Jones Timothy, Leary Sam, Atack Nikki, Ireland Tony, Sandy Jonathan
School of Oral and Dental Sciences, Bristol Dental Hospital, UK and Musgrove Park Hospital, Taunton, UK
School of Oral and Dental Sciences, Bristol Dental Hospital, UK and.
Eur J Orthod. 2016 Aug;38(4):345-52. doi: 10.1093/ejo/cjw013. Epub 2016 Mar 17.
To determine the optimal dentoalveolar measure to assess unilateral cleft lip and palate (UCLP) patient plaster models.
The models of 34 patients with UCLP taken at 5, 10, and 15-20 years of age were scored by two examiners on two separate occasions using five indices: the 5 Year Olds' (5YO), GOSLON, Modified Huddart/Bodenham (MHB), EUROCRAN, and Overjet. Reliability, validity, and ease of use were recorded for each index/examiner.
All models were scored in either Bristol Dental Hospital or Derriford Hospital, Plymouth, United Kingdom by senior orthodontic clinicians.
Highest overall reliability was seen with MHB (Kappa = 0.56-0.97). Predictive validity was similar for MHB, GOSLON, and 5YO with a 50-65 per cent prediction of final outcome from 5 and 10 years. EUROCRAN palatal index showed no clear predictive validity (Spearman's correlation = 0.20-0.21). Agreement to the gold standard 5YO score at the 5-year age group was high for MHB (Kappa = 0.83) and moderate for GOSLON (Kappa = 0.59). Agreement to the gold standard GOSLON score at 10 years was highest for 5YO (Kappa = 0.69), followed by Overjet (Kappa = 0.59) and MHB (Kappa = 0.46). Time to score 34 models per index (minutes): GOSLON (13.4) < Overjet (13.6) < 5YO (19.4) < EUROCRAN (24.8) < MHB (27.4).
As an outcome measure of UCLP models, only MHB and 5YO indices can be recommended for use at 5 years of age and GOSLON at 10 years of age.
确定评估单侧唇腭裂（UCLP）患者石膏模型的最佳牙槽测量方法。
由两名检查者在两个不同时间，使用五个指标对34例5岁、10岁以及15 - 20岁的UCLP患者模型进行评分，这五个指标分别为：5岁儿童指标（5YO）、戈斯隆（GOSLON）、改良哈达特/博登汉姆（MHB）、欧洲颅骨（EUROCRAN）和覆盖。记录每个指标/检查者的可靠性、有效性和易用性。
所有模型均由英国普利茅斯布里斯托尔牙科医院或德里弗德医院的高级正畸临床医生进行评分。
MHB的总体可靠性最高（卡帕值=0.56 - 0.97）。MHB、戈斯隆和5YO的预测有效性相似，5岁和10岁时对最终结果的预测率为50% - 65%。欧洲颅骨腭指数未显示出明显的预测有效性（斯皮尔曼相关性=0.20 - 0.21）。在5岁年龄组，MHB与金标准5YO评分的一致性较高（卡帕值=0.83），戈斯隆的一致性中等（卡帕值=0.59）。在10岁时，与金标准戈斯隆评分一致性最高的是5YO（卡帕值=0.69），其次是覆盖（卡帕值=0.59）和MHB（卡帕值=0.46）。每个指标对34个模型进行评分所需时间（分钟）：戈斯隆（13.4）<覆盖（13.6）<5YO（19.4）<欧洲颅骨（24.8）<MHB（27.4）。
作为UCLP模型的结果测量指标，仅推荐5岁时使用MHB和5YO指标，10岁时使用戈斯隆指标。
