The role of CBCT in diagnosing and managing cleft lip and palate
Abstract
Objectives: Cleft lip and palate (CLP) are one of the most common types of congenital maxillofacial lesions. Cleft lip and palate patients often deal withspeech, masticatory and hearing problems, dental and craniofacial anomalies, and psychosocial issue. The aim of this study is to determine the role of cone beam computed tomography (CBCT) in diagnosing CLP.Case Report: A 25-year-old female was referred to dentomaxilllofacial radiology department in Universitas Padjadjaran Dental Hospital for a CBCT examination of a cleft palate. Three-dimensional image analysis provides superior and more detailed information compared with conventional plain two-dimensional (2D) radiography, with the added benefit of 3D printing for preoperative treatment planning and regenerative therapy. The result showed a radiolucent area between teeth 21 and 23, agenese teeth 22. These findings led to cleft palate unilateral complete at sinistra region. CBCT imaging provides a detailed picture of the cleft in three dimensions view that can helps for determining the treatment plan based on the classification of cleft lip and palate.
Conclusion: Available evidence implies that 3D imaging methods not only can be used for documentation of CLP patients, but also can determining the treatment plan. 3D CBCT radiograph are more informative than conventional 2D.
References
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Pimenta LA, de Rezende Barbosa GL opes, Pretti H, Emodi O, van Aalst J, Rossouw PE, et al. Three-dimensional evaluation of nasopharyngeal airways of unilateral cleft lip and palate patients. Laryngoscope. 2015 Mar 1;125(3):736–9.
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de Almeida AM, Ozawa TO, Alves AC de M, Janson G, Lauris JRP, Ioshida MSY, et al. Slow versus rapid maxillary expansion in bilateral cleft lip and palate: a CBCT randomized clinical trial. Clin Oral Investig. 2017 Jun 1;21(5):1789–99.
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Cattaneo PM, Treccani M, Carlsson K, Thorgeirsson T, Myrda A, Cevidanes LHS, et al. Transversal maxillary dento-alveolar changes in patients treated with active and passive self-ligating brackets: A randomized clinical trial using CBCT-scans and digital models. Orthod Craniofac Res. 2011 Nov;14(4):222–33.
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Garib DG, Yatabe MS, Ozawa TO, Da Silva Filho OG. Alveolar bone morphology in patients with bilateral complete cleft lip and palate in the mixed dentition: Cone beam computed tomography evaluation. Cleft Palate-Craniofacial Journal. 2012;49(2):208–14.
Almoammar KA, Almarhoon HA, Batwa W, Alqahtani N, Al-Jewair T, Albarakati S. Cephalometric soft tissue characteristics of unilateral cleft lip and palate patients in relation to missing teeth. Biomed Res Int. 2017;2017:2392808.
Golshah A, Hajiazizi R, Azizi B, Nikkerdar N. Assessment of the asymmetry of the lower jaw, face, and palate in patients with unilateral cleft lip and palate. Contemp Clin Dent. 2022 Jan 1;13(1):40–9.
Radiation protection 136 : European guidelines on radiation protection in dental radiology : the safe use of radiographs in dental practice. Directorate-General for Energy and Transport ; Directorate H - Nuclear Safety and Safeguards; 2004. 115 p.
Quereshy FA, Barnum G, Demko C, Horan M, Palomo JM, Baur DA, et al. Use of cone beam computed tomography to volumetrically assess alveolar cleft defects-preliminary results. Journal of Oral and Maxillofacial Surgery. 2012 Jan;70(1):188–91.
Hamada Y, Toshirou DDS, Noguchi DDS. Application of Limited Cone Beam Computed Tomography to Clinical Assessment of Alveolar Bone Grafting: A Preliminary Report.
Spin-Neto R, Gotfredsen E, Wenzel A. Impact of voxel size variation on CBCT-based diagnostic outcome in dentistry: A systematic review. Vol. 26, Journal of Digital Imaging. 2013. p. 813–20.
Cheung T, Oberoi S. Three Dimensional Assessment of the Pharyngeal Airway in Individuals with Non-Syndromic Cleft Lip and Palate. PLoS One. 2012 Aug 29;7(8).
Pimenta LA, de Rezende Barbosa GL opes, Pretti H, Emodi O, van Aalst J, Rossouw PE, et al. Three-dimensional evaluation of nasopharyngeal airways of unilateral cleft lip and palate patients. Laryngoscope. 2015 Mar 1;125(3):736–9.
Starbuck JM, Ghoneima A, Kula K. A multivariate analysis of unilateral cleft lip and palate facial skeletal morphology. Journal of Craniofacial Surgery. 2015 Jul 1;26(5):1673–8.
de Almeida AM, Ozawa TO, Alves AC de M, Janson G, Lauris JRP, Ioshida MSY, et al. Slow versus rapid maxillary expansion in bilateral cleft lip and palate: a CBCT randomized clinical trial. Clin Oral Investig. 2017 Jun 1;21(5):1789–99.
Kadam M, Kadam D, Bhandary S, Hukkeri R. Natal and neonatal teeth among cleft lip and palate infants. Natl J Maxillofac Surg. 2013;4(1):73.
Quereshy FA, Barnum G, Demko C, Horan M, Palomo JM, Baur DA, et al. Use of cone beam computed tomography to volumetrically assess alveolar cleft defects-preliminary results. Journal of Oral and Maxillofacial Surgery. 2012 Jan;70(1):188–91.
Fukunaga T, Murakami T, Tanaka H, Miyawaki S, Yamashiro T, Takano-Yamamoto T. Dental and craniofacial characteristics in a patient with leprechaunism treated with insulin-like growth factor-I. Angle Orthodontist. 2008;78(4):745–51.
Kohli SS, Kohli VS. A comprehensive review of the genetic basis of cleft lip and palate. Vol. 16, Journal of Oral and Maxillofacial Pathology. 2012. p. 64–72.
Mani M, Morén S, Thorvardsson O, Jakobsson O, Skoog V, Holmström M. Objective assessment of the nasal airway in unilateral cleft lip and palate - A long-term study. Cleft Palate-Craniofacial Journal. 2010 May;47(3):217–24.
Cattaneo PM, Treccani M, Carlsson K, Thorgeirsson T, Myrda A, Cevidanes LHS, et al. Transversal maxillary dento-alveolar changes in patients treated with active and passive self-ligating brackets: A randomized clinical trial using CBCT-scans and digital models. Orthod Craniofac Res. 2011 Nov;14(4):222–33.
Corbridge JK, Campbell PM, Taylor R, Ceen RF, Buschang PH. Transverse dentoalveolar changes after slow maxillary expansion. American Journal of Orthodontics and Dentofacial Orthopedics. 2011 Sep;140(3):317–25.
Lablonde B, Vich ML, Edwards P, Kula K, Ghoneima A. Three dimensional evaluation of alveolar bone changes in response to different rapid palatal expansion activation rates. Dental Press J Orthod. 2017 Jan 1;22(1):89–97.
Dinu C, Almășan O, Hedeșiu M, Armencea G, Băciuț G, Bran S, et al. The usefulness of cone beam computed tomography according to age in cleft lip and palate. J Med Life. 2022;15(9):1136–42.
Garib DG, Yatabe MS, Ozawa TO, Da Silva Filho OG. Alveolar bone morphology in patients with bilateral complete cleft lip and palate in the mixed dentition: Cone beam computed tomography evaluation. Cleft Palate-Craniofacial Journal. 2012;49(2):208–14.
Published
2025-05-31
How to Cite
ANJANI, Khamila Gayatri et al.
The role of CBCT in diagnosing and managing cleft lip and palate.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 1, p. 15-18, may 2025.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1275>. Date accessed: 07 june 2025.
doi: https://doi.org/10.32793/jrdi.v9i1.1275.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
