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Dental arch relationship in children with complete unilateral cleft lip and palate following one-stage and three-stage surgical protocols.
Clin Oral Investig. 2011 Aug; 15(4):503-10.CO

Abstract

The objective of this study is to compare dental arch relationship following one-stage and three-stage surgical protocols of unilateral cleft lip and palate. Dental casts of 61 children (mean age, 11.2 years; SD, 1.7), consecutively treated in one center with one-stage closure of the complete cleft at 9.2 months (SD, 2.0), were compared with a sample of 97 patients (mean age, 8.7 years; SD, 0.9), consecutively treated with a three-stage protocol including delayed hard palate closure in another center. The dental casts were assigned random numbers to blind their origin. Four raters graded dental arch relationship and palatal morphology using the EUROCRAN index. The strength of agreement of rating was assessed with kappa statistics. Independent t tests were run to compare the EUROCRAN scores between one-stage and three-stage samples, and Fisher's exact tests were performed to evaluate differences of distribution of the EUROCRAN grades. The intra- and inter-rater agreement was moderate to very good. Dental arch relationship in the one-stage sample was less favorable than in three-stage group (mean scores, 2.58 and 1.97 for one-stage and three-stage samples, respectively; p < 0.000). Palatal morphology in the one-stage sample was more favorable than in the three-stage group (mean scores, 1.79 and 1.96 for one-stage and three-stage samples, respectively; p = 0.047). The dental arch relationship following one-stage repair was less favorable than the outcome of three-stage repair. The palatal morphology following one-stage repair, however, was more favorable than the outcome of three-stage repair.

Authors+Show Affiliations

Department of Pediatric Surgery, Institute of Mother and Child, Kasprzaka Str. 17a, 01-211 Warsaw, Poland. pfudalej@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20473537

Citation

Fudalej, Piotr, et al. "Dental Arch Relationship in Children With Complete Unilateral Cleft Lip and Palate Following One-stage and Three-stage Surgical Protocols." Clinical Oral Investigations, vol. 15, no. 4, 2011, pp. 503-10.
Fudalej P, Katsaros C, Bongaarts C, et al. Dental arch relationship in children with complete unilateral cleft lip and palate following one-stage and three-stage surgical protocols. Clin Oral Investig. 2011;15(4):503-10.
Fudalej, P., Katsaros, C., Bongaarts, C., Dudkiewicz, Z., & Kuijpers-Jagtman, A. M. (2011). Dental arch relationship in children with complete unilateral cleft lip and palate following one-stage and three-stage surgical protocols. Clinical Oral Investigations, 15(4), 503-10. https://doi.org/10.1007/s00784-010-0420-z
Fudalej P, et al. Dental Arch Relationship in Children With Complete Unilateral Cleft Lip and Palate Following One-stage and Three-stage Surgical Protocols. Clin Oral Investig. 2011;15(4):503-10. PubMed PMID: 20473537.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dental arch relationship in children with complete unilateral cleft lip and palate following one-stage and three-stage surgical protocols. AU - Fudalej,Piotr, AU - Katsaros,Christos, AU - Bongaarts,Catharina, AU - Dudkiewicz,Zofia, AU - Kuijpers-Jagtman,Anne Marie, Y1 - 2010/05/15/ PY - 2009/04/28/received PY - 2010/04/21/accepted PY - 2010/5/18/entrez PY - 2010/5/18/pubmed PY - 2011/12/13/medline SP - 503 EP - 10 JF - Clinical oral investigations JO - Clin Oral Investig VL - 15 IS - 4 N2 - The objective of this study is to compare dental arch relationship following one-stage and three-stage surgical protocols of unilateral cleft lip and palate. Dental casts of 61 children (mean age, 11.2 years; SD, 1.7), consecutively treated in one center with one-stage closure of the complete cleft at 9.2 months (SD, 2.0), were compared with a sample of 97 patients (mean age, 8.7 years; SD, 0.9), consecutively treated with a three-stage protocol including delayed hard palate closure in another center. The dental casts were assigned random numbers to blind their origin. Four raters graded dental arch relationship and palatal morphology using the EUROCRAN index. The strength of agreement of rating was assessed with kappa statistics. Independent t tests were run to compare the EUROCRAN scores between one-stage and three-stage samples, and Fisher's exact tests were performed to evaluate differences of distribution of the EUROCRAN grades. The intra- and inter-rater agreement was moderate to very good. Dental arch relationship in the one-stage sample was less favorable than in three-stage group (mean scores, 2.58 and 1.97 for one-stage and three-stage samples, respectively; p < 0.000). Palatal morphology in the one-stage sample was more favorable than in the three-stage group (mean scores, 1.79 and 1.96 for one-stage and three-stage samples, respectively; p = 0.047). The dental arch relationship following one-stage repair was less favorable than the outcome of three-stage repair. The palatal morphology following one-stage repair, however, was more favorable than the outcome of three-stage repair. SN - 1436-3771 UR - https://www.unboundmedicine.com/medline/citation/20473537/Dental_arch_relationship_in_children_with_complete_unilateral_cleft_lip_and_palate_following_one_stage_and_three_stage_surgical_protocols_ DB - PRIME DP - Unbound Medicine ER -