Journal Article

Study models of 5 year old children as predictors of surgical outcome in unilateral cleft lip and palate

Nikki Atack, Iain Hathorn, Michael Mars and Jonathan Sandy

in The European Journal of Orthodontics

Published on behalf of European Orthodontics Society

Volume 19, issue 2, pages 165-170
Published in print April 1997 | ISSN: 0141-5387
Published online April 1997 | e-ISSN: 1460-2210 | DOI: http://dx.doi.org/10.1093/ejo/19.2.165
Study models of 5 year old children as predictors of surgical outcome in unilateral cleft lip and palate

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This study examined features of dental occlusion in patients born with a unilateral cleft lip and palate (UCLP). The intention was to develop a ‘Goslon type’ index for 5 year old children. The Goslon ranking system was used on longitudinal study models taken at 5 and 10 years of age of the same patients. All patients had UCLP and this had been repaired using a Millard type lip repair and a Veau Wardill or Von Langenbeck palatal closure. There was good intra-examiner agreement for ascribing 5 and 10 year old models to one of five categories (excellent-very poor). Inter-examiner agreement on both sets of models was at worst moderate. Two of the examiners identified up to 93 per cent of 5 year old models which either remained in the same category or deteriorated by 10 years of age. At worse the results demonstrated 70 per cent of cases at 5 years of age remained in the same category or deteriorated by 10 years of age. Consensus agreement has produced five categories of outcome for these 5 year old models. This new index is to be subjected to further validation. This study has therefore provided, for the first time, a mechanism for assessing the results of CLP surgery earlier than indices already available.

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Subjects: Restorative Dentistry and Orthodontics

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