A novel success scale for evaluating alveolar cleft repair using cone-beam computed tomography |
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| Affiliation: | 1. University Department of Oral and Maxillofacial Surgery, ''''P. & A. Kyriakou'''' Children''s Hospital (Head: Professor C. Perisanidis), School of Dentistry, National and Kapodistrian University of Athens, Greece;2. Department of Oral Diagnosis and Radiology (Head: Professor K. Tsiklakis), School of Dentistry, National and Kapodistrian University of Athens, Greece;1. Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University College of Medicine, Daegu, South Korea;2. Department of Plastic and Reconstructive Surgery, Fatima Hospital, Daegu, South Korea;3. Allbareun Orthodontic Clinic, Daegu, South Korea;1. Department of Pediatric Surgery (Head: Professor Ewa Sawicka), Institute of Mother and Child Warsaw, Poland;2. Department of Maxillofacial and Plastic Surgery, National Reference Center for Cleft Lip and Palate (Head: Professor Arnaud Picard), Hôpital Universitaire Necker-Enfants Malades, Paris, France;1. Department of Oral Radiology, Stomatology Hospital affiliated with Zhejiang University of Medicine, Zhejiang University, Hangzhou, China;2. State Key Laboratory of Oral Diseases and Department of Oral Radiology, West China School of Stomatology, Sichuan University, Chengdu, China;3. State Key Laboratory of Oral Diseases and Department of Cleft Lip and Palate Surgery, West China School of Stomatology, Sichuan University, Chengdu, China;2. Former Student, Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL;3. Assistant Professor and Biostatistician, Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL;4. Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL;6. Department Chair and Professor and Charles A. McCallum Endowed Chair, Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL;1. Department of Maxillofacial Surgery, Clinic of Pediatric Surgery, Institute of Mother and Child Warsaw, Poland;2. Institute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic;3. Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Bern, Switzerland;4. Department of Orthodontics, Institute of Dentistry, Jagiellonian University College of Medicine, Krakow, Poland;1. Faculté d''odontologie, Département de chirurgie orale, Université Paul Sabatier, Toulouse, France;2. Faculté d''odontologie, Département d''orthodontie, Université Montpellier 1, Montpellier, France;3. Département de chirurgie orthopédique et plastique pédiatrique (Head: G. Captier MD, PhD), Hôpital Lapeyronie, CHRU, Montpellier, France;4. Faculté d''odontologie, Département de santé publique, Université Montpellier 1, Montpellier, France;5. Laboratoire d''épidémiologie et de recherché clinique EA2415 de Montpellier, Université Montpellier 1, Montpellier, France |
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| Abstract: | PurposeRadiographic scales, based on plain radiographs, for the evaluation of alveolar cleft repair, have certain weaknesses and are thought to overestimate to some degree the success of the surgical intervention. The aim of this study was the presentation of a novel success scale for evaluating alveolar cleft repair using cone-beam computed tomography (CBCT).Materials and methodsPatients treated with secondary osteoplasty for unilateral or bilateral alveolar cleft were evaluated using the Bergland and Enemark scales, as well as the novel success scale, which measures the bone height, the bone width and the level of the nasal floor.ResultsA total of 44 patients with a total of 53 alveolar cleft sites were included. According to the new scale, 60% of the cases were defined as successful, with moderate (kappa = 0.511) or substantial (kappa = 0.718) agreement, between the new scale and the Bergland or Enemark scale, respectively. Statistically significant correlation was reported between the new success scale and the closure of space of the lateral incisor, the patient's age at surgery, the graft revision and the presence of residual fistula.ConclusionsThe novel success scale for evaluating alveolar cleft repair using CBCT takes into consideration all dimensions of the bony bridge. Future application is necessary for validation of its potential value. |
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| Keywords: | Alveolar cleft Secondary osteoplasty Cone-beam computed tomography Outcome |
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