Dental Arch Relationships in Turkish Patients with Complete Unilateral Cleft Lip and Palate Born between 1976 and 1990: A Comparison with Eurocleft

Objective To compare the dental arch relationships of Turkish patients with complete unilateral cleft lip and palate (UCLP) with the results reported for participants in the Eurocleft study. Patients Study models of 109 patients with complete UCLP from five university clinics in Turkey were evaluate...

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Veröffentlicht in:The Cleft palate-craniofacial journal 2014-01, Vol.51 (1), p.70-75
Hauptverfasser: Dogan, Servet, Semb, Gunvor, Erbay, Elif, Alcan, Toros, Uzel, Ash, Kocadereli, Ilken, Shaw, William C.
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container_title The Cleft palate-craniofacial journal
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creator Dogan, Servet
Semb, Gunvor
Erbay, Elif
Alcan, Toros
Uzel, Ash
Kocadereli, Ilken
Shaw, William C.
description Objective To compare the dental arch relationships of Turkish patients with complete unilateral cleft lip and palate (UCLP) with the results reported for participants in the Eurocleft study. Patients Study models of 109 patients with complete UCLP from five university clinics in Turkey were evaluated (clinic A = 25 patients, clinic B = 23 patients, clinic C = 20 patients, clinic D = 21 patients, and clinic E = 20 patients). The mean age of the patient cohort was nine years old (range = 8–11 years old), and the cohort was born between 1976 and 1990. Methods The examiners rated the three-dimensional (3D) models using the GOSLON Yardstick. The scores were compared with those from the Eurocleft centers: E1(B), E2(E), E3(A), E4(F), E5(C), and E6(D). Intra- and interexaminer agreements were evaluated using weighted kappa statistics. Results The mean GOSLON scores for the Turkish clinics were as follows: clinic A = 3.16, clinic B = 3.13, clinic C = 3.25, clinic D = 3.67, and clinic E = 3.70. Scores for three of the Turkish clinics (A, B, and C) were significantly worse than the scores for the three best Eurocleft centers, E1(B), E2(E), and E3(A) (P < .001, P < .001, and P < .05, respectively). Scores for two of the Turkish clinics (D and E) were similar to those for Eurocleft center E6(D) but worse than the scores for the other Eurocleft centers (P < .01, P < .001, respectively). Conclusions This was the first study in which three-dimensional models were used to derive scores to compare with those of the Eurocleft centers. According to the results of analysis of 109 3D models, 50.4 % of the patients in Turkey were classified as GOSLON score 4 and 5. This may have been attributable to poor surgical procedures, low-volume surgeons, and the decentralized treatment approach in Turkey between 1985 and 2000. Further research is needed to assess the situation in Turkey in more recent years.
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Patients Study models of 109 patients with complete UCLP from five university clinics in Turkey were evaluated (clinic A = 25 patients, clinic B = 23 patients, clinic C = 20 patients, clinic D = 21 patients, and clinic E = 20 patients). The mean age of the patient cohort was nine years old (range = 8–11 years old), and the cohort was born between 1976 and 1990. Methods The examiners rated the three-dimensional (3D) models using the GOSLON Yardstick. The scores were compared with those from the Eurocleft centers: E1(B), E2(E), E3(A), E4(F), E5(C), and E6(D). Intra- and interexaminer agreements were evaluated using weighted kappa statistics. Results The mean GOSLON scores for the Turkish clinics were as follows: clinic A = 3.16, clinic B = 3.13, clinic C = 3.25, clinic D = 3.67, and clinic E = 3.70. Scores for three of the Turkish clinics (A, B, and C) were significantly worse than the scores for the three best Eurocleft centers, E1(B), E2(E), and E3(A) (P &lt; .001, P &lt; .001, and P &lt; .05, respectively). Scores for two of the Turkish clinics (D and E) were similar to those for Eurocleft center E6(D) but worse than the scores for the other Eurocleft centers (P &lt; .01, P &lt; .001, respectively). Conclusions This was the first study in which three-dimensional models were used to derive scores to compare with those of the Eurocleft centers. According to the results of analysis of 109 3D models, 50.4 % of the patients in Turkey were classified as GOSLON score 4 and 5. This may have been attributable to poor surgical procedures, low-volume surgeons, and the decentralized treatment approach in Turkey between 1985 and 2000. Further research is needed to assess the situation in Turkey in more recent years.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1597/11-304R1</identifier><identifier>PMID: 22849640</identifier><identifier>CODEN: CPJOEG</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Birth defects ; Child ; Cleft Lip - surgery ; Cleft Palate - surgery ; Comparative studies ; Dental Arch - abnormalities ; Dental research ; Dentistry ; Female ; Humans ; Male ; Maxillofacial surgery ; Models, Anatomic ; Mouth ; Turkey</subject><ispartof>The Cleft palate-craniofacial journal, 2014-01, Vol.51 (1), p.70-75</ispartof><rights>2014 American Cleft Palate-Craniofacial Association. All rights reserved</rights><rights>Copyright Allen Press Publishing Services Jan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c341t-d6022eed6d7465eb501e0d5ae5db36fea01efcaba9f1918ce8f61f04713936453</citedby><cites>FETCH-LOGICAL-c341t-d6022eed6d7465eb501e0d5ae5db36fea01efcaba9f1918ce8f61f04713936453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1597/11-304R1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1597/11-304R1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22849640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dogan, Servet</creatorcontrib><creatorcontrib>Semb, Gunvor</creatorcontrib><creatorcontrib>Erbay, Elif</creatorcontrib><creatorcontrib>Alcan, Toros</creatorcontrib><creatorcontrib>Uzel, Ash</creatorcontrib><creatorcontrib>Kocadereli, Ilken</creatorcontrib><creatorcontrib>Shaw, William C.</creatorcontrib><title>Dental Arch Relationships in Turkish Patients with Complete Unilateral Cleft Lip and Palate Born between 1976 and 1990: A Comparison with Eurocleft</title><title>The Cleft palate-craniofacial journal</title><addtitle>Cleft Palate Craniofac J</addtitle><description>Objective To compare the dental arch relationships of Turkish patients with complete unilateral cleft lip and palate (UCLP) with the results reported for participants in the Eurocleft study. Patients Study models of 109 patients with complete UCLP from five university clinics in Turkey were evaluated (clinic A = 25 patients, clinic B = 23 patients, clinic C = 20 patients, clinic D = 21 patients, and clinic E = 20 patients). The mean age of the patient cohort was nine years old (range = 8–11 years old), and the cohort was born between 1976 and 1990. Methods The examiners rated the three-dimensional (3D) models using the GOSLON Yardstick. The scores were compared with those from the Eurocleft centers: E1(B), E2(E), E3(A), E4(F), E5(C), and E6(D). Intra- and interexaminer agreements were evaluated using weighted kappa statistics. Results The mean GOSLON scores for the Turkish clinics were as follows: clinic A = 3.16, clinic B = 3.13, clinic C = 3.25, clinic D = 3.67, and clinic E = 3.70. Scores for three of the Turkish clinics (A, B, and C) were significantly worse than the scores for the three best Eurocleft centers, E1(B), E2(E), and E3(A) (P &lt; .001, P &lt; .001, and P &lt; .05, respectively). Scores for two of the Turkish clinics (D and E) were similar to those for Eurocleft center E6(D) but worse than the scores for the other Eurocleft centers (P &lt; .01, P &lt; .001, respectively). Conclusions This was the first study in which three-dimensional models were used to derive scores to compare with those of the Eurocleft centers. According to the results of analysis of 109 3D models, 50.4 % of the patients in Turkey were classified as GOSLON score 4 and 5. This may have been attributable to poor surgical procedures, low-volume surgeons, and the decentralized treatment approach in Turkey between 1985 and 2000. 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Patients Study models of 109 patients with complete UCLP from five university clinics in Turkey were evaluated (clinic A = 25 patients, clinic B = 23 patients, clinic C = 20 patients, clinic D = 21 patients, and clinic E = 20 patients). The mean age of the patient cohort was nine years old (range = 8–11 years old), and the cohort was born between 1976 and 1990. Methods The examiners rated the three-dimensional (3D) models using the GOSLON Yardstick. The scores were compared with those from the Eurocleft centers: E1(B), E2(E), E3(A), E4(F), E5(C), and E6(D). Intra- and interexaminer agreements were evaluated using weighted kappa statistics. Results The mean GOSLON scores for the Turkish clinics were as follows: clinic A = 3.16, clinic B = 3.13, clinic C = 3.25, clinic D = 3.67, and clinic E = 3.70. Scores for three of the Turkish clinics (A, B, and C) were significantly worse than the scores for the three best Eurocleft centers, E1(B), E2(E), and E3(A) (P &lt; .001, P &lt; .001, and P &lt; .05, respectively). Scores for two of the Turkish clinics (D and E) were similar to those for Eurocleft center E6(D) but worse than the scores for the other Eurocleft centers (P &lt; .01, P &lt; .001, respectively). Conclusions This was the first study in which three-dimensional models were used to derive scores to compare with those of the Eurocleft centers. According to the results of analysis of 109 3D models, 50.4 % of the patients in Turkey were classified as GOSLON score 4 and 5. This may have been attributable to poor surgical procedures, low-volume surgeons, and the decentralized treatment approach in Turkey between 1985 and 2000. Further research is needed to assess the situation in Turkey in more recent years.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>22849640</pmid><doi>10.1597/11-304R1</doi><tpages>6</tpages></addata></record>
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subjects Birth defects
Child
Cleft Lip - surgery
Cleft Palate - surgery
Comparative studies
Dental Arch - abnormalities
Dental research
Dentistry
Female
Humans
Male
Maxillofacial surgery
Models, Anatomic
Mouth
Turkey
title Dental Arch Relationships in Turkish Patients with Complete Unilateral Cleft Lip and Palate Born between 1976 and 1990: A Comparison with Eurocleft
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