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A retrospective intercenter comparison of two surgical protocols through the dental arch relationship of 5- to 6-year-old unilateral cleft patients

(2019) CLINICAL ORAL INVESTIGATIONS. 23(4). p.1777-1784
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Abstract
Objectives: The objectives of this retrospective equivalence trial were to assess the dental arch relationship of 5- to 6-year-old patients with unilateral cleft lip and palate (UCLP) treated in two specialized cleft centers with a different surgical protocol using the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system, and to determine the correlation between these two scoring indices. Materials and methods: The dental arch relationship of seventy-three 5- to 6-year-old patients with complete UCLP was evaluated on plaster casts using the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system. The sagittal occlusion, overbite, and overjet were also recorded. Inter- and intra-examiner agreement was determined using Intraclass Correlation Coefficients. Results: A good to very good inter- and intra-examiner agreement was found. No significant mean difference in outcome based on the 5-Year-Olds' Index, the modified Huddart/Bodenham scoring system, overjet, or overbite was detected. For mean difference in sagittal occlusion, the hypothesis that both centers are clinically equivalent was confirmed. A strong negative correlation (r(s)=-0.832) between the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system was found. Conclusions: The dental arch relationship of 5- to 6-year-old unilateral cleft patients treated in two Belgian cleft centers is clinically equivalent based on sagittal occlusion, despite substantial differences in their treatment protocol. Clinical equivalence for other parameters was not confirmed. There is a strong correlation between the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system.Clinical relevanceA well-implemented treatment protocol for cleft patients is of the utmost importance, but case load and skill of the surgeon are also important factors for the quality of the results.
Keywords
Cleft lip and palate, Early treatment outcome, Modified Huddart, Bodenham scoring system, 5-Year-Olds' Index, HUDDART/BODENHAM SCORING SYSTEM, CARE UK, MODIFIED HUDDART, 5-YEAR-OLD CHILDREN, GOSLON YARDSTICK, PART 1, LIP, PALATE, INDEX, OUTCOMES

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MLA
Thierens, Laurent, et al. “A Retrospective Intercenter Comparison of Two Surgical Protocols through the Dental Arch Relationship of 5- to 6-Year-Old Unilateral Cleft Patients.” CLINICAL ORAL INVESTIGATIONS, vol. 23, no. 4, 2019, pp. 1777–84, doi:10.1007/s00784-018-2601-0.
APA
Thierens, L., Lewyllie, A., Temmerman, L., De Roo, N., Verdonck, A., Cadenas de Llano Perula, M., … De Pauw, G. (2019). A retrospective intercenter comparison of two surgical protocols through the dental arch relationship of 5- to 6-year-old unilateral cleft patients. CLINICAL ORAL INVESTIGATIONS, 23(4), 1777–1784. https://doi.org/10.1007/s00784-018-2601-0
Chicago author-date
Thierens, Laurent, Arianne Lewyllie, Liesbeth Temmerman, Noëmi De Roo, An Verdonck, Maria Cadenas de Llano Perula, Guy Willems, and Guy De Pauw. 2019. “A Retrospective Intercenter Comparison of Two Surgical Protocols through the Dental Arch Relationship of 5- to 6-Year-Old Unilateral Cleft Patients.” CLINICAL ORAL INVESTIGATIONS 23 (4): 1777–84. https://doi.org/10.1007/s00784-018-2601-0.
Chicago author-date (all authors)
Thierens, Laurent, Arianne Lewyllie, Liesbeth Temmerman, Noëmi De Roo, An Verdonck, Maria Cadenas de Llano Perula, Guy Willems, and Guy De Pauw. 2019. “A Retrospective Intercenter Comparison of Two Surgical Protocols through the Dental Arch Relationship of 5- to 6-Year-Old Unilateral Cleft Patients.” CLINICAL ORAL INVESTIGATIONS 23 (4): 1777–1784. doi:10.1007/s00784-018-2601-0.
Vancouver
1.
Thierens L, Lewyllie A, Temmerman L, De Roo N, Verdonck A, Cadenas de Llano Perula M, et al. A retrospective intercenter comparison of two surgical protocols through the dental arch relationship of 5- to 6-year-old unilateral cleft patients. CLINICAL ORAL INVESTIGATIONS. 2019;23(4):1777–84.
IEEE
[1]
L. Thierens et al., “A retrospective intercenter comparison of two surgical protocols through the dental arch relationship of 5- to 6-year-old unilateral cleft patients,” CLINICAL ORAL INVESTIGATIONS, vol. 23, no. 4, pp. 1777–1784, 2019.
@article{8577127,
  abstract     = {{Objectives: The objectives of this retrospective equivalence trial were to assess the dental arch relationship of 5- to 6-year-old patients with unilateral cleft lip and palate (UCLP) treated in two specialized cleft centers with a different surgical protocol using the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system, and to determine the correlation between these two scoring indices.
Materials and methods: The dental arch relationship of seventy-three 5- to 6-year-old patients with complete UCLP was evaluated on plaster casts using the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system. The sagittal occlusion, overbite, and overjet were also recorded. Inter- and intra-examiner agreement was determined using Intraclass Correlation Coefficients.
Results: A good to very good inter- and intra-examiner agreement was found. No significant mean difference in outcome based on the 5-Year-Olds' Index, the modified Huddart/Bodenham scoring system, overjet, or overbite was detected. For mean difference in sagittal occlusion, the hypothesis that both centers are clinically equivalent was confirmed. A strong negative correlation (r(s)=-0.832) between the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system was found.
Conclusions: The dental arch relationship of 5- to 6-year-old unilateral cleft patients treated in two Belgian cleft centers is clinically equivalent based on sagittal occlusion, despite substantial differences in their treatment protocol. Clinical equivalence for other parameters was not confirmed. There is a strong correlation between the 5-Year-Olds' Index and the modified Huddart/Bodenham scoring system.Clinical relevanceA well-implemented treatment protocol for cleft patients is of the utmost importance, but case load and skill of the surgeon are also important factors for the quality of the results.}},
  author       = {{Thierens, Laurent and Lewyllie, Arianne and Temmerman, Liesbeth and De Roo, Noëmi and Verdonck, An and Cadenas de Llano Perula, Maria and Willems, Guy and De Pauw, Guy}},
  issn         = {{1432-6981}},
  journal      = {{CLINICAL ORAL INVESTIGATIONS}},
  keywords     = {{Cleft lip and palate,Early treatment outcome,Modified Huddart,Bodenham scoring system,5-Year-Olds' Index,HUDDART/BODENHAM SCORING SYSTEM,CARE UK,MODIFIED HUDDART,5-YEAR-OLD CHILDREN,GOSLON YARDSTICK,PART 1,LIP,PALATE,INDEX,OUTCOMES}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1777--1784}},
  title        = {{A retrospective intercenter comparison of two surgical protocols through the dental arch relationship of 5- to 6-year-old unilateral cleft patients}},
  url          = {{http://dx.doi.org/10.1007/s00784-018-2601-0}},
  volume       = {{23}},
  year         = {{2019}},
}

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