We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Dentoalveolar Cleft Treatment Outcome Using Modified Huddart-Bodenham Index and Regression Analysis of Associated Factors.
- Authors
Arshad, Anas Imran; Alam, Mohammad Khursheed; Khamis, Mohammad Fadhli
- Abstract
Objectives: The aim of this study is to assess the treatment outcome of complete unilateral cleft lip and palate (CUCLP) patients using modified Huddart/Bodenham scoring system (MHB). To determine whether there is an association of congenital and postnatal factors with the treatment outcome. Design: Retrospective observational study. Setting: Two regional cleft-referral centers. Main Outcome Measures: In the current study, 101 pairs of dental models of non-syndromic CUCLP patients were retrieved from hospital archives. Each occlusal relationship from central incisor till the first permanent molars were scored except the lateral incisor. Sum of 10 occlusal relationships in each study sample gave a total occlusion score. The primary outcome was the mean total occlusion score. Results: According to MHB, a mean (standard deviation) total occlusion score of –8.92 (6.89) was determined. Based on treatment outcome, 66 cases were favorable (grades 1, 2, and 3) and 35 cases were unfavorable (grades 4 and 5). Chi-square tests indicated, difference of cheiloplasty (P = .001) and palatoplasty (P < .001) statistically significant. Five variables—gender, family history of cleft, cleft side, cheiloplasty, and palatoplasty—were analyzed with a logistic regression model. Conclusions: Final model indicated that cases treated with modified Millard technique (cheiloplasty) and Veau-Wardill-Kilner method (palatoplasty) had higher odds of unfavorable treatment outcome.
- Subjects
CLEFT lip; CLEFT palate; TREATMENT effectiveness; CHI-squared test; DENTAL casting; INCISORS; MASTICATORY muscles; MOLARS; SCIENTIFIC observation; DENTAL occlusion; REGRESSION analysis; LOGISTIC regression analysis; RETROSPECTIVE studies; DESCRIPTIVE statistics; ODDS ratio; SURGERY
- Publication
Cleft Palate Craniofacial Journal, 2018, Vol 55, Issue 5, p682
- ISSN
1055-6656
- Publication type
Article
- DOI
10.1177/1055665618758278