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The Effect of Cleft Size in Infants With Unilateral Cleft Lip and Palate on Mixed Dentition Dental Arch Relationship.
Cleft Palate Craniofac J. 2015 09; 52(5):605-13.CP

Abstract

OBJECTIVE

To determine the relationship between infant cleft size and dental arch relationship in the mixed dentition in patients with complete unilateral cleft lip and palate.

DESIGN

Retrospective analysis of mixed longitudinal records.

PATIENTS

A total of 29 consecutively enrolled patients with unilateral cleft lip and palate participated in a longitudinal study that included dental casts prior to lip surgery (T1: age 1 month), prior to palate surgery (T2: age 10 months), and in mixed dentition (T3: age 9 years).

INTERVENTIONS

All infants were managed with lip repair (2.5 months), hard palate repair (12 months), and soft palate repair (16 months) but without any presurgical orthopedic treatment and no orthodontic intervention prior to mixed dentition records.

MAIN OUTCOME MEASURES

The outcome measures included determination of an infant cleft severity ratio, defined as the ratio of palatal cleft area to palatal surface area, at both T1 and T2, and the 9-year-old (T3) dental arch relationship as determined using the GOSLON Yardstick. The correlation between the infant cleft severity ratio at T1 and T2 and the later GOSLON Yardstick score at T3 was determined using Pearson r. The intrarater reliability of the infant cleft severity ratio was assessed with Pearson r and the interrater reliability of the GOSLON Yardstick ratings, by weighted kappa.

RESULTS

Reliability for the infant cleft severity ratio method was r = .92 to .95, and for GOSLON ratings κ = .81 to .91. There was no significant correlation between 1-month infant cleft severity ratio and GOSLON (r = .3) and 10-month infant cleft severity ratio and GOSLON (r = .1).

CONCLUSIONS

Cleft size versus the amount of palatal tissue available for repair and concern over more scarring with a greater infant cleft severity ratio were not factors in affecting the eventual dental arch relationship.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25642966

Citation

Russell, Lisa M., et al. "The Effect of Cleft Size in Infants With Unilateral Cleft Lip and Palate On Mixed Dentition Dental Arch Relationship." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 52, no. 5, 2015, pp. 605-13.
Russell LM, Long RE, Romberg E. The Effect of Cleft Size in Infants With Unilateral Cleft Lip and Palate on Mixed Dentition Dental Arch Relationship. Cleft Palate Craniofac J. 2015;52(5):605-13.
Russell, L. M., Long, R. E., & Romberg, E. (2015). The Effect of Cleft Size in Infants With Unilateral Cleft Lip and Palate on Mixed Dentition Dental Arch Relationship. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 52(5), 605-13. https://doi.org/10.1597/13-325
Russell LM, Long RE, Romberg E. The Effect of Cleft Size in Infants With Unilateral Cleft Lip and Palate On Mixed Dentition Dental Arch Relationship. Cleft Palate Craniofac J. 2015;52(5):605-13. PubMed PMID: 25642966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Effect of Cleft Size in Infants With Unilateral Cleft Lip and Palate on Mixed Dentition Dental Arch Relationship. AU - Russell,Lisa M, AU - Long,Ross E,Jr AU - Romberg,Elaine, Y1 - 2015/02/02/ PY - 2015/2/3/entrez PY - 2015/2/3/pubmed PY - 2015/2/3/medline KW - GOSLON ratings KW - UCLP KW - dental casts KW - initial cleft severity SP - 605 EP - 13 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 52 IS - 5 N2 - OBJECTIVE: To determine the relationship between infant cleft size and dental arch relationship in the mixed dentition in patients with complete unilateral cleft lip and palate. DESIGN: Retrospective analysis of mixed longitudinal records. PATIENTS: A total of 29 consecutively enrolled patients with unilateral cleft lip and palate participated in a longitudinal study that included dental casts prior to lip surgery (T1: age 1 month), prior to palate surgery (T2: age 10 months), and in mixed dentition (T3: age 9 years). INTERVENTIONS: All infants were managed with lip repair (2.5 months), hard palate repair (12 months), and soft palate repair (16 months) but without any presurgical orthopedic treatment and no orthodontic intervention prior to mixed dentition records. MAIN OUTCOME MEASURES: The outcome measures included determination of an infant cleft severity ratio, defined as the ratio of palatal cleft area to palatal surface area, at both T1 and T2, and the 9-year-old (T3) dental arch relationship as determined using the GOSLON Yardstick. The correlation between the infant cleft severity ratio at T1 and T2 and the later GOSLON Yardstick score at T3 was determined using Pearson r. The intrarater reliability of the infant cleft severity ratio was assessed with Pearson r and the interrater reliability of the GOSLON Yardstick ratings, by weighted kappa. RESULTS: Reliability for the infant cleft severity ratio method was r = .92 to .95, and for GOSLON ratings κ = .81 to .91. There was no significant correlation between 1-month infant cleft severity ratio and GOSLON (r = .3) and 10-month infant cleft severity ratio and GOSLON (r = .1). CONCLUSIONS: Cleft size versus the amount of palatal tissue available for repair and concern over more scarring with a greater infant cleft severity ratio were not factors in affecting the eventual dental arch relationship. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/25642966/The_Effect_of_Cleft_Size_in_Infants_With_Unilateral_Cleft_Lip_and_Palate_on_Mixed_Dentition_Dental_Arch_Relationship_ L2 - https://journals.sagepub.com/doi/10.1597/13-325?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -