Predictors of poor dental arch relationship in young children with unilateral cleft lip and palate

Yuh Jia Hsieh, Yu Fang Liao*, Akshai Shetty

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

16 Scopus citations

Abstract

The aim of this cross-sectional outcome study using retrospective data capture of treatment histories was to examine the characteristics of young children with unilateral cleft lip and palate who had poor dental arch relationship (i. e., Goslon 5). The study sample comprised 120 children born with nonsyndromic complete unilateral cleft lip and palate between 1995 and 2003, and were aged between 5. 0 and 7. 0 years (mean age, 5. 1 years) at the time of data collection. The dental arch relationship was assessed using the Goslon yardstick from intraoral dental photographs. An independent investigator recorded treatment histories from the clinical notes. The inter- and intraexaminer agreements evaluated by weighted kappa statistics were high. There was no association between dental arch relationship and the type of presurgical orthopedics or pharyngeal flap. Dental arch relationship was associated with the initial cleft size (odds ratio, OR = 1. 3; 95% confidence interval, CI = 1. 1-1. 5, p < 0. 01), surgeon grade for palate repair (OR = 5. 0, 95% CI = 1. 2-19. 9, p < 0. 05), and primary gingivoperiosteoplasty (OR = 2. 8, 95% CI = 1. 0-8. 1, p = 0. 05). These data suggest that intraoral dental photographs provide a reliable method for rating dental arch relationship. Wide initial cleft, high-volume surgeon, and primary gingivoperiosteoplasty are predictors of poor dental arch relationship outcome in young children with unilateral cleft lip and palate. These findings may improve treatment outcome by modifying the treatment protocol for patients with unilateral cleft lip and palate.

Original languageEnglish
Pages (from-to)1261-1266
Number of pages6
JournalClinical Oral Investigations
Volume16
Issue number4
DOIs
StatePublished - 08 2012

Keywords

  • Cleft size
  • Dental arch relationship
  • Gingivoperiosteoplasty
  • Presurgical orthopedics
  • Treatment outcome
  • Unilateral cleft lip and palate

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