soc Periodontol. 2010;14:168\u2013172."},{"key":"r5","series-title":"J Clin Periodontol","first-page":"499","article-title":"The intra-oral translocation of periodontopathogens jeopardises the outcome of periodontal therapy. A review of the literature","volume":"28","author":"Quirynen\n M,","year":"2001","unstructured":"Quirynen\n M, \n \n De Soete\n M, \n \n Dierickx\n K, \n \n van Steenberghe\n D. \n \n The intra-oral translocation of periodontopathogens jeopardises the outcome of periodontal therapy. A review of the literature. J Clin Periodontol. 2001;28:499\u2013507."},{"key":"r6","series-title":"Fortschritte der Kieferorthopadie","first-page":"203","article-title":"The periodontal changes following orthodontic tooth movement\u2014a retrospective histological study in man. 2 [in German]","volume":"53","author":"Wehrbein\n H,","year":"1992","unstructured":"Wehrbein\n H, \n \n Diedrich\n P. \n \n The periodontal changes following orthodontic tooth movement\u2014a retrospective histological study in man. 2 [in German]. Fortschritte der Kieferorthopadie. 1992;53:203\u2013210."},{"key":"r7","series-title":"J Periodontol","first-page":"171","article-title":"Periodontal disease in patients with cleft palate and patients with unilateral and bilateral clefts of lip, palate, and alveolus","volume":"70","author":"Gaggl\n A,","year":"1999","unstructured":"Gaggl\n A, \n \n Schultes\n G, \n \n Karcher\n H, \n \n Mossbock\n R. \n \n Periodontal disease in patients with cleft palate and patients with unilateral and bilateral clefts of lip, palate, and alveolus. J Periodontol. 1999;70:171\u2013178."},{"key":"r8","series-title":"J Clin Periodontol","first-page":"840","article-title":"Periodontal attachment loss over 14 years in cleft lip, alveolus and palate (CLAP, CL, CP) subjects not enrolled in a supportive periodontal therapy program","volume":"30","author":"Salvi\n GE,","year":"2003","unstructured":"Salvi\n GE, \n \n Bragger\n U, \n \n Lang\n NP. \n \n Periodontal attachment loss over 14 years in cleft lip, alveolus and palate (CLAP, CL, CP) subjects not enrolled in a supportive periodontal therapy program. J Clin Periodontol. 2003;30:840\u2013845."},{"key":"r9","series-title":"J Indian Soc Periodontol","first-page":"236","article-title":"Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus","volume":"14","author":"Mutthineni\n RB,","year":"2010","unstructured":"Mutthineni\n RB, \n \n Nutalapati\n R, \n \n Kasagani\n SK. \n \n Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus. J Indian Soc Periodontol. 2010;14:236\u2013240."},{"key":"r10","series-title":"Cleft Palate Craniofac J","first-page":"161","article-title":"Are teeth close to the cleft more susceptible to periodontal disease","volume":"46","author":"de Almeida\n AL,","year":"2009","unstructured":"de Almeida\n AL, \n \n Gonzalez\n MK, \n \n Greghi\n SL, \n \n Conti\n PC, \n \n Pegoraro\n LF. \n \n Are teeth close to the cleft more susceptible to periodontal disease? Cleft Palate Craniofac J. 2009;46:161\u2013165."},{"key":"r11","series-title":"Cleft Palate Craniofac J","first-page":"357","article-title":"Periodontal status of teeth adjacent to nongrafted unilateral alveolar clefts","volume":"29","author":"Teja\n Z,","year":"1992","unstructured":"Teja\n Z, \n \n Persson\n R, \n \n Omnell\n ML. \n \n Periodontal status of teeth adjacent to nongrafted unilateral alveolar clefts. 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J Clin Periodontol. 1990;17:379\u2013384."},{"key":"r13","series-title":"Am J Orthod Dentofacial Orthop","first-page":"691","article-title":"Condylar and ramal vertical asymmetry in adolescent patients with cleft lip and palate evaluated with cone-beam computed tomography","volume":"144","author":"Celikoglu\n M,","year":"2013","unstructured":"Celikoglu\n M, \n \n Halicioglu\n K, \n \n Buyuk\n SK, \n \n Sekerci\n AE, \n \n Ucar\n FI. \n \n Condylar and ramal vertical asymmetry in adolescent patients with cleft lip and palate evaluated with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2013;144:691\u2013697."},{"key":"r14","series-title":"Aust Orthod J","first-page":"153","article-title":"Mesiodistal tooth dimensions and anterior and overall Bolton ratios evaluated by cone beam computed tomography","volume":"29","author":"Celikoglu\n M,","year":"2013","unstructured":"Celikoglu\n M, \n \n Nur\n M, \n \n Kilkis\n D, \n \n Sezgin\n OS, \n \n Bayram\n M. \n \n Mesiodistal tooth dimensions and anterior and overall Bolton ratios evaluated by cone beam computed tomography. Aust Orthod J. 2013;29:153\u2013158."},{"key":"r15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"780","article-title":"Three-dimensional evaluation of the pharyngeal airway volumes in patients affected by unilateral cleft lip and palate","volume":"145","author":"Celikoglu\n M,","year":"2014","unstructured":"Celikoglu\n M, \n \n Buyuk\n SK, \n \n Sekerci\n AE, \n \n Ucar\n FI, \n \n Cantekin\n K. \n \n Three-dimensional evaluation of the pharyngeal airway volumes in patients affected by unilateral cleft lip and palate. Am J Orthod Dentofacial Orthop. 2014;145:780\u2013786."},{"key":"r16","series-title":"Cleft Palate Craniofac J","first-page":"179","article-title":"Periodontal conditions in adult patients with cleft lip, alveolus, and palate","volume":"29","author":"Bragger\n U,","year":"1992","unstructured":"Bragger\n U, \n \n Schurch\n E\n Jr, \n \n Salvi\n G, \n \n von Wyttenbach\n T, \n \n Lang\n NP. \n \n Periodontal conditions in adult patients with cleft lip, alveolus, and palate. Cleft Palate Craniofac J. 1992;29:179\u2013185."},{"key":"r17","series-title":"J Clin Periodontol","first-page":"469","article-title":"Periodontal status in relation to age and tooth type. A cross-sectional radiographic study","volume":"15","author":"Papapanou\n PN,","year":"1988","unstructured":"Papapanou\n PN, \n \n Wennstrom\n JL, \n \n Grondahl\n K. \n \n Periodontal status in relation to age and tooth type. A cross-sectional radiographic study. 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Cleft Palate Craniofac J. 2007;44:73\u201378."},{"key":"r20","series-title":"Cleft Palate Craniofac J","first-page":"92","article-title":"Gingival recession in individuals with cleft lip and palate: prevalence and severity","volume":"49","author":"de Almeida\n AL,","year":"2012","unstructured":"de Almeida\n AL, \n \n Esper\n LA, \n \n Pegoraro\n TA, \n \n do Valle\n AL. \n \n Gingival recession in individuals with cleft lip and palate: prevalence and severity. Cleft Palate Craniofac J. 2012;49:92\u201395."},{"key":"r21","series-title":"J Clin Periodontol","first-page":"836","article-title":"Periodontal disease progression in subjects with orofacial clefts over a 25-year follow-up period","volume":"36","author":"Huynh-Ba\n G,","year":"2009","unstructured":"Huynh-Ba\n G, \n \n Bragger\n U, \n \n Zwahlen\n M, \n \n Lang\n NP, \n \n Salvi\n GE. \n \n Periodontal disease progression in subjects with orofacial clefts over a 25-year follow-up period. J Clin Periodontol. 2009;36:836\u2013842."},{"key":"r22","series-title":"Angle Orthod","first-page":"579","article-title":"Conventional frontal radiographs compared with frontal radiographs obtained from cone beam computed tomography","volume":"82","author":"Nur\n M,","year":"2012","unstructured":"Nur\n M, \n \n Kayipmaz\n S, \n \n Bayram\n M, \n \n Celikoglu\n M, \n \n Kilkis\n D, \n \n Sezgin\n OS. \n \n Conventional frontal radiographs compared with frontal radiographs obtained from cone beam computed tomography. Angle Orthod. 2012;82:579\u2013584."},{"key":"r23","series-title":"Aust Orthod J","first-page":"11","article-title":"An evaluation of condylar and ramal vertical asymmetry in adolescents with unilateral and bilateral posterior crossbite using cone beam computed tomography (CBCT)","volume":"30","author":"Halicioglu\n K,","year":"2014","unstructured":"Halicioglu\n K, \n \n Celikoglu\n M, \n \n Yavuz\n I, \n \n Sekerci\n AE, \n \n Buyuk\n SK. \n \n An evaluation of condylar and ramal vertical asymmetry in adolescents with unilateral and bilateral posterior crossbite using cone beam computed tomography (CBCT). Aust Orthod J. 2014;30:11\u201318."},{"key":"r24","series-title":"Angle Orthod","first-page":"782","article-title":"Comparison of pharyngeal airway volume among different vertical skeletal patterns: a cone-beam computed tomography study","volume":"84","author":"Celikoglu\n M,","year":"2014","unstructured":"Celikoglu\n M, \n \n Bayram\n M, \n \n Sekerci\n AE, \n \n Buyuk\n SK, \n \n Toy\n E. \n \n Comparison of pharyngeal airway volume among different vertical skeletal patterns: a cone-beam computed tomography study. Angle Orthod. 2014;84:782\u2013787."},{"key":"r1","series-title":"Int J Paediatr Dent","first-page":"455","article-title":"Periodontal and microbiological parameters in children and adolescents with cleft lip and\/or palate","volume":"19","author":"Perdikogianni\n H,","year":"2009","unstructured":"Perdikogianni\n H, \n \n Papaioannou\n W, \n \n Nakou\n M, \n \n Oulis\n C, \n \n Papagiannoulis\n L. \n \n Periodontal and microbiological parameters in children and adolescents with cleft lip and\/or palate. Int J Paediatr Dent. 2009;19:455\u2013467."},{"key":"r2","series-title":"J Clin Periodontol","first-page":"49","article-title":"A split-mouth study on periodontal and microbial parameters in children with complete unilateral cleft lip and palate","volume":"30","author":"Quirynen\n M,","year":"2003","unstructured":"Quirynen\n M, \n \n Dewinter\n G, \n \n Avontroodt\n P, \n \n Heidbuchel\n K, \n \n Verdonck\n A, \n \n Carels\n C. \n \n A split-mouth study on periodontal and microbial parameters in children with complete unilateral cleft lip and palate. J Clin Periodontol. 2003;30:49\u201356."},{"key":"r3","series-title":"Cleft Palate Craniofac J","first-page":"59","article-title":"Oral health of individuals with cleft lip, cleft palate, or both","volume":"41","author":"Lages\n EM,","year":"2004","unstructured":"Lages\n EM, \n \n Marcos\n B, \n \n Pordeus\n IA. \n \n Oral health of individuals with cleft lip, cleft palate, or both. Cleft Palate Craniofac J. 2004;41:59\u201363."},{"key":"r4","series-title":"J Indian Soc Periodontol","first-page":"168","article-title":"Comparison of periodontal status among patients with cleft lip, cleft palate, and cleft lip along with a cleft in palate and alveolus","volume":"14","author":"Boloor\n V,","year":"2010","unstructured":"Boloor\n V, \n \n Thomas\n B. \n \n Comparison of periodontal status among patients with cleft lip, cleft palate, and cleft lip along with a cleft in palate and alveolus. J Indian Soc Periodontol. 2010;14:168\u2013172."},{"key":"r5","series-title":"J Clin Periodontol","first-page":"499","article-title":"The intra-oral translocation of periodontopathogens jeopardises the outcome of periodontal therapy. A review of the literature","volume":"28","author":"Quirynen\n M,","year":"2001","unstructured":"Quirynen\n M, \n \n De Soete\n M, \n \n Dierickx\n K, \n \n van Steenberghe\n D. \n \n The intra-oral translocation of periodontopathogens jeopardises the outcome of periodontal therapy. A review of the literature. J Clin Periodontol. 2001;28:499\u2013507."},{"key":"r6","series-title":"Fortschritte der Kieferorthopadie","first-page":"203","article-title":"The periodontal changes following orthodontic tooth movement\u2014a retrospective histological study in man. 2 [in German]","volume":"53","author":"Wehrbein\n H,","year":"1992","unstructured":"Wehrbein\n H, \n \n Diedrich\n P. \n \n The periodontal changes following orthodontic tooth movement\u2014a retrospective histological study in man. 2 [in German]. Fortschritte der Kieferorthopadie. 1992;53:203\u2013210."},{"key":"r7","series-title":"J Periodontol","first-page":"171","article-title":"Periodontal disease in patients with cleft palate and patients with unilateral and bilateral clefts of lip, palate, and alveolus","volume":"70","author":"Gaggl\n A,","year":"1999","unstructured":"Gaggl\n A, \n \n Schultes\n G, \n \n Karcher\n H, \n \n Mossbock\n R. \n \n Periodontal disease in patients with cleft palate and patients with unilateral and bilateral clefts of lip, palate, and alveolus. J Periodontol. 1999;70:171\u2013178."},{"key":"r8","series-title":"J Clin Periodontol","first-page":"840","article-title":"Periodontal attachment loss over 14 years in cleft lip, alveolus and palate (CLAP, CL, CP) subjects not enrolled in a supportive periodontal therapy program","volume":"30","author":"Salvi\n GE,","year":"2003","unstructured":"Salvi\n GE, \n \n Bragger\n U, \n \n Lang\n NP. \n \n Periodontal attachment loss over 14 years in cleft lip, alveolus and palate (CLAP, CL, CP) subjects not enrolled in a supportive periodontal therapy program. J Clin Periodontol. 2003;30:840\u2013845."},{"key":"r9","series-title":"J Indian Soc Periodontol","first-page":"236","article-title":"Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus","volume":"14","author":"Mutthineni\n RB,","year":"2010","unstructured":"Mutthineni\n RB, \n \n Nutalapati\n R, \n \n Kasagani\n SK. \n \n Comparison of oral hygiene and periodontal status in patients with clefts of palate and patients with unilateral cleft lip, palate and alveolus. J Indian Soc Periodontol. 2010;14:236\u2013240."},{"key":"r10","series-title":"Cleft Palate Craniofac J","first-page":"161","article-title":"Are teeth close to the cleft more susceptible to periodontal disease","volume":"46","author":"de Almeida\n AL,","year":"2009","unstructured":"de Almeida\n AL, \n \n Gonzalez\n MK, \n \n Greghi\n SL, \n \n Conti\n PC, \n \n Pegoraro\n LF. \n \n Are teeth close to the cleft more susceptible to periodontal disease? Cleft Palate Craniofac J. 2009;46:161\u2013165."},{"key":"r11","series-title":"Cleft Palate Craniofac J","first-page":"357","article-title":"Periodontal status of teeth adjacent to nongrafted unilateral alveolar clefts","volume":"29","author":"Teja\n Z,","year":"1992","unstructured":"Teja\n Z, \n \n Persson\n R, \n \n Omnell\n ML. \n \n Periodontal status of teeth adjacent to nongrafted unilateral alveolar clefts. Cleft Palate Craniofac J. 1992;29:357\u2013362."},{"key":"r12","series-title":"J Clin Periodontol","first-page":"379","article-title":"The significance of alveolar bone in periodontal disease. A long-term observation in patients with cleft lip, alveolus and palate","volume":"17","author":"Br\u00e4gger\n U,","year":"1990","unstructured":"Br\u00e4gger\n U, \n \n Nyman\n S, \n \n Lang\n NP, \n \n von Wyttenbach\n T, \n \n Salvi\n G, \n \n Sch\u00fcrch\n E\n Jr. \n \n The significance of alveolar bone in periodontal disease. A long-term observation in patients with cleft lip, alveolus and palate. 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Am J Orthod Dentofacial Orthop. 2013;144:691\u2013697."},{"key":"r14","series-title":"Aust Orthod J","first-page":"153","article-title":"Mesiodistal tooth dimensions and anterior and overall Bolton ratios evaluated by cone beam computed tomography","volume":"29","author":"Celikoglu\n M,","year":"2013","unstructured":"Celikoglu\n M, \n \n Nur\n M, \n \n Kilkis\n D, \n \n Sezgin\n OS, \n \n Bayram\n M. \n \n Mesiodistal tooth dimensions and anterior and overall Bolton ratios evaluated by cone beam computed tomography. Aust Orthod J. 2013;29:153\u2013158."},{"key":"r15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"780","article-title":"Three-dimensional evaluation of the pharyngeal airway volumes in patients affected by unilateral cleft lip and palate","volume":"145","author":"Celikoglu\n M,","year":"2014","unstructured":"Celikoglu\n M, \n \n Buyuk\n SK, \n \n Sekerci\n AE, \n \n Ucar\n FI, \n \n Cantekin\n K. \n \n Three-dimensional evaluation of the pharyngeal airway volumes in patients affected by unilateral cleft lip and palate. Am J Orthod Dentofacial Orthop. 2014;145:780\u2013786."},{"key":"r16","series-title":"Cleft Palate Craniofac J","first-page":"179","article-title":"Periodontal conditions in adult patients with cleft lip, alveolus, and palate","volume":"29","author":"Bragger\n U,","year":"1992","unstructured":"Bragger\n U, \n \n Schurch\n E\n Jr, \n \n Salvi\n G, \n \n von Wyttenbach\n T, \n \n Lang\n NP. \n \n Periodontal conditions in adult patients with cleft lip, alveolus, and palate. Cleft Palate Craniofac J. 1992;29:179\u2013185."},{"key":"r17","series-title":"J Clin Periodontol","first-page":"469","article-title":"Periodontal status in relation to age and tooth type. A cross-sectional radiographic study","volume":"15","author":"Papapanou\n PN,","year":"1988","unstructured":"Papapanou\n PN, \n \n Wennstrom\n JL, \n \n Grondahl\n K. \n \n Periodontal status in relation to age and tooth type. A cross-sectional radiographic study. 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Cleft Palate Craniofac J. 2007;44:73\u201378."},{"key":"r20","series-title":"Cleft Palate Craniofac J","first-page":"92","article-title":"Gingival recession in individuals with cleft lip and palate: prevalence and severity","volume":"49","author":"de Almeida\n AL,","year":"2012","unstructured":"de Almeida\n AL, \n \n Esper\n LA, \n \n Pegoraro\n TA, \n \n do Valle\n AL. \n \n Gingival recession in individuals with cleft lip and palate: prevalence and severity. Cleft Palate Craniofac J. 2012;49:92\u201395."},{"key":"r21","series-title":"J Clin Periodontol","first-page":"836","article-title":"Periodontal disease progression in subjects with orofacial clefts over a 25-year follow-up period","volume":"36","author":"Huynh-Ba\n G,","year":"2009","unstructured":"Huynh-Ba\n G, \n \n Bragger\n U, \n \n Zwahlen\n M, \n \n Lang\n NP, \n \n Salvi\n GE. \n \n Periodontal disease progression in subjects with orofacial clefts over a 25-year follow-up period. 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