{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T16:34:12Z","timestamp":1780331652108,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T00:00:00Z","timestamp":1553040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["14\/160"],"award-info":[{"award-number":["14\/160"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Structured Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the amount of bone fill post\u2010secondary alveolar bone grafting for children with cleft in New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings and Sample Population<\/jats:title><jats:p>Retrospective analysis of post\u2010operative intra\u2010oral periapical and upper anterior occlusal radiographs of 45 grafted sites where all grafting was undertaken within the New Zealand public hospital service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A modified Kindelan Index and a 100\u00a0mm visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) were used to assess the amount of bone fill using intra\u2010oral radiographs by 4 orthodontists experienced in cleft care and who were blind to the patient's identity. Fourteen duplicated radiographs were randomly selected and added to the sample for reliability assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Kindelan Index rated 37.8% Grade 1 (Good), 31.1% rated Grade 2 (Satisfactory), 22.2% rated Grade 3 (Unsatisfactory) and 8.9% Grade 4 (Failure), a combined unsatisfactory\/failure rate of 31.1%. The average <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> score was 50\u00a0mm\u00a0\u00b1\u00a024\u00a0mm, and there was a strong relationship between Kindelan and <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> assessments.<\/jats:p><jats:p>Those patients aged 10\u201011\u00a0years had significantly better outcomes using both assessments compared to those aged &lt;10 and &gt;11. The <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> assessment found that higher caseload surgeons had better outcomes, although the difference was of borderline statistical significance (mean <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> 56\u00a0mm vs 44\u00a0mm <jats:italic>P<\/jats:italic>\u00a0=\u00a00.07).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Contemporary secondary alveolar bone grafting bone fill outcomes in New Zealand are poor when compared to contemporary international studies. These findings indicate a review of secondary bone grafting is required to improve outcomes for New Zealand children with cleft.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12305","type":"journal-article","created":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T00:38:00Z","timestamp":1551314280000},"page":"153-158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Bone fill following secondary alveolar bone grafting for children with cleft of the alveolus in New Zealand"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9441-7410","authenticated-orcid":false,"given":"Peter V.","family":"Fowler","sequence":"first","affiliation":[{"name":"Hospital Dental Services Christchurch Hospital  Christchurch New Zealand"},{"name":"Faculty of Medical and Health Sciences Department of Paediatrics Child and Youth Health University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azza H.","family":"Al\u2010Ani","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Orthodontic Department University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-381X","authenticated-orcid":false,"given":"John M. D.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences Department of Paediatrics Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"Faculty of Medical and Health Sciences Department of Obstetrics &amp; Gynaecology University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000337666"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/229255030601400307"},{"key":"e_1_2_8_4_1","first-page":"175","article-title":"Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment","volume":"23","author":"Bergland O","year":"1986","journal-title":"Cleft Palate J"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/denu.1999.26.2.60"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(05)80265-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.06.099"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002498"},{"key":"e_1_2_8_9_1","first-page":"73","article-title":"Bone grafting at the stage of mixed dentition in cleft lip and palate patients","volume":"21","author":"Lilja J","year":"1987","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9785(85)80071-5"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(96)80074-6"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/25.1.35"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1597\/14-093.1"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2011.10.007"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1597\/09-052.1"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12699663904790"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617723922"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-047.1"},{"key":"e_1_2_8_19_1","first-page":"64","article-title":"The incidence of orofacial cleft in live births in New Zealand","volume":"129","author":"Thompson JM","year":"2016","journal-title":"N Z Med J"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1997_034_0195_raosaa_2.3.co_2"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ortho\/26.3.211"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ortho\/25.1.21"}],"container-title":["Orthodontics &amp; Craniofacial Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Focr.12305","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ocr.12305","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ocr.12305","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ocr.12305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T01:31:42Z","timestamp":1694309502000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ocr.12305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,20]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1111\/ocr.12305"],"URL":"https:\/\/doi.org\/10.1111\/ocr.12305","archive":["Portico"],"relation":{},"ISSN":["1601-6335","1601-6343"],"issn-type":[{"value":"1601-6335","type":"print"},{"value":"1601-6343","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,20]]},"assertion":[{"value":"2018-11-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}