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Predictors of poor dental arch relationship in young children with unilateral cleft lip and palate.
Clin Oral Investig 2012; 16(4):1261-6CO

Abstract

The aim of this cross-sectional outcome study using retrospective data capture of treatment histories was to examine the characteristics of young children with unilateral cleft lip and palate who had poor dental arch relationship (i.e., Goslon 5). The study sample comprised 120 children born with nonsyndromic complete unilateral cleft lip and palate between 1995 and 2003, and were aged between 5.0 and 7.0 years (mean age, 5.1 years) at the time of data collection. The dental arch relationship was assessed using the Goslon yardstick from intraoral dental photographs. An independent investigator recorded treatment histories from the clinical notes. The inter- and intraexaminer agreements evaluated by weighted kappa statistics were high. There was no association between dental arch relationship and the type of presurgical orthopedics or pharyngeal flap. Dental arch relationship was associated with the initial cleft size (odds ratio, OR = 1.3; 95% confidence interval, CI = 1.1-1.5, p < 0.01), surgeon grade for palate repair (OR = 5.0, 95% CI = 1.2-19.9, p < 0.05), and primary gingivoperiosteoplasty (OR = 2.8, 95% CI = 1.0-8.1, p = 0.05). These data suggest that intraoral dental photographs provide a reliable method for rating dental arch relationship. Wide initial cleft, high-volume surgeon, and primary gingivoperiosteoplasty are predictors of poor dental arch relationship outcome in young children with unilateral cleft lip and palate. These findings may improve treatment outcome by modifying the treatment protocol for patients with unilateral cleft lip and palate.

Authors+Show Affiliations

Department of Craniofacial Orthodontics and Craniofacial Center, Chang Gung Memorial Hospital, 199 Tung-Hwa North Road, Taipei 105, Taiwan.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21837387

Citation

Hsieh, Yuh-Jia, et al. "Predictors of Poor Dental Arch Relationship in Young Children With Unilateral Cleft Lip and Palate." Clinical Oral Investigations, vol. 16, no. 4, 2012, pp. 1261-6.
Hsieh YJ, Liao YF, Shetty A. Predictors of poor dental arch relationship in young children with unilateral cleft lip and palate. Clin Oral Investig. 2012;16(4):1261-6.
Hsieh, Y. J., Liao, Y. F., & Shetty, A. (2012). Predictors of poor dental arch relationship in young children with unilateral cleft lip and palate. Clinical Oral Investigations, 16(4), pp. 1261-6. doi:10.1007/s00784-011-0601-4.
Hsieh YJ, Liao YF, Shetty A. Predictors of Poor Dental Arch Relationship in Young Children With Unilateral Cleft Lip and Palate. Clin Oral Investig. 2012;16(4):1261-6. PubMed PMID: 21837387.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of poor dental arch relationship in young children with unilateral cleft lip and palate. AU - Hsieh,Yuh-Jia, AU - Liao,Yu-Fang, AU - Shetty,Akshai, Y1 - 2011/08/12/ PY - 2010/07/02/received PY - 2011/08/03/accepted PY - 2011/8/13/entrez PY - 2011/8/13/pubmed PY - 2013/2/14/medline SP - 1261 EP - 6 JF - Clinical oral investigations JO - Clin Oral Investig VL - 16 IS - 4 N2 - The aim of this cross-sectional outcome study using retrospective data capture of treatment histories was to examine the characteristics of young children with unilateral cleft lip and palate who had poor dental arch relationship (i.e., Goslon 5). The study sample comprised 120 children born with nonsyndromic complete unilateral cleft lip and palate between 1995 and 2003, and were aged between 5.0 and 7.0 years (mean age, 5.1 years) at the time of data collection. The dental arch relationship was assessed using the Goslon yardstick from intraoral dental photographs. An independent investigator recorded treatment histories from the clinical notes. The inter- and intraexaminer agreements evaluated by weighted kappa statistics were high. There was no association between dental arch relationship and the type of presurgical orthopedics or pharyngeal flap. Dental arch relationship was associated with the initial cleft size (odds ratio, OR = 1.3; 95% confidence interval, CI = 1.1-1.5, p < 0.01), surgeon grade for palate repair (OR = 5.0, 95% CI = 1.2-19.9, p < 0.05), and primary gingivoperiosteoplasty (OR = 2.8, 95% CI = 1.0-8.1, p = 0.05). These data suggest that intraoral dental photographs provide a reliable method for rating dental arch relationship. Wide initial cleft, high-volume surgeon, and primary gingivoperiosteoplasty are predictors of poor dental arch relationship outcome in young children with unilateral cleft lip and palate. These findings may improve treatment outcome by modifying the treatment protocol for patients with unilateral cleft lip and palate. SN - 1436-3771 UR - https://www.unboundmedicine.com/medline/citation/21837387/Predictors_of_poor_dental_arch_relationship_in_young_children_with_unilateral_cleft_lip_and_palate_ L2 - https://dx.doi.org/10.1007/s00784-011-0601-4 DB - PRIME DP - Unbound Medicine ER -