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Effects of Alt-RAMEC protocol with facemask therapy in cleft lip palate patients in a sample of Pakistani population
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Effects of Alt-RAMEC protocol with facemask therapy in cleft lip palate patients in a sample of Pakistani population
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Journal Article
Effects of Alt-RAMEC protocol with facemask therapy in cleft lip palate patients in a sample of Pakistani population
2023
Overview
Objective
The objective of the study is to evaluate the skeletal, dentoalveolar and soft tissue changes before and after treatment with Alt-RAMEC protocol and protraction headgear in comparison to the controls.
Material and methods
A quasi experimental study was conducted in the orthodontic department on 60 patients of cleft lip and palate. These patients were divided into two groups. Group I was the Alt-RAMEC group that underwent Alt-RAMEC protocol followed by facemask therapy while group II was the control group that underwent RME and facemask therapy. Total treatment time in both the groups was approximately 6 to 7 months. Mean and standard deviation was calculated for all the quantitative variables. Pre and post treatment changes between treatment and control groups were made using paired t-test. Intergroup comparison between treatment and control group was analyzed using independent t-test. Significance for all tests was predetermined at a
P
-value of ≤ 0.05.
Results
The Alt-RAMEC group showed significant forward movement of maxilla and improvement in the maxillary base. A remarkable improvement in SNA was seen. The overall outcome was better maxillo-mandibular relationship as shown by positive ANB values and angle of convexity. More effect on maxilla and least effect on mandible was notified with Alt-RAMEC protocol and facemask therapy. Improvement in transverse relationship was also evident in the Alt-RAMEC group.
Conclusion
Alt-RAMEC protocol in combination with protraction headgear is a better alternative to treat cleft lip and palate patients in comparison to the conventional protocol.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
