title: [Cleft lip, alveolar and palate sequelae. Proposal of new alveolar score by the Alveolar Cleft Score (ACS) classification].
abstract: BACKGROUND
  The management of cleft lip, alveolar and palate sequelae remains problematic today. To optimize it, we tried to establish a new clinical index for diagnostic and prognostic purposes.
  
  
  METHODS
  Seven tissue indicators, that we consider to be important in the management of alveolar sequelae, are listed by assigning them individual scores. The final score, obtained by adding together the individual scores, can take a low, high or maximum value.
  
  
  CONCLUSIONS
  We propose a new classification (ACS: Alveolar Cleft Score) that guides the therapeutic team to a prognosis approach, in terms of the recommended surgical and prosthetic reconstruction, the type of medical care required, and the preventive and supportive therapy to establish. Current studies are often only based on a standard radiological evaluation of the alveolar bone height at the cleft site. However, the gingival, the osseous and the cellular areas bordering the alveolar cleft sequelae induce many clinical parameters, which should be reflected in the morphological diagnosis, to better direct the surgical indications and the future prosthetic requirements, and to best maintain successful long term aesthetic and functional results.
authors.affiliation: Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital central de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France. Electronic address: drchristianmole@free.fr.
authors.forename: C
authors.initials: C
authors.lastname: Molé
authors.affiliation: Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital central de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France.
authors.forename: E
authors.initials: E
authors.lastname: Simon
mesh_terms: D000539:Alveolar Process / Q000502:physiology / Q000601:surgery*; D002971:Cleft Lip / Q000145:classification / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D002972:Cleft Palate / Q000145:classification / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D057909:Orthognathic Surgery / Q000145:classification / Q000379:methods; D010159:Palate / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000145:classification / Q000379:methods; D012107:Research Design
keywords: Classification; Cleft palate; Fentes palatines; Mouth rehabilitation; Oral surgical procedures; Procédures en chirurgie orale; Réhabilitation orale