{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T21:58:43Z","timestamp":1771538323550,"version":"3.50.1"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To develop a reproducible, reliable clinical index of alveolar bone grafting (ABG) outcome based on the eruption position of the cleft canine tooth and determine the association between eruption position and radiographic outcome at 6 months post-grafting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Children with complete, non-syndromic, unilateral\/bilateral cleft lip and palate in the West of Scotland were identified. Post-ABG radiographic outcome (Kindelan index) and canine eruption position in children with a cleft of the alveolus who had undergone ABG were documented. A Kindelan score was assigned to the 6-month post-bone-graft radiograph. Following canine tooth eruption, four-point clinical index scale (CIS) scores were assigned to maxillary occlusal images taken prior to commencement of definitive orthodontics; 1\u2014canine eruption in alveolar crest, 2\u2014canine eruption buccal to alveolar crest, 3\u2014canine eruption palatal to alveolar crest, and 4\u2014canine impaction. Intra and inter-rater reliability was assessed using Cohen and Fleiss kappa\u2019s, respectively. Duration of orthodontics treatment, number of orthodontic clinic visits, and clinical management of the cleft site space were noted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Eighty-three patients representing 98 bone graft sites were identified. CIS scoring intra- and inter-rater reliability was 0.69\u20130.99 and 0.63\u20130.75, respectively. CIS score was associated with reduced visits (P\u2005=\u2005.015), months in orthodontics (P\u2005=\u2005.009), and likelihood of space closure (P\u2005=\u2005.006).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Limitations<\/jats:title>\n                  <jats:p>This is a retrospective study with small numbers but is comparative to other similar studies in the literature.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The CIS presented appears to be a reliable index of ABG outcome. It also demonstrates an association with the burden of orthodontic care post-cleft alveolar bone graft.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejo\/cjae065","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T23:05:12Z","timestamp":1733871912000},"source":"Crossref","is-referenced-by-count":1,"title":["A new clinical index scale for measuring secondary alveolar bone grafting success based on canine eruption"],"prefix":"10.1093","volume":"47","author":[{"given":"Clare M","family":"Rivers","sequence":"first","affiliation":[{"name":"The Cleft Surgical Service for Scotland, Royal Hospital for Children , 1345 Govan Road, Glasgow, G51 4TF ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Grant","sequence":"additional","affiliation":[{"name":"The Craniofacial service, Birmingham Children\u2019s Hospital , Steelhouse Lane, Birmingham, B4 6NH ,","place":["United 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