Dentoalveolar Cleft Treatment Outcome Using Modified Huddart-Bodenham Index and Regression Analysis of Associated Factors
| Autor: | Mohammad Khursheed Alam, Anas Imran Arshad, Mohammad Fadhli Khamis |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine Cleft Lip medicine.medical_treatment Dentistry Logistic regression Dental Occlusion 03 medical and health sciences Dental Arch 0302 clinical medicine Humans Medicine Pakistan Maxillary central incisor Family history Child Retrospective Studies business.industry Dental occlusion Retrospective cohort study Regression analysis 030206 dentistry Plastic Surgery Procedures Models Dental Cleft Palate Treatment Outcome 030104 developmental biology Palatoplasty Otorhinolaryngology Regression Analysis Female Oral Surgery Cheiloplasty business |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 55:682-687 |
| ISSN: | 1545-1569 1055-6656 |
| Popis: | Objectives: The aim of this study is to assess the treatment outcome of complete unilateral cleft lip and palate (CUCLP) patients using modified Huddart/Bodenham scoring system (MHB). To determine whether there is an association of congenital and postnatal factors with the treatment outcome. Design: Retrospective observational study. Setting: Two regional cleft-referral centers. Main Outcome Measures: In the current study, 101 pairs of dental models of non-syndromic CUCLP patients were retrieved from hospital archives. Each occlusal relationship from central incisor till the first permanent molars were scored except the lateral incisor. Sum of 10 occlusal relationships in each study sample gave a total occlusion score. The primary outcome was the mean total occlusion score. Results: According to MHB, a mean (standard deviation) total occlusion score of –8.92 (6.89) was determined. Based on treatment outcome, 66 cases were favorable (grades 1, 2, and 3) and 35 cases were unfavorable (grades 4 and 5). Chi-square tests indicated, difference of cheiloplasty ( P = .001) and palatoplasty ( P < .001) statistically significant. Five variables—gender, family history of cleft, cleft side, cheiloplasty, and palatoplasty—were analyzed with a logistic regression model. Conclusions: Final model indicated that cases treated with modified Millard technique (cheiloplasty) and Veau-Wardill-Kilner method (palatoplasty) had higher odds of unfavorable treatment outcome. |
| Databáze: | OpenAIRE |
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