The Slavcleft: A three-center study of the outcome of treatment of cleft lip and palate. Part 2: Dental arch relationships
Language English Country Scotland Media print-electronic
Document type Journal Article
PubMed
31097367
DOI
10.1016/j.jcms.2019.03.023
PII: S1010-5182(18)31164-8
Knihovny.cz E-resources
- Keywords
- Cleft lip and palate, Cleft palate, Dental arch relationship, Goslon, Slavs,
- MeSH
- Humans MeSH
- Retrospective Studies MeSH
- Cleft Palate * surgery MeSH
- Cleft Lip * surgery MeSH
- Treatment Outcome MeSH
- Models, Dental MeSH
- Dental Arch surgery MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
- Poland MeSH
- Slovakia MeSH
PURPOSE: Our aim was to evaluate the dental arch relationship in a preadolescent Slavic population with unilateral cleft lip and palate (UCLP) by using the Goslon Yardstick. MATERIALS AND METHODS: Patients treated in Warsaw, Poland (n = 32), Prague, Czech Republic (n = 33) and Bratislava, Slovakia (n = 30) were included in this retrospective study. Each cleft center used a unique surgical protocol. Three raters scored blindly the dental arch relationship on plaster models. Intra- and inter-rater agreement were assessed with kappa statistics, and differences between the groups were evaluated with one-way analysis of variance. Intra-rater agreement was very good (k > 0.825), while inter-rater agreement was either good or very good (kappa >0.703). RESULTS: We found that patients treated in Warsaw showed a more favorable dental arch relationship (Goslon score = 2.58, SD = 0.77) than patients treated in Prague (Goslon score = 3.21, SD = 1.04). Patients treated in Bratislava showed an intermediate Goslon score (3.07; SD = 0.99). CONCLUSION: This study showed that the dental arch relationships in patients treated in Warsaw with a one-stage repair were more favorable than in patients treated in Prague and Bratislava with a two-stage protocol and comparable to the best results obtained in the Eurocleft and Americleft studies.
Cleft Center Clinic of Plastic and Reconstructive Surgery Comenius University Bratislava Slovakia
Department of Pediatric Surgery Institute of Mother and Child Warsaw Poland
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