Department of Pediatric Dentistry and Orthodontics, College of Dentistry, Taibah University, Saudi Arabia.
Department of Orthodontics, School of Dental Sciences, Universiti Sains Malaysia, Malaysia, Phone: +60 97673719, e-mail:
J Contemp Dent Pract. 2023 Dec 1;24(12):987-990. doi: 10.5005/jp-journals-10024-3606.
To determine dental arch relationships of Saudi children born with nonsyndromic complete unilateral cleft lip and palate (UCLP).
This is a retrospective cohort study that comprised dental study models of 74 UCLP Saudi children aged 8-10 years who were recruited from 14 referral cleft centers. All participants had their cleft lip and palate repaired with no history of alveolar bone graft or any orthodontic treatment. Dental arch relationships of UCLP patients were assessed using the Great Ormond Street, London, and Oslo (GOSLON) Yardstick-a clinical tool that categorizes dental relationships of UCLP children into five discrete grades from I to V. The reliability of the rating was assessed with weighted kappa (κ) statistics.
Three children (4.1%) had excellent surgical outcomes (grade I), 18 children (24.3%) filled into grade II (good outcome), 22 subjects (29.7%) had grade III (fair outcome), 27 children (36.5%) had grade IV (poor outcome), and 4 subjects (5.4%) were ranked as having very poor outcomes (grade V). The mean GOSLON score was 3.39. Intrarater and interrater agreements were high indicating good reproducibility.
Based on the dental arch relationships, the treatment outcome of UCLP Saudi children was unsatisfactory, with a mean GOSLON score of 3.39. Delayed palate repair and the use of presurgical orthopedics may be considered in the future for cleft deformity management.
To address the effect of particular cleft surgical protocol on dental arch relationships of UCLP patients. How to cite this article: Alforaidi S, Zreaqat M, Hassan R. Dental Arch Relationships of Saudi Children with Unilateral Cleft Lip and Palate. J Contemp Dent Pract 2023;24(12):987-990.
确定沙特单侧完全唇腭裂（UCLP）患儿的牙弓关系。
这是一项回顾性队列研究，纳入了 74 名 8-10 岁沙特 UCLP 患儿的牙模，这些患儿均来自 14 家转诊腭裂中心。所有患儿的唇腭裂均已修复，且无牙槽骨植骨或任何正畸治疗史。采用大奥蒙德街伦敦和奥斯陆（GOSLON）分类法（一种将 UCLP 患儿的牙弓关系分为从 I 到 V 五个离散等级的临床工具）评估 UCLP 患者的牙弓关系。采用加权 Kappa（κ）统计评估评分的可靠性。
3 名患儿（4.1%）的手术效果极佳（I 级），18 名患儿（24.3%）为 II 级（良好效果），22 名受试者（29.7%）为 III 级（中等效果），27 名患儿（36.5%）为 IV 级（较差效果），4 名患儿（5.4%）为 V 级（极差效果）。GOSLON 平均得分为 3.39。组内和组间的一致性均较高，表明可重复性良好。
根据牙弓关系，沙特单侧唇腭裂患儿的治疗效果不理想，GOSLON 平均得分为 3.39。未来可考虑延迟腭裂修复并使用术前正畸来管理腭裂畸形。
研究目的在于探讨特定的腭裂手术方案对单侧唇腭裂患儿牙弓关系的影响。
Alforaidi S, Zreaqat M, Hassan R. 沙特单侧唇腭裂儿童的牙弓关系。当代口腔医学杂志 2023；24（12）：987-990.
