Predictors for long-term relapse of orthodontic treatment in patients with cleft lip and palate. A clinical follow-up study.
Bilateral cleft lip and palate
Long-term stability
Modified Huddart Bodenham Index
Treatment outcome
Unilateral cleft lip and palate
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
03 Apr 2024
03 Apr 2024
Historique:
received:
28
07
2023
accepted:
23
03
2024
medline:
3
4
2024
pubmed:
3
4
2024
entrez:
3
4
2024
Statut:
epublish
Résumé
To identify predictors for long-term relapse of orthodontic therapy in patients with cleft lip and palate (CLP). Patients with uni- and bilateral non-syndromal CLP were followed up at least two years after completion of their orthodontic therapy. Plaster casts of the start of treatment (T1), after completion of treatment (T2), and at follow-up (T3) were measured using the modified Huddart Bodenham Index. Characteristics of multidisciplinary therapy were taken from the patient files. Potentially influencing factors of relapse were investigated using logistic regression analyses and Spearman correlations. In total 58.07% of the included 31 patients showed a stable treatment outcome at follow-up after an average of 6.9 years. Even if relapse occurred, 61.54% of these patients still showed improvement regarding their occlusion compared to baseline. Predictors for the occurrence of relapse were the severity of dysgnathia at baseline (p = 0.039) and the extent of therapeutic change (p = 0.041). The extent of therapeutic change was additionally a predictor for the extent of post-therapeutic relapse (ρ = 0.425; p = 0.019). Patients with CLP benefit from their orthodontic therapy in the long term despite an increased tendency to relapse. Results of this long-term study could be used to adapt the treatment concept for patients with CLP and reinforce the significance of a patient-centered orthodontic treatment concept for affected patients.
Identifiants
pubmed: 38568324
doi: 10.1007/s00784-024-05632-3
pii: 10.1007/s00784-024-05632-3
doi:
Types de publication
Journal Article
Langues
eng
Pagination
239Informations de copyright
© 2024. The Author(s).
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