Dental arch relationship outcomes for children with complete unilateral and complete bilateral cleft lip and palate in New Zealand

Fowler, Peter; Keall, Heather; Kennedy, Daniel; Healey, David; Thompson, John M. D.

doi:10.1111/ocr.12300

Cited by 11 publications

(19 citation statements)

References 26 publications

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“…Continuing to monitor dental arches can be done by assessing the occlusal index. This evaluation is essential for the follow‐up of primary plastic surgeries (cheiloplasty and palatoplasty) and also for the evaluation of future treatments 26 . Thus, the hypothesis studied was partially accepted since the evaluation between the groups showed that there was a decrease in transversal and anteroposterior linear measurements, but not in area and volume.…”

Section: Discussionmentioning

confidence: 99%

Prospective cohort 3D study of dental arches in children with bilateral orofacial cleft: Assessment of volume and superimposition

Ambrosio

Sforza

Menezes

et al. 2020

Int J Paed Dentistry

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Background Cohort studies have evaluated dental arches of children. Aim To evaluate the volumetric, linear, palatal surface area, and the dental arch superimposition of participants with bilateral complete cleft lip (BCL) and bilateral cleft lip and palate (BCLP) surgically treated in a specialized hospital. Design One hundred and thirty six digitized dental models evaluated before cheiloplasty (T1), after cheiloplasty (T2), and after palatoplasty (T3). The stereophotogrammetry software analysed the volume, palate superimposition, linear, and area measurements. Results In BCL group, at T2, C–C′, T–T′, area, and volume significantly increased (P = .000, P < .000, P = .010 e P = .003, respectively). In BCLP group, the comparison T3 × T1 showed that C–C′ decreased, whereas T–T′ and the area increased (P < .000, P < .000, P = .000). The volume increased at T2, but decreased at T3 (P < .000) in participants with BCLP. The intergroup analysis revealed that C–C′, T–T′, I–C′, and I–C were significantly smaller in participants with BCLP (P < .000, P = .016, P = .001 e P = .020, respectively), whereas the volume, superimposition, and area were statistically similar between groups (P > .05). Conclusion The comparison between bilateral orofacial clefts showed reduction in the transversal and anteroposterior linear measurements, but not in the area and volume, which was confirmed by the superimposition of the dental arches.

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Section: Discussionmentioning

confidence: 99%

Prospective cohort 3D study of dental arches in children with bilateral orofacial cleft: Assessment of volume and superimposition

Ambrosio

Sforza

Menezes

et al. 2020

Int J Paed Dentistry

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“…The Eurocleft studies showed the importance of intercenter comparisons and started to relate volume and outcomes [ 12 ]. This certainly informed the need for CSAG in the United Kingdom, and the subsequent “Americleft” [ 18 ] and New Zealand studies [ 19 , 20 ] followed similar lines. In New Zealand, where there are 100 cleft births a year, patients are treated in five centers; some outcomes are very poor and a centralized model is the most obvious way forward.…”

Section: Centralization Of Care and Researchmentioning

confidence: 90%

Cleft lip and palate: Care configuration, national registration, and research strategies

Sandy

Davies

Humphries

et al. 2020

Journal of the World Federation of Orthodontists

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A child born with a cleft lip and palate will face 20 years or more of hospital care and surgery. This is a global problem with approximately 10 million people affected worldwide. Various models of care exist around the condition, and the best configurations of services within an economy need to be optimized. We provide examples of how centralized care can improve outcomes and provide an opportunity to establish national registries, and then emphasize the opportunities for building research platforms of relevance. The default of any cleft service should be to centralize care and enable cleft teams with a sufficient volume of patients to develop proficiency and measure the quality of outcomes. The latter needs to be benchmarked against the better centers in Europe. Two areas of concern for those with cleft are morbidity/mortality and educational attainment. These two issues are placed in context within the literature and wider approaches using population genetics. Orthodontists have always played a key role in developing these initiatives and are core members of cleft teams with major responsibilities for these children and their families.

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“…The assessment of behavior and QoL in children with OFC was undertaken as part of a broader research program of cleft outcomes in NZ. A more detailed description of other aspects of the study is available in previous publications (Fowler, Al-Ani et al, 2019;Fowler, Keall et al, 2019;Fowler, Wholley et al, 2019;Thompson et al, 2019;Fowler et al, 2020). Eligibility included all children with OFC considered to be nonsyndromic and born after January 1, 2000.…”

Section: Methodsmentioning

confidence: 99%

Behavioral Outcomes in Children With an Orofacial Cleft in a National Study in New Zealand

Thompson

Ayrey

Slykerman

et al. 2020

The Cleft Palate-Craniofacial Journal

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Objective: To determine whether children with an orofacial cleft have higher levels of behavioral problems than the general population and whether this differs by cleft phenotype. Design: A cohort of children with cleft lip and/or palate (CL/P) born in New Zealand from January 1, 2000. Setting: Cleft clinics in New Zealand participating in a larger outcomes study between 2014 and 2017. Participants: Children (N = 378) aged 5 to 12 years of age and their parents. Main Outcomes: The Strengths and Difficulties Questionnaire (SDQ) and Pediatric Quality of Life Inventory (PedsQL) Generic Core Scales 4.0 and Family Impact Module 2.0. Results: Compared to standardized norms, children with a cleft had higher than expected (defined as 20%) levels of abnormal/borderline SDQ scores for conduct problems (27.4%, P = .0003) and peer relationship problems (31.6%, P < .0001) but lower than expected levels of problems with pro-social skills (6.3%, P < .0001). There were no significant differences by age-group and or cleft phenotype other than an increased risk of hyperactivity in children with CP compared to children with CL. Total difficulties SDQ scores had moderate correlations with the PedsQL. Conclusions: While over 90% of children with CL/P had normal prosocial skills, they may not be easily accepted by their peers which may result in behavioral problems. These concerns were moderately related to lower quality of life. Support for establishment and maintenance of peer relationships is important to address externalizing and peer difficulties in children with CL/P. Community knowledge and understanding of CL/P needs to continue to be promoted.

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Dental arch relationship outcomes for children with complete unilateral and complete bilateral cleft lip and palate in New Zealand

Cited by 11 publications

References 26 publications

Prospective cohort 3D study of dental arches in children with bilateral orofacial cleft: Assessment of volume and superimposition

Prospective cohort 3D study of dental arches in children with bilateral orofacial cleft: Assessment of volume and superimposition

Cleft lip and palate: Care configuration, national registration, and research strategies

Behavioral Outcomes in Children With an Orofacial Cleft in a National Study in New Zealand

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