Department of Orthodontics, Ghent University, Ghent, Belgium.
Eur J Orthod. 2023 Nov 30;45(6):662-670. doi: 10.1093/ejo/cjad016.
BACKGROUND/OBJECTIVES: The aim of this research was to determine the reliability of a novel index for the assessment of smile esthetics in patients with cleft lip and/or palate (CL ± P) at the end of their multidisciplinary treatment, for use in clinical and academic settings.
Five orthodontists, five periodontologists, five general practitioners, five dental students, and five laypeople rated the smiles of 10 patients with CL ± P twice at a 2 weeks interval. The rating scale consisted of four main categories: 1. nasolabial esthetics, 2. gingival esthetics, 3. dental esthetics, and 4. overall esthetics. A total of 15 parameters were rated. Intra- and inter-rater agreements were calculated using SPSS.
The inter-rater agreement varied between good and excellent whereby the orthodontists, periodontists, general practitioners, dental students, and laypeople obtained agreement scores of 0.86, 0.92, 0.84, 0.90, and 0.89, respectively. The intra-rater agreement was good with agreement scores of 0.78, 0.84, 0.84, 0.80, and 0.79, respectively.
Smile esthetics were rated on static pictures, not in real life or by video recordings in a young adult population.
CONCLUSIONS/IMPLICATIONS: The cleft lip and palate smile esthetic index is a reliable tool for the assessment of smile esthetics in patients with CL ± P.
背景/目的：本研究旨在确定一种用于评估唇腭裂（CL ± P）患者多学科治疗结束后微笑美观的新指数的可靠性，以便在临床和学术环境中使用。
五名正畸医生、五名牙周病医生、五名全科医生、五名牙科学生和五名非专业人士在两周的间隔内两次对 10 名 CL ± P 患者的笑容进行了评分。评分量表由四个主要类别组成：1.鼻唇美学；2.牙龈美学；3.牙齿美学；4.整体美学。共评定了 15 个参数。使用 SPSS 计算了内部和外部评分者之间的一致性。
外部评分者之间的一致性差异较大，正畸医生、牙周病医生、全科医生、牙科学生和非专业人士的评分者得分分别为 0.86、0.92、0.84、0.90 和 0.89。内部评分者的一致性较好，评分者得分分别为 0.78、0.84、0.84、0.80 和 0.79。
微笑美观是在静态图片上进行评分的，而不是在成年人群中进行的真实生活或视频记录。
结论/意义：唇腭裂微笑美学指数是评估唇腭裂患者微笑美观的可靠工具。
