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Predicting need for orthognathic surgery in early permanent dentition patients with unilateral cleft lip and palate using receiver operating characteristic analysis.

Abstract The purpose of this study was to predict the need for orthognathic surgery in patients with unilateral cleft lip and palate (UCLP) in the early permanent dentition.
PMID
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Authors

Mayor MeshTerms

Dentition, Permanent

Health Services Needs and Demand

Maxillofacial Development

Orthognathic Surgical Procedures

Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 29501116
OWN - NLM
STAT- MEDLINE
DCOM- 20180313
LR  - 20180313
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 153
IP  - 3
DP  - 2018 Mar
TI  - Predicting need for orthognathic surgery in early permanent dentition patients
      with unilateral cleft lip and palate using receiver operating characteristic
      analysis.
PG  - 405-414
LID - S0889-5406(17)30950-2 [pii]
LID - 10.1016/j.ajodo.2017.07.022 [doi]
AB  - INTRODUCTION: The purpose of this study was to predict the need for orthognathic 
      surgery in patients with unilateral cleft lip and palate (UCLP) in the early
      permanent dentition. METHODS: In this retrospective cohort study, we included 61 
      patients with complete UCLP (36 male, 25 female; mean age, 18.47 years; range,
      16.92-26.17 years). The subjects were grouped into an orthognathic surgery group 
      and a nonsurgery group at the time of growth completion. Lateral cephalograms
      obtained at the age of 11 years were analyzed to compare the 2 groups. The
      receiver operating characteristic analysis was applied to predict the probability
      of the need for orthognathic surgery in early adulthood by using the measurements
      obtained at the age of 11 years. RESULTS: SNB, ANB, SN, overbite, overjet,
      maxillary length, mandibular body length, and L1-MP were found to be
      significantly different between the 2 groups. For a person with a score of 2 in
      the 3-variable-based criteria, the sensitivity and specificity for determining
      the need for surgical treatment were 90.0% and 83.9%, respectively (ANB, </=-0.45
      degrees ; overjet, </=-2.00 mm; maxillary length, </=47.25 mm). CONCLUSIONS:
      Three cephalometric variables, the minimum number of discriminators required to
      obtain the optimum discriminant effectiveness, predicted the future need for
      orthognathic surgery with an accuracy of 86.9% in patients with UCLP.
CI  - Copyright (c) 2017 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Yun-Chia Ku, Michelle
AU  - Yun-Chia Ku M
AD  - Department of Craniofacial Orthodontics, Craniofacial Research Center, Chang Gung
      Memorial Hospital, Taoyuan, Taiwan, ROC.
FAU - Lo, Lun-Jou
AU  - Lo LJ
AD  - Department of Plastic and Reconstructive Surgery, and Craniofacial Research
      Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC.
FAU - Chen, Min-Chi
AU  - Chen MC
AD  - Department of Public Health and Biostatistics Consulting Center, School of
      Medicine, Chang Gung University, Taoyuan, Taiwan, ROC.
FAU - Wen-Ching Ko, Ellen
AU  - Wen-Ching Ko E
AD  - Graduate Institute of Dental and Craniofacial Science, Chang Gung University;
      Department of Craniofacial Orthodontics, Craniofacial Research Center, Chang Gung
      Memorial Hospital, Taipei, Taiwan, ROC. Electronic address:
      [email protected]
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
SB  - D
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cephalometry
MH  - Cleft Lip/diagnostic imaging/*surgery
MH  - Cleft Palate/diagnostic imaging/*surgery
MH  - Decision Making
MH  - *Dentition, Permanent
MH  - Female
MH  - *Health Services Needs and Demand
MH  - Humans
MH  - Male
MH  - *Maxillofacial Development
MH  - *Orthognathic Surgical Procedures
MH  - Prognosis
MH  - ROC Curve
MH  - Retrospective Studies
EDAT- 2018/03/05 06:00
MHDA- 2018/03/14 06:00
CRDT- 2018/03/05 06:00
PHST- 2017/01/01 00:00 [received]
PHST- 2017/07/01 00:00 [revised]
PHST- 2017/07/01 00:00 [accepted]
PHST- 2018/03/05 06:00 [entrez]
PHST- 2018/03/05 06:00 [pubmed]
PHST- 2018/03/14 06:00 [medline]
AID - S0889-5406(17)30950-2 [pii]
AID - 10.1016/j.ajodo.2017.07.022 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2018 Mar;153(3):405-414. doi:
      10.1016/j.ajodo.2017.07.022.