scholarly journals The Assessment of Treatment Outcome by Evaluation of Dental Arch Relationships in Unilateral Cleft Lip and Palate Children using mHB Scoring System

2017 ◽  
Vol 26 (2) ◽  
pp. 195-202
Author(s):  
Mazida Najwa Md. Zin ◽  
Mohammad Khursheed Alam ◽  
Sanjida Haque ◽  
Tohru Imanishi ◽  
Jin Toriya ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Scoring System ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Arch

scholarly journals Treatment Outcome in Bilateral Cleft lip and Palate Patients Evaluated With the Huddart-Bodenham Scoring System and the Bilateral Cleft lip and Palate Yardstick: A Systematic Review

2021 ◽  
pp. 105566562110418
Author(s):  
Wenying Kuang ◽  
Miranda Aarts ◽  
Anne Marie Kuijpers-Jagtman ◽  
Hong He ◽  
Edwin M. Ongkosuwito
Keyword(s):  
Treatment Outcome ◽  
High Risk ◽  
Scoring System ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Risk Of Bias ◽  
Dental Arch ◽  
Quality Of Evidence ◽  
Bilateral Cleft Lip

Objectives To assess treatment outcome (transversal and sagittal dental arch relationships) and its determinants in complete bilateral cleft lip and palate (BCLP) evaluated with the modified Huddart-Bodenham scoring system and the BCLP Yardstick. Materials and methods Multiple electronic databases were searched without time limitation. Randomized clinical trials, cohort and case control studies using BCLP Yardstick and/or modified Huddart-Bodenham system to judge treatment outcome of patients with BCLP were included. The Risk of Bias in Nonrandomized Studies of Interventions tool and Grading of Recommendations, Assessment, Development, and Evaluation was used. Results Of the 528 studies identified by the electronic search, only eight retrospective studies met the inclusion criteria and were included. A total of 12 cleft centers were represented. All treatment protocols differed and background information was underreported. The results for the BCLP yardstick showed that all except the centers in New Zealand had a mean score lower than 3, indicating good treatment results. However, these studies had a moderate to high risk of bias. The modified Huddart-Bodenham scores were negative in all studies. No further meta-analysis was done due to heterogeneity and high risk of bias. The quality of evidence was graded as very low. Conclusion Results for the dental arch relationship of studies in complete BCLP and possible determinants were not synthesized due to very low quality of evidence. Clinical research for patients with BCLP should focus on sound methodological designs to enable evidence-based decision making to improve treatment for patients with BCLP and thereby hopefully their quality of life.

Comparing Modified Huddart-Bodenham Scoring System and GOSLON Yardstick to Assess Dental Arch Relationships in Unilateral Cleft Lip and Palate Patients

2018 ◽  
Vol 55 (7) ◽  
pp. 983-988 ◽  
Author(s):  
M. Yakob ◽  
Y.R. Hassan ◽  
K.L. Tse ◽  
M. Gu ◽  
Y. Yang
Keyword(s):  
Hong Kong ◽  
Retrospective Study ◽  
Outcome Measures ◽  
Scoring System ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Scoring Systems ◽  
Dental Arch ◽  
Cleft Lip Palate ◽  
The University

Objective: To test the reliability of the modified Huddart-Bodenham (MHB) numerical scoring system and its agreement with the GOSLON Yardstick categorization for assessing the dental arch relationships in unilateral cleft lip and palate (UCLP) cases. Design: A retrospective study. Setting: Faculty of Dentistry, The University of Hong Kong. Patients: Forty-one nonsyndromic UCLP consecutive patients attending the Joint Cleft Lip/Palate Clinic at Faculty of Dentistry in the University of Hong Kong were selected. Interventions: Study models at 8 to 10 years old (T1) and 10 to 12 years old (T2) were obtained from each patient. Main Outcome Measures: Models were rated with the MHB scoring system and GOSLON Yardstick index. The intra- and interexaminer reliabilities as well as correlation of both scoring systems were evaluated. Furthermore, to investigate the outcome measurements consistency, the MHB scoring system and GOSLON Yardstick were independently used to compare the dental arch relationships from T1 to T2, with the samples split into intervention and nonintervention groups. Results: The MHB scoring system presented good intra- and interexaminer agreement, which were comparable to those of the GOSLON Yardstick. The correlation between the MHB scoring system and GOSLON Yardstick scores was good. Both scoring systems showed similar results when assessing the change in the dental arch relationships from T1 to T2. Conclusions: The MHB scoring system can be used as an alternative method to the commonly used GOSLON Yardstick for assessing dental deformities in UCLP patients. Both scoring systems showed similar results in assessing the improvement in dental arch relationships.

Treatment Outcome after Two-Stage Palatal Closure in Unilateral Cleft Lip and Palate: A Comparison with Eurocleft

2005 ◽  
Vol 42 (5) ◽  
pp. 512-516 ◽  
Author(s):  
Pieter J. P. M. Nollet ◽  
Christos Katsaros ◽  
Martin A. van't Hof ◽  
Gunvor Semb ◽  
William C. Shaw ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Repeated Measures ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Medical Center ◽  
Treatment Protocol ◽  
Dental Arch ◽  
Treatment Results ◽  
Two Stage ◽  
Treatment Protocols

Objective To evaluate dental arch relationships of patients with unilateral cleft lip and palate (UCLP) treated with a two-stage palatal closure and to compare them with the six centers from the Eurocleft study that used various treatment protocols. Design Repeated-measures study. Setting Cleft Palate Craniofacial Unit of Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. Patients Records of 9-year-old children with complete unilateral cleft lip and palate (n = 43) were included. Interventions The dental arch relationships of these patients were assessed by applying the Goslon Yardstick and subsequently compared with the Goslon outcome of the six-center Eurocleft study. Mean Outcome Measures Statistics of intra- and interexaminer agreement. Results For the Nijmegen UCLP group, 9% of dental arch relationships had a Goslon score of 1, 52% had a score of 2, 30% has a score of 3, 9% had a score of 4, and none had a score of 5. The mean Nijmegen Goslon score showed no significant differences with Eurocleft centers A, B, and E, which achieved the best treatment results, but did significantly differ from Goslon outcomes of Eurocleft centers D (p < .001), C, and F (p < .01), which had relatively poor treatment outcome. Conclusions Treatment outcome of the patients in the Nijmegen UCLP group treated with two-stage palatal closure was comparable with the results of the Eurocleft centers with the best outcome. Treatment protocol could not explain differences in the quality of treatment results.

scholarly journals Primary surgery effect on dental arch relationships of patients born with unilateral cleft lip and palate using the GOSLON yardstick index

2021 ◽  
Vol 76 (5) ◽  
pp. 245-249
Author(s):  
Emad Ghabrial ◽  
Hester JS Van den Berg ◽  
Susanna M Du Plessis
Keyword(s):  
Treatment Outcome ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Weighted Kappa ◽  
Good Treatment ◽  
Observer Agreement ◽  
Dental Arch ◽  
Facial Cleft ◽  
Primary Surgery ◽  
Good Treatment Outcome

To score dental arch development using the Great Ormond Street, London, and Oslo (GOSLON) yardstick index, following primary surgery in patients with a complete unilateral cleft lip and palate (UCLP), and to compare the outcome score with the GOSLON score of Cleft Care UK (CCUK) as well as with the Clinical Standards Advisory Group (CSAG), United Kingdom.Study models of patients (average age 12 years) with a non-syndromic complete UCLP, who had been surgically treated at the University of Pretoria Facial Cleft Deformity (UPFCD) clinic. They were assessed using the GOSLON yardstick index by certified raters from the Dental School in Dundee, Scotland. The mean outcome ratings were calculated from the scoring of 27 sets of plaster models. The other scoring rounds were used to calculate intraand inter-observer agreement using Cohen's weighted kappa and Fleiss's multi-rater kappa. There were strong intra- and inter-observer agreement, with a weighted kappa of 0.92. The Facial Cleft Deformity (FCD) clinic data showed a good treatment outcome with a mean GOSLON rating of 2.85 compared to a rating of 3.2 for the CSAG and 2.62 for the CCUK cohort studies. The UPFCD clinic primary surgical protocol displayed a good treatment outcome rating, in line with that of the CCUK cohort and better than the CSAG results.

scholarly journals Treatment Outcome and Factors Affecting Dental Arch Relationship in Malay Children with Unilateral Cleft Lip and Palate (UCLP)

2016 ◽  
Vol 25 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Jawaad Ahmed Asif ◽  
Mohammad Khursheed Alam ◽  
Tohru Imanishi ◽  
Ayako Mukai ◽  
Tatsunori Yusa ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Arch ◽  
Factors Affecting ◽  
Dental Arch Relationship

Association between Dental Arch Widths and Interarch Relationships in Children with Operated Unilateral Complete Cleft Lip and Palate

2015 ◽  
Vol 52 (6) ◽  
pp. 196-200 ◽  
Author(s):  
Dos Santos Patrícia Bittencourt Dutra ◽  
Guilherme Janson ◽  
Vivian Helena Assis ◽  
Maira De Paula Leite Battisti ◽  
Daniela Gamba Garib
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dental Arch
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