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  • PublicationMetadata only
    Evaluation of Anxiety in Turkish Parents of Newborns with Cleft Palate with or Without Cleft Lip
    © 2023, American Cleft Palate Craniofacial Association.Objective: (1) To compare anxiety between parents of newborns with cleft lip and palate (CLP), isolated cleft palate (CP), and healthy newborns and (2) to evaluate anxiety between parental dyads within these groups. Design: A cross-sectional study. Setting: University Hospital. Participants: Surveys were completed by 20 mothers and 20 fathers of newborns with CLP, 21 mothers and 21 fathers of newborns with CP, and 23 mothers and 23 fathers of healthy newborns (controls). Main Outcome Measure: The State-Trait Anxiety Inventory (STAI) assessed parental anxiety. Mothers of newborns with a cleft reported on concerns regarding cleft-related issues and facial appearance. Results: State and trait anxiety were generally in the moderate range for parents of newborns with a cleft, while control parents had low state anxiety and moderate trait anxiety. Mothers of newborns with CP and CLP had significantly higher state and trait anxiety levels than control mothers (p <.05). Fathers of newborns with CLP had a higher state anxiety level than control fathers. When maternal and paternal anxiety was compared within the groups, only trait anxiety scores were significantly higher in mothers of newborns with CLP than that of fathers (p <.05). More than half of mothers of newborns with a cleft were concerned about their newborn\"s feeding, speech, and palate. Conclusions: Parents of children with a cleft may need psychological support in the early postnatal period. It is important for neonatal cleft team providers to help reduce parental anxiety and educate families about cleft care, with a focus on feeding.
  • PublicationMetadata only
    Pre-implant space management of extracted molars using clear aligners: a case report
    (2023-05-11) Yılmaz B.; Çapkın D.; YILMAZ, BERZA; ÇAPKIN, DUYGU
    TITLE PRE-IMPLANT SPACE MANAGEMENT OF EXTRACTED MOLARS USING CLEAR ALIGNERS: A CASE REPORTAIM The present case report will illustrate the orthodontic treatment of an adult patient using clear aligners before the rehabilitation of the extracted upper permanent molars. SUBJECTS AND METHOD A 33-years-old male patient applied for treatment with the chief complaint of the upper median diastema. He was referred by his dentist with the request of space opening prior to implant placement for previously extracted upper molars. The patient had a skeletally balanced profile (SNA=83°, SNB= 80°, ANB=3°), slightly retroclined upper and proclined lower (UI/SN=100°, IMPA=96°) incisors. The overjet was 2.5mm, the overbite was 3.2mm. The canine relationship was Class I, there was a median diastema, spaces were present between posterior teeth in the maxilla and the upper premolars were rotated. There were spaces between lower teeth and the Bolton excess was 1.18mm in favor of the lower anterior teeth.The intraoral scan was performed using iTero Element™ 2 and the virtual treatment planning was made ClinCheck Pro ® 6.0 (Invisalign); we planned to close the interdental spaces, make interproximal reduction from the lower incisors and open spaces for future dental implants in the posterior. When the first set of aligners was finished, a space remained between the upper centrals. An additional set of aligners was requested. RESULTS The interdental spaces were closed successfully. The occlusal adjustments and the implant sites preparation was made using 25 aligner pairs and one set of refinement aligners that consisted of 6 pairs. The total orthodontic treatment lasted 32 weeks. The final overbite and the final overjet were 2.5mm. The upper incisors inclination was increased (UI/SN=103°) and the lower incisors inclination was decreased (IMPA=94°). At the end of the treatment, upper and lower passive lingual retainers were bonded and Essix plates were given.The patient had implant-supported crowns for the missing teeth and came for a follow-up at 8 months after active orthodontic treatment. The results were successfully maintained in the short-term follow-up.CONCLUSIONS The occlusal corrections of an adult patient before implant placement was successfully completed using clear aligners.