The Effect of Cleft Size in Infants with Unilateral Cleft Lip and Palate on Mixed Dentition Dental Arch Relationship

Objective: To compare the dental arch relationship following one-stage repair of unilateral cleft lip and palate (UCLP) in Warsaw with a matched sample of patients treated by the Oslo Cleft Team. Material: Study models of 61 children (mean age, 11.2; SD, 1.7) with a nonsyndromic complete UCLP consecutively treated with one-stage closure of the cleft at 9.2 months (range, 6.0 to 15.8 months; SD, 2.0) by the Warsaw Cleft Team at the Institute of Mother and Child, Poland, were compared with a sample drawn from a consecutive series of patients with UCLP treated by the Oslo Cleft Team and matched for age, gender, and soft tissue band. Methods: The study models were given random numbers to blind their origin. Four examiners rated the dental arch relationship using the GOSLON Yardstick. The strength of agreement of rating was assessed with weighted Kappa statistics. An independent t-test was carried out to compare the GOSLON scores between Warsaw and Oslo samples, and Fisher's exact tests were performed to evaluate the difference of distribution of the GOSLON scores. Results: The intrarater and interrater agreements were high (K ≥ .800). No difference in dental arch relationship between Warsaw and Oslo groups was found (mean GOSLON score = 2.68 and 2.65 for Warsaw and Oslo samples, respectively). The distribution of the GOSLON grades was similar in both groups. Conclusions: The dental arch relationship following one-stage repair (Warsaw protocol) was comparable with the outcome of the Oslo Cleft Team's protocol.

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Timing of Hard Palate Closure and Dental Arch Relationships in Unilateral Cleft Lip and Palate Patients: A Mixed-Longitudinal Study

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1993_030_0391_tohpca_2.3.co_2 ◽

1993 ◽

Vol 30 (4) ◽

pp. 391-396 ◽

Cited By ~ 41

Author(s):

Alexis E.M. Noverraz ◽

Anne Marie Kuijpers-Jagtman ◽

Michael Mars ◽

Martin A. Van't Hof

Keyword(s):

Longitudinal Study ◽

Hard Palate ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Mixed Dentition ◽

Dental Development ◽

Dental Arch ◽

Group A ◽

Group B ◽

Group D

In a mixed longitudinal study, dental arch relationships of 88 consecutive UCLP patients treated at the Nijmegen Cleft Palate Centre were evaluated using the Goslon Yardstick. On the basis of timing of hard palate closure, the patients were divided into four groups. Mean age of hard palate closure in group A (n = 18) was 1.5 years, in group B (n = 26) 4.6 years and in group C (n = 18) 9.4 years. In group D (n = 26, no patient older than 10 years) the hard palate was still open. Four stages of dental development were distinguished; deciduous dentition, early mixed dentition, late mixed dentition and permanent dentition. Reproducibility of scoring with the Goslon Yardstick was good for all stages of dental development. No differences in dental arch relationships were found between the four groups. In 86% of the cases, the dental arch relationships of UCLP patients treated in Nijmegen were acceptable. Pharyngeal flap surgery had minor unfavorable effects on dental arch relationships.

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Use of Bauru Yardstick in Patients With Complete Bilateral Cleft Lip and Palate at an Indian Center

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665617730360 ◽

2017 ◽

Vol 55 (4) ◽

pp. 602-606

Author(s):

Puneet Batra ◽

Gopala Krishna Annavarapv ◽

Ashish Chopra ◽

Amit Srivastava ◽

Partha Sadhu ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Weighted Kappa ◽

Dental Arch ◽

Age Group ◽

Bilateral Cleft Lip ◽

Examiner Agreement ◽

Dental Cast ◽

Dental Arch Relationship ◽

Very High

Objective: To evaluate dental arch relationship in treated bilateral cleft lip and palate (BCLP) cases at an Indian cleft center using the Bauru yardstick. Patients and methods: Digital photographs of the dental cast of 50 consecutively treated patients (28 males and 22 females) with nonsyndromic BCLP at an Indian cleft center were rated by 2 examiners as per the Bauru yardstick for the 12-year-old age group. The average age group was 12 ± 0.62 years. All cases were treated with same surgical protocol. Results: The inter-examiner agreement between the 3 examiners was found to be very high, with weighted kappa values ranging from 0.894 to 0.951. The intraexaminer agreement between the 2 examinations for all the examiners was also found to be very high, with weighted kappa values ranging from 0.894 to 0.931. Seventy-eight percent of patients were rated with a Bauru yardstick score of 1+2. In addition, 10% of patients were rated with a score of 3, 8% as 4, and 4% as 5. The overall Bauru yardstick score for the center was 2.36. Conclusion: The protocol followed for the repair of BCLP cases by the center was found to be a good regimen in regard to the Bauru yardstick score.

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Evaluation of dental arch relationship of patients with unilateral cleft lip and palate

Indian Journal of Dental Sciences ◽

10.4103/0976-4003.191723 ◽

2016 ◽

Vol 8 (3) ◽

pp. 135

Author(s):

AnjumanPreet Kaur Dua ◽

AjitKumar Jaiswal ◽

Kapil Dua

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Relationship Of ◽

Dental Arch Relationship

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Scandcleft randomized trials of primary surgery for unilateral cleft lip and palate: impact of maxillary dental agenesis on craniofacial growth and dental arch relationship in 8 year olds

European Journal of Orthodontics ◽

10.1093/ejo/cjab007 ◽

2021 ◽

Author(s):

Sara Rizell ◽

Annelise Küseler ◽

Arja Heliövaara ◽

Pål Skaare ◽

Eli Brinck ◽

...

Keyword(s):

Cleft Lip ◽

Randomized Trials ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Craniofacial Growth ◽

Primary Surgery ◽

Maxillary Tooth ◽

Significant Difference ◽

The Impact ◽

Dental Arch Relationship

Summary Background It is suggested that dental agenesis affects maxillary protrusion and dental arch relationship in children with unilateral cleft lip and palate (UCLP). In addition, an association between the need for orthognathic surgery and dental agenesis is reported. Aim The aim was to study the impact of maxillary dental agenesis on craniofacial growth and dental arch relationship in 8-year-old children with UCLP. Subjects and methods The sample consisted of individuals with UCLP from Scandcleft randomized trials. The participants had available data from diagnosis of maxillary dental agenesis as well as cephalometric measurements (n = 399) and GOSLON assessment (n = 408) at 8 years of age. Results A statistically significant difference was found for ANB between individuals with agenesis of two or more maxillary teeth (mean 1.52°) in comparison with those with no or only one missing maxillary tooth (mean 3.30° and 2.70°, respectively). Mean NSL/NL was lower among individuals with agenesis of two or more maxillary teeth (mean 9.90°), in comparison with individuals with no or one missing maxillary tooth (mean 11.46° and 11.45°, respectively). The number of individuals with GOSLON score 4–5 was 47.2% in the group with two or more missing maxillary teeth and 26.1% respectively 26.3% in the groups with no or one missing maxillary tooth. No statistically significant difference was found in the comparison between individuals with no agenesis or with agenesis solely of the cleft-side lateral. Conclusion Maxillary dental agenesis impacts on craniofacial growth as well as dental arch relationship and should be considered in orthodontic treatment planning.

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A New Yardstick for Rating Dental Arch Relationship in Patients with Complete Bilateral Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/09-122 ◽

2011 ◽

Vol 48 (2) ◽

pp. 167-172 ◽

Cited By ~ 18

Author(s):

Terumi Okada Ozawa ◽

William C. Shaw ◽

Christos Katsaros ◽

Anne Marie Kuijpers-Jagtman ◽

Catharina Hagberg ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Dental Arch ◽

Bilateral Cleft Lip ◽

Dental Arch Relationship

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The Eurocleft Study: Intercenter Study of Treatment Outcome in Patients with Complete Cleft Lip and Palate. Part 3: Dental Arch Relationships

The Cleft Palate-Craniofacial Journal ◽

10.1597/02-119.3.1 ◽

2005 ◽

Vol 42 (1) ◽

pp. 78-82 ◽

Cited By ~ 95

Author(s):

Kirsten Mølsted ◽

Viveca Brattström ◽

Birte Prahl-Andersen ◽

William C. Shaw ◽

Gunvor Semb

Keyword(s):

Cleft Lip ◽

Outcome Measure ◽

Cleft Lip And Palate ◽

Northern Europe ◽

Dental Arch ◽

Causal Factors ◽

Main Outcome Measure ◽

Panel Rating ◽

Dental Arch Relationship

Objective To compare dental arch relationships up to age 17 in individuals with complete unilateral cleft lip and palate (UCLP) treated at five European centers. Design Longitudinal cohort study, where results were previously reported at 9 years and follow-up measurements were obtained for 12 and 17 years. Setting Multidisciplinary cleft services in Northern Europe. Subjects 127 consecutively treated individuals with repaired UCLP. Main outcome measure Panel rating of dental arch relationship. Results The results revealed that at 17 years of age three of the centers had better ratings in dental arch relationship (means scores: 1.7, 1.9, and 2.2, respectively) than the other two centers (3.3, 3.4) at statistically significant levels (p < .01 to p < .001). Conclusion The results confirm that systematic differences in dental arch relationships may occur between different cleft centers, but do not allow specific causal factors to be identified.

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