J. Orthod.
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British Journal of Orthodontics, Vol 25, 181-185, Copyright © 1998 by British Orthodontic Society


ARTICLES

Early detection of differences in surgical outcome for cleft lip and palate

NE Atack, I Hathorn, T Dowell, J Sandy, G Semb and A Leach
Division of Child Dental Health, University of Bristol Dental School, UK.

This study examined the dento-alveolar relationships of 5-year-old children born with a unilateral cleft lip and palate with primary surgical repair performed in one of two centres (Bristol or Oslo). The Bristol sample comprised 46 sets of study models and the Oslo CLP Growth Archive provided 54 cases with a very similar sex distribution. We used a recently developed 5-year-old index to measure differences in outcome between the two centres. The Oslo sample were assessed as having up to 57 per cent in the ideal groupings (1 and 2), in the Bristol group this was only 35 per cent. Bristol had up to 46 per cent of cases assessed in the worst groups (4 and 5). The comparative figure from the Oslo group was 15 per cent. These results suggest that it is possible to detect differences in surgical outcome at 5 years of age.


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J. R. Sandy
Northcroft Memorial Lecture 2006 The future of specialist training
J. Orthod., September 1, 2007; 34(3): 177 - 184.
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Copyright © 1998 British Orthodontic Society.