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February 27, 2026The Cleft Palate-Craniofacial Journal0 citations

Skeletal Facial Patterns in Cleft Lip and/or Palate: A Cross-Sectional Study in a Brazilian Craniofacial Center

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FSFlavine SeltenreichTVThais VerdiJTJuliane Carla TAUFER

Key Points

  • This study aims to describe the profiles of individuals with cleft lip and/or palate and analyze the relationships among cleft type, skeletal patterns, gender, and ethnicity.
  • Cross-sectional study design using orthodontic records.
  • Sample of 400 patients with cleft lip and/or palate treated from 2018 to 2020.
  • Assessment of cleft type, skeletal patterns, gender, and ethnicity.
  • Data analysis included frequencies and multinomial logistic regression.
  • Most patients were 13 years old, predominantly male (64%), and white (79.3%).
  • Unilateral transforaminal cleft was most common (36%).
  • Skeletal type II facial pattern predominated (45%), with a convex profile (64%).
  • Male gender showed higher odds for post-foraminal clefts (OR 2.67).
  • Skeletal type III was linked to higher odds for post-foraminal and transforaminal clefts.

Abstract

ObjectiveTo describe the demographic and clinical profile of individuals with cleft lip and/or palate (CL/P) and to analyze the association between cleft type, skeletal facial pattern, gender, and ethnicity.DesignCross-sectional study.SettingDental Clinic of the Craniofacial Deformities Rehabilitation Center of Southern Brazil.PatientsFour hundred orthodontic records of patients with CL/P treated, between 2018 and 2020.Main Outcome MeasureThe variables analyzed were cleft type, gender, race/color, skeletal facial pattern, facial profile, and maxillary and mandibular positioning. Data were evaluated using frequencies and multinomial logistic regression (crude and adjusted analysis), estimating odds ratios (OR) and respective 95% confidence intervals (CI). Variables with P P < .05 remained in the adjusted modelResultsThe mean age was 13 years (SD ± 9.5), 64% were male, and 79.3% were white. The most prevalent cleft was unilateral transforaminal (36%). Type II facial pattern predominated (45%), with a convex profile (64%) and retrusion of the maxilla (53%) and mandible (73%). A significant association was observed between male gender and post-foraminal clefts (OR = 2.67; 95% CI 1.44-4.95) and between skeletal type III facial pattern and post-foraminal (OR = 2.90; 95% CI 1.14-7.36) and transforaminal (OR = 3.45; 95% CI 1.53-7.79) clefts.ConclusionsA high prevalence of convex facial profile, skeletal type II pattern, and maxillomandibular retrusion was observed. Male sex was associated with higher odds of post-foraminal cleft, and skeletal type III facial was associated with higher odds of post-foraminal and transforaminal clefts.

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Cite This Study

Seltenreich et al. (2026) studied this question.

synapsesocial.com/papers/69a13571ed1d949a99abf58chttps://doi.org/10.1177/10556656261423054
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