Association between tooth size and interarch relationships in children with operated complete unilateral cleft lip and palate.

BACKGROUND: To evaluate mesiodistal tooth width of patients with UCLP comparing tooth size in different Goslon Yardstick scores and between cleft and noncleft sides.

METHODS: The Department of Orthodontics at Bauru Dental School and Hospital of Rehabilitation of Craniofacial Anomalies - University of Sao Paulo. Hundred forty-four pairs of dental casts of patients with UCLP. These dental casts were divided into 3 groups: group I (patients with Goslon rating of 1 and 2), group II (Goslon rating of 3) and group III (Goslon rating of 4 and 5). The control group consisted of 40 pairs of dental casts of noncleft Class I patients at the same age range. Mesiodistal width of maxillary permanent central incisors, lateral incisors and first molars were measured using a digital caliper. Intergroup comparisons were performed using ANOVA followed by Tukey tests. T tests were used to compare tooth size between cleft and noncleft sides (p <0.05).

RESULTS: Differences for tooth size were observed between individuals with different Goslon Yardstik scores. Mesiodistal widths of maxillary central incisors in subjects of Group III were significantly smaller compared to Group I and to the control group. The lateral incisors at the cleft side were smaller than the antimere.

CONCLUSIONS: Mesiodistal tooth size was smaller in poor Goslon yardstick scores. Cleft and noncleft sides demonstrated similar maxillary tooth size except for the lateral incisor.