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Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes

OBJECTIVES: To compare facial appearance and dento-alveolar relationship outcomes from the CSAG (1998) and CCUK (2013) studies. SETTING AND SAMPLE POPULATION: Five-year-olds born with non-syndromic unilateral cleft lip and palate. Those in the original CSAG were treated in a dispersed model of care...

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Autores principales: Al-Ghatam, R, Jones, T E M, Ireland, A J, Atack, N E, Chawla, O, Deacon, S, Albery, L, Cobb, A R M, Cadogan, J, Leary, S, Waylen, A, Wills, A K, Richard, B, Bella, H, Ness, A R, Sandy, J R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670707/
https://www.ncbi.nlm.nih.gov/pubmed/26567852
http://dx.doi.org/10.1111/ocr.12109
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author Al-Ghatam, R
Jones, T E M
Ireland, A J
Atack, N E
Chawla, O
Deacon, S
Albery, L
Cobb, A R M
Cadogan, J
Leary, S
Waylen, A
Wills, A K
Richard, B
Bella, H
Ness, A R
Sandy, J R
author_facet Al-Ghatam, R
Jones, T E M
Ireland, A J
Atack, N E
Chawla, O
Deacon, S
Albery, L
Cobb, A R M
Cadogan, J
Leary, S
Waylen, A
Wills, A K
Richard, B
Bella, H
Ness, A R
Sandy, J R
author_sort Al-Ghatam, R
collection PubMed
description OBJECTIVES: To compare facial appearance and dento-alveolar relationship outcomes from the CSAG (1998) and CCUK (2013) studies. SETTING AND SAMPLE POPULATION: Five-year-olds born with non-syndromic unilateral cleft lip and palate. Those in the original CSAG were treated in a dispersed model of care with low-volume operators. Those in CCUK were treated in a more centralized, high-volume operator model. MATERIALS AND METHODS: We compared facial appearance using frontal view photographs (252 CCUK, 239 CSAG) and dental relationships using study models (198 CCUK, 223 CSAG). Facial appearance was scored by a panel of six assessors using a standardized and validated outcome tool. Dento-alveolar relationships were scored by two assessors using the 5-Year-Olds’ Index. Ordinal regression was used to compare results between surveys. RESULTS: Excellent or good facial appearance was seen in 36.2% of CCUK compared with 31.9% in CSAG. In CCUK, 21.6% were rated as having poor or very poor facial appearance compared with 27.6% in CSAG. The percentage rated as having excellent or good dento-alveolar relationships was 53.0% in CCUK compared with 29.6% in CSAG. In CCUK, 19.2% were rated as having poor or very poor dento-alveolar relationships compared to 36.3% in CSAG. The odds ratios for improved outcome in CCUK compared to CSAG were 1.43 (95% CI 1.03, 1.97) for facial appearance and 2.29 (95% CI 1.47, 3.55) for dento-alveolar relationships. CONCLUSIONS: Facial and dento-alveolar outcomes were better in CCUK children compared to those in CSAG.
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spelling pubmed-46707072015-12-15 Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes Al-Ghatam, R Jones, T E M Ireland, A J Atack, N E Chawla, O Deacon, S Albery, L Cobb, A R M Cadogan, J Leary, S Waylen, A Wills, A K Richard, B Bella, H Ness, A R Sandy, J R Orthod Craniofac Res Centralisation of Cleft Care in the United Kingdom: Results of the Cleft Care Uk Study OBJECTIVES: To compare facial appearance and dento-alveolar relationship outcomes from the CSAG (1998) and CCUK (2013) studies. SETTING AND SAMPLE POPULATION: Five-year-olds born with non-syndromic unilateral cleft lip and palate. Those in the original CSAG were treated in a dispersed model of care with low-volume operators. Those in CCUK were treated in a more centralized, high-volume operator model. MATERIALS AND METHODS: We compared facial appearance using frontal view photographs (252 CCUK, 239 CSAG) and dental relationships using study models (198 CCUK, 223 CSAG). Facial appearance was scored by a panel of six assessors using a standardized and validated outcome tool. Dento-alveolar relationships were scored by two assessors using the 5-Year-Olds’ Index. Ordinal regression was used to compare results between surveys. RESULTS: Excellent or good facial appearance was seen in 36.2% of CCUK compared with 31.9% in CSAG. In CCUK, 21.6% were rated as having poor or very poor facial appearance compared with 27.6% in CSAG. The percentage rated as having excellent or good dento-alveolar relationships was 53.0% in CCUK compared with 29.6% in CSAG. In CCUK, 19.2% were rated as having poor or very poor dento-alveolar relationships compared to 36.3% in CSAG. The odds ratios for improved outcome in CCUK compared to CSAG were 1.43 (95% CI 1.03, 1.97) for facial appearance and 2.29 (95% CI 1.47, 3.55) for dento-alveolar relationships. CONCLUSIONS: Facial and dento-alveolar outcomes were better in CCUK children compared to those in CSAG. John Wiley & Sons, Ltd 2015-11 2015-11-16 /pmc/articles/PMC4670707/ /pubmed/26567852 http://dx.doi.org/10.1111/ocr.12109 Text en Copyright © 2015 John Wiley & Sons A/S http://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Centralisation of Cleft Care in the United Kingdom: Results of the Cleft Care Uk Study
Al-Ghatam, R
Jones, T E M
Ireland, A J
Atack, N E
Chawla, O
Deacon, S
Albery, L
Cobb, A R M
Cadogan, J
Leary, S
Waylen, A
Wills, A K
Richard, B
Bella, H
Ness, A R
Sandy, J R
Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes
title Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes
title_full Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes
title_fullStr Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes
title_full_unstemmed Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes
title_short Structural outcomes in the Cleft Care UK study. Part 2: dento-facial outcomes
title_sort structural outcomes in the cleft care uk study. part 2: dento-facial outcomes
topic Centralisation of Cleft Care in the United Kingdom: Results of the Cleft Care Uk Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670707/
https://www.ncbi.nlm.nih.gov/pubmed/26567852
http://dx.doi.org/10.1111/ocr.12109
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