Stonehouse-Smith D, Rahman ANAA, Mooney J, Bellardie H. Occlusal Outcome of Orthodontic Treatment for Patients With Complete Cleft Lip and Palate.
Cleft Palate Craniofac J 2021;
59:79-85. [PMID:
33757373 DOI:
10.1177/1055665621996116]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
AIM
To assess occlusal outcomes of orthodontic treatment for patients with complete cleft lip and palate.
DESIGN
Retrospective assessment using the Peer Assessment Rating (PAR) index.
SETTING
Consecutive patients treated by one consultant orthodontist at a tertiary care cleft center.
PARTICIPANTS
One hundred twenty-seven patients with either complete unilateral cleft lip and palate (UCLP) or bilateral cleft lip and palate (BCLP) consecutively treated with fixed appliances.
INTERVENTION
Fixed orthodontic appliance treatment and orthognathic surgery when required.
OUTCOMES
The PAR index assessment was carried out by a calibrated-independent assessor. Treatment duration, the number of patient visits, and data on dental anomalies were drawn from patient records and radiographs.
RESULTS
One hundred two patients' study models were assessed after exclusions. Mean start PAR score for UCLP (n = 71) was 43.9 (95% CI, 41.2-46.6, SD 11.5), with a mean score reduction of 84.3% (95% CI, 81.9-86.7, SD 10.1). The UCLP mean treatment time was 23.7 months with 20.1 appointments. Mean start PAR score for BCLP (n = 31) was 43.4 (95% CI, 39.2-47.6, SD 11.4), with a mean score reduction of 80.9% (95% CI, 76.3-85.5, SD 12.5). The BCLP mean treatment time was 27.8 months with 20.5 appointments.
CONCLUSION
These results compare well with other outcome reports, including those for patients without a cleft, and reflect the standard of care provided by an experienced cleft orthodontist. As with high-volume surgeons, orthodontic treatment for this high need group is favorable when provided by a high-volume orthodontist. These findings may be used for comparative audit with similar units providing cleft care.
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