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Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 7. Occlusion in 5 year-olds according to the Huddart and Bodenham index.

Karsten, Agneta (author)
Karolinska Institutet,Stockholm Craniofacial Team, Division of Orthodontics, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden
Marcusson, Agneta, 1956- (author)
Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Käkkliniken US
Hurmerinta, Kirsti (author)
Cleft Palate and Craniofacial Center, Helsinki University Central Hospital, Helsinki, Finland
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Heliövaara, Arja (author)
Cleft Palate and Craniofacial Center, Helsinki University Central Hospital, Helsinki, Finland
Küseler,, Annelise (author)
Cleft Palate Center, Aarhus, Denmark
Skaare, Pål (author)
Department of Plastic and Reconstructive Surgery, Oslo University Hospital Rikshospitalet, Oslo, Norway
Bellardie, Haydn (author)
Greater Manchester Cleft Lip and Palate Unit, Royal Manchester Childrens’ Hospital, Manchester, UK
Rønning, Elisabeth (author)
Department of Plastic and Reconstructive Surgery, Oslo University Hospital Rikshospitalet, Oslo, Norway
Shaw, William (author)
Dental School, University of Manchester, Manchester, UK
Mølsted, Kirsten (author)
Copenhagen Cleft Palate Center, University Hospital of Copenhagen, Copenhagen, Denmark
Sæle, Paul (author)
Oral Health Center of Expertise/Western Norway, Bergen, Norway
Brinck, Eli (author)
Oral Health Center of Expertise/Western Norway, Bergen, Norway
Rizell, Sara, 1963 (author)
Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology
Najal Chalier, Midia (author)
Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology
Eyres, Philip (author)
Dental School, University of Manchester, Manchester, UK
Semb, Gunvor (author)
Department of Plastic and Reconstructive Surgery, Oslo University Hospital Rikshospitalet, Oslo, Norway; Dental School, University of Manchester, Manchester, UK
Saele, P (author)
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 (creator_code:org_t)
Taylor & Francis, 2017
2017
English.
In: Journal of Plastic Surgery and Hand Surgery. - : Taylor & Francis. - 2000-656X .- 2000-6764. ; 51:1, s. 58-63
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background and aim:Good dentofacial development and good occlusion are main goals in the treatment of UCLP. The aim was to evaluate dental occlusion at age 5 years with the Huddart and Bodenham index after four different protocols of primary surgery for UCLP. Design:Three parallel randomised controlled trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK. Methods:Three different surgical procedures for primary palatal repair (Arms B, C, and D) were tested against a common procedure (Arm A) in the total cohort of 448 children born with non-syndromic UCLP. Dental casts of 418 patients (272 boys, 146 girls), at the mean age of 5.1 years (range =4.7–6.9) were blindly assessed by 10 orthodontists with the original Huddart and Bodenham index. The main outcome measure was dental occlusion. Results:The inter- and intra-examiner reliability was good-to-excellent (0.61–0.94; 0.66–1.0, respectively). The mean total scores (+2 to −18) varied from −5.56 (Trial 2C) to −7.21 (Trial 3D). The mean anterior scores (+2 to −6) varied from −1.66 (Trial 2C) to −2.56 (Trial 3A). The mean posterior cleft-side scores (0 to −6) varied from −3.24 (Trial 3A) to −3.82 (Trial 3D) and the mean non-cleft-side scores (0 to −6) varied from −0.60 (Trial 2C) to −1.30 (Trial 3A); however, no significant differences were found within the trials. Conclusion:There was no statistical evidence of a difference in occlusion between the two surgical methods in each trial. Trial registration:ISRCTN29932826. [ABSTRACT FROM AUTHOR]

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Keyword

dental occlusion at 5 years
randomised controlled trials
Scandcleft
the original Huddart and Bodenham index
Unilateral cleft lip and palate

Publication and Content Type

ref (subject category)
art (subject category)

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