Dental Arch Relationship Outcomes in One- and Two-Stage Palatoplasty for Japanese Patients with Complete Unilateral Cleft Lip and Palate
| Autor: | Emi Funayama, Toyoko Shibukawa, Yumi Ito, Takafumi Susami, Yoshiaki Sato, Tadashi Mikoya, Hirotaka Katashima, Akihiko Oyama, Yusuke Matsuzawa, Toshimoto Tengan |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Cleft Lip medicine.medical_treatment Dentistry Dental Arch Japan medicine Humans Stage (cooking) Child Orthodontics business.industry Outcome measures Infant University hospital Models Dental Cleft Palate Clinical trial Dental arch Treatment Outcome medicine.anatomical_structure Palatoplasty Otorhinolaryngology Child Preschool Female Hard palate Oral Surgery business |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 52:277-286 |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1597/13-285 |
| Popis: | Objective To compare dental arch relationship outcomes following one- and two-stage palatal repair. Design Nonrandomized, clinical trial with concurrent control. Setting Hokkaido University Hospital. Patients Sixty-eight consecutively treated Japanese patients with complete unilateral cleft lip and palate. Interventions Thirty-one of the 68 patients underwent two-stage palatoplasty with delayed hard palate closure, and 37 patients underwent one-stage pushback palatoplasty. Main Outcome Measures Dental casts were taken at 4.9 to 6.3 (mean: 5.2) years of age in the two-stage group and at 4.0 to 6.3 (mean: 5.1) years of age in the one-stage group, and dental arch relationships were assessed using the 5-Year-Olds’ Index (5-Y) by four raters and the Huddart/Bodenham Index (HB) by two raters. Results Intrarater and interrater reliabilities evaluated using weighted kappa statistics were good or better for the 5-Y and HB ratings. The mean 5-Y score was 2.94 in the two-stage group and 3.13 in the one-stage group ( P value was not significant). However, there was a significant difference in distributions between the groups ( P < .05). The HB scores of molars were significantly greater in the two-stage group than in the one-stage group ( P < .05). The rank correlation coefficients between the 5-Y and total HB score (ρ = −0.840, P < .01) and between the 5-Y and the score of the incisors in the HB (ρ = −0.814, P < .01) were significantly increased. Conclusions These results suggest that the anteroposterior relationship was not significantly different between the groups, but the transversal relationship was better in the two-stage group than in the one-stage group. |
| Databáze: | OpenAIRE |
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