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


METHODS
Retrospective longitudinal study.


METHODS
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.


METHODS
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.
Theodosia
T
Bartzela
Charlotte
C
Leenarts
Ewald
E
Bronkhorst
Wilfred
W
Borstlap
Christos
C
Katsaros
Anne Marie
AM
Kuijpers-Jagtman
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000473:pathology / Q000601:surgery*; D002972:Cleft Palate / Q000473:pathology / Q000601:surgery*; D002985:Clinical Protocols; D003481:Cuspid / Q000473:pathology; D003724:Dental Arch / Q000473:pathology; D003818:Dentition, Mixed; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D007180:Incisor / Q000473:pathology; D016014:Linear Models; D008137:Longitudinal Studies; D008310:Malocclusion / Q000145:classification / Q000601:surgery / Q000628:therapy; D003765:Models, Dental; D008963:Molar / Q000473:pathology; D009971:Orthodontics, Corrective; D056948:Orthognathic Surgical Procedures; D012189:Retrospective Studies; D014094:Tooth, Deciduous / Q000473:pathology; D016896:Treatment Outcome