Effect of palatoplasty on speech, dental occlusion issues and upper dental arch in children and adolescents with cleft palate: an integrative literature review
Efeito da palatoplastia na fala, nos aspectos dento-oclusais e na arcada dentária superior em crianças e adolescentes com fissura palatina: uma revisão integrativa da literatura
Gabriela Ribeiro Schilling; Maria Cristina de Almeida Freitas Cardoso; Marcia Angelica Peter Maahs
Abstract
Purpose: to compile acquired knowledge related to speech, maxillary growth, dental arch and dental occlusion issues of subjects with cleft palate (associated or not with cleft lip), relating them to the found structural and morphological changes, along with time of surgery and surgical technique employed in palatoplasty.
Methods: a search was carried out on four databases, namely: PubMed, SciELO, LILACS and MEDLINE, between May and August, 2018. The following descriptors, in Portuguese and in their corresponding terms in English, were used: cleft palate, speech, oral surgery or palatoplasty, teeth or dental arch.
Results: altogether, 92 articles were found in the four databases. Eleven articles met the established selection criteria, thus, included in this review. According to the findings, the palatoplasty surgical technique influences speech, maxillary growth and dental occlusal issues; however, it is still unclear which technique is more beneficial to the subjects with cleft palate.
Conclusion: results found in these 11 studies are divergent in regard to the surgical technique which most favors the development of speech, dental arches and maxillary growth. Therefore, it is important that new researches be carried out relating the aspects of speech, facial growth, dental occlusion and dental arch in the subjects with cleft palate, to the technique and the time of palatoplasty.
Keywords
Resumo
Objetivo: compilar o conhecimento sobre aspectos de fala, crescimento maxilar, arcada dentária e questões dento-oclusais de sujeitos com fissura palatina (associada ou não à fissura labial), relacionando-os às alterações estruturais e morfológicas encontradas, à época e à técnica utilizada na palatoplastia.
Métodos: foi realizada busca de dados nas bases de dados: Pubmed, Scielo, Lilacs e Medline, entre os meses de Maio e Agosto de 2018. Utilizou-se os descritores: fissura palatina, fala, cirurgia bucal ou palatoplastia, dentes ou arcada dentária e seus respectivos termos em língua inglesa.
Resultados: foram encontrados 92 artigos nas quatro bases de dados consultadas, sendo incluídos na revisão 11 que atenderam aos critérios de seleção estabelecidos. De acordo com os artigos achados, a técnica cirúrgica da palatoplastia influencia a fala, o crescimento maxilar, as questões dento-oclusais, entretanto ainda não está elucidado qual técnica oferece mais benefícios aos sujeitos com fissura palatina.
Conclusão: entre os 11 estudos encontrados há divergência de resultados em relação à técnica cirúrgica que mais favorece o desenvolvimento da fala, da arcada dentária e o crescimento maxilar, sendo necessário o desenvolvimento de novas pesquisas relacionando aspectos de fala, crescimento facial dento-oclusais e de arcada dentária nos sujeitos com fissura palatina, à técnica e à época de realização da palatoplastia.
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Referencias
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Submitted date:
28/08/2018
Accepted date:
27/06/2019
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