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

Author:

Ozawa Terumi Okada1,Shaw William C.2,Katsaros Christos3,Kuijpers-Jagtman Anne Marie4,Hagberg Catharina5,Ronning Elisabeth6,Semb Gunvor7

Affiliation:

1. Dental Department, Hospital for Research and Rehabilitation, University of São Paulo, Baum, Brazil.

2. School of Dentistry, University of Manchester, United Kingdom.

3. Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Bern, Switzerland.

4. Orthodontic Department and Cleft Palate Craniofacial Unit, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

5. Department of Orthodontics, Section of Jaw Orthopedics, University Clinics of Odontology, Gothenburg, Sweden.

6. Dental Unit, Oslo Cleft Team, Department of Plastic Surgery, National Hospital, Oslo, Norway.

7. School of Dentistry, University of Manchester, United Kingdom; Oslo Cleft Team, Department of Plastic Surgery, National Hospital and Bredtvet Resource Center, Oslo, Norway; and is Adjunct Professor, Dental Faculty, University of Oslo, Norway.

Abstract

Objective To develop yardsticks for assessment of dental arch relationship in young individuals with repaired complete bilateral cleft lip and palate appropriate to different stages of dental development. Participants Eleven cleft team orthodontists from five countries worked on the projects for 4 days. A total of 776 sets of standardized plaster models from 411 patients with operated complete bilateral cleft lip and palate were available for the exercise. Statistics The interexaminer reliability was calculated using weighted kappa statistics. Results The interrater weighted kappa scores were between .74 and .92, which is in the “good” to “very good” categories. Conclusions Three bilateral cleft lip and palate yardsticks for different developmental stages of the dentition were made: one for the deciduous dentition (6-year-olds’ yardstick), one for early mixed dentition (9-year-olds’ yardstick), and one for early permanent dentition (12-year-olds’ yardstick).

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Oral Surgery

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