A new yardstick for rating dental arch relationship in patients with complete bilateral cleft lip and palate

Cleft Palate Craniofac J. 2011 Mar;48(2):167-72. doi: 10.1597/09-122. Epub 2010 May 12.

Abstract

Objective: To develop yardsticks for assessment of dental arch relationship in young individuals with repaired complete bilateral cleft lip and palate appropriate to different stages of dental development.

Participants: Eleven cleft team orthodontists from five countries worked on the projects for 4 days. A total of 776 sets of standardized plaster models from 411 patients with operated complete bilateral cleft lip and palate were available for the exercise.

Statistics: The interexaminer reliability was calculated using weighted kappa statistics.

Results: The interrater weighted kappa scores were between .74 and .92, which is in the "good" to "very good" categories.

Conclusions: Three bilateral cleft lip and palate yardsticks for different developmental stages of the dentition were made: one for the deciduous dentition (6-year-olds' yardstick), one for early mixed dentition (9-year-olds' yardstick), and one for early permanent dentition (12-year-olds' yardstick).

Publication types

  • Multicenter Study

MeSH terms

  • Child
  • Cleft Lip / surgery*
  • Cleft Palate / surgery*
  • Dental Arch / growth & development*
  • Dentition, Mixed
  • Female
  • Humans
  • Jaw Relation Record*
  • Male
  • Models, Dental
  • Orthodontics, Corrective
  • Reproducibility of Results
  • Retrospective Studies
  • Tooth, Deciduous