Retrospective evaluation of treatment outcome in Japanese children with complete unilateral cleft lip and palate. Part 1: Five-year-olds' index for dental arch relationships

Akira Suzuki, Keigo Yoshizaki, Yasuo Honda, Masaaki Sasaguri, Yasutaka Kubota, Norifumi Nakamura, Masamichi Ohishi, Masuichiro Oka, Hideo Tashiro, Takeshi Katsuki, Hiroshi Fujino

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: To evaluate the dental arch relationships of Japanese children with complete unilateral cleft lip and palate (UCLP) and to examine the 5-year-olds' index for its validity. Design: Retrospective study and comparison with previous reports. Subjects: One hundred thirty-six children with complete UCLP who received primary cheiloplasty and palatoplasty in the Kyushu University Hospital from 1966 to 1999. Materials: Dental models taken from children 53 to 67 months of age and their cephalograms. Methods: Study models were assessed using five scores; 1 = excellent, 2 = good, 3 = fair, 4 = poor, and 5 = very poor, in accordance with the 5-year-olds' index and also evaluated using Huddart and Bodenham's numerical classification. Dental arch widths, three-dimensional maxillary dental arch form, and lateral cephalograms were traced and measured. The outcome by 5-year-olds' index was compared with Huddart and Bodenham's numerical classification, dental arch dimensions, and cephalometric measurements. Results: Occlusal outcome evaluated by the 5-year-olds' index was rated 2.95, which was classified as fair. This index rating showed a significant relationship with numerical classification and dental arch length, but not with dental arch width. The index showed a relationship with mandibular form and position, but not with maxillary position. Conclusion: The occlusal outcome of the cases with UCLP was fair as evaluated using the 5-year-olds' index. The index evaluates the anteroposterior relationship of maxillary/mandibular dental arches but does not evaluate the collapse of maxillary segments.

Original languageEnglish
Pages (from-to)434-443
Number of pages10
JournalCleft Palate-Craniofacial Journal
Volume44
Issue number4
DOIs
Publication statusPublished - Jul 1 2007

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Otorhinolaryngology

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