Comparison of two scoring systems for evaluation of treatment outcome in patients with complete bilateral cleft lip and palate

Bartzela, Theodosia; Leenarts, Charlotte; Bronkhorst, Ewald; Borstlap, Wilfred; Katsaros, Christos; Kuijpers-Jagtman, Anne (2011). Comparison of two scoring systems for evaluation of treatment outcome in patients with complete bilateral cleft lip and palate. Cleft palate-craniofacial journal, 48(4), pp. 455-61. Pittsburgh, Pa.: American Cleft Palate-Craniofacial Association 10.1597/09-208

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Objective : To compare two scoring systems: the Huddart/Bodenham system (HB system) and the Bauru-BCLP yardstick (BCLP yardstick), which classify treatment outcome in terms of dental arch relationships in patients with complete bilateral cleft lip and palate (CBCLP). The predictive value of these scoring systems for treatment outcome was also evaluated. Design : Retrospective longitudinal study. Patients : Dental arch relationships of 43 CBCLP patients were evaluated at 6, 9, and 12 years. Setting : Treatment outcome in BCLP patients using two scoring systems. Main Outcome Measures : For each age group, the HB scores were correlated with the BCLP yardstick scores using Spearman's correlation coefficient. The predictive value of the two scoring systems was evaluated by backward regression analysis. Results : Intraobserver Kappa values for the BCLP yardstick scoring for the two observers were .506 and .627, respectively, and the interobserver reliability ranged from .427 and .581. The intraobserver reliability for the HB system ranged from .92 to .97 and the interobserver reliability from .88 to .96. The BCLP yardstick scores of 6 and 9 years together were predictors for the outcome at 12 years (explained variance 41.3%). Adding the incisor and lateral HB scores in the regression model increased the explained variance to 67%. Conclusions : The BCLP yardstick and the HB system are reliable scoring systems for evaluation of dental arch relationships of CBCLP patients. The HB system categorizes treatment outcome into similar categories as the BCLP yardstick. In case a more sensitive measure of treatment outcome is needed, selectively both scoring systems should be used.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Katsaros, Christos

ISSN:

1055-6656

Publisher:

American Cleft Palate-Craniofacial Association

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 14:08

Last Modified:

25 Jan 2017 12:16

Publisher DOI:

10.1597/09-208

PubMed ID:

20536374

Web of Science ID:

000296019900012

URI:

https://boris.unibe.ch/id/eprint/449 (FactScience: 199339)

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