{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T01:25:02Z","timestamp":1772069102418,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,4,9]],"date-time":"2022-04-09T00:00:00Z","timestamp":1649462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of the study was to assess nasolabial aesthetics in patients with complete unilateral cleft lip, with or without cleft palate (UCL\u2009\u00b1\u2009P) using two scoring systems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study conducted in a tertiary care government hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Photographic records of 91 patients with complete UCL\u2009\u00b1\u2009P from the age group of 5\u201318\u2009years (mean age\u00a0=\u00a013.2\u2009\u00b1\u20093.14\u2009years) were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A panel of three orthodontists with varying experience in cleft management rated nasolabial aesthetics using two scoring systems, that is Asher Mc\u2010Dade index (AMAI) and Cleft Aesthetic Rating Scale (CARS). Intraclass correlation coefficient, Fleiss' kappa and Cronbach's alpha were used to measure the internal consistency amongst three raters and Spearman\u2013Brown formula was used for measuring overall reliability. Time required for assessment of each photograph was compared with ANOVA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, both AMAI and CARS showed high reliability and outcome assessment with good inter\u2010rater reliability and internal consistency, when used independently by orthodontists having varied experience. Statistically significant difference was present in time taken for assessment of nasolabial aesthetics with CARS index (8.75\u2009\u00b1\u20091.65\u00a0seconds) as compared to AMAI (18.62\u2009\u00b1\u20093.49\u00a0seconds).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Asher Mc\u2010Dade index and CARS are equally reliable and consistent for the assessment of nasolabial aesthetics in patients with UCL\u2009\u00b1\u2009P. However, considerably less time was taken for the assessment using CARS index as compared to AMAI. The use of CARS index is recommended for the initial assessment and screening of patients by orthodontists using two dimensional photographs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12576","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T11:11:19Z","timestamp":1648811479000},"page":"46-52","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Nasolabial appearance in unilateral cleft lip and palate patients: A comparison of aesthetics using two scoring systems: A cross\u2010sectional study"],"prefix":"10.1111","volume":"26","author":[{"given":"Aditya","family":"Talwar","sequence":"first","affiliation":[{"name":"Division of Orthodontics, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3527-7598","authenticated-orcid":false,"given":"Isha","family":"Duggal","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2480-6039","authenticated-orcid":false,"given":"Ritu","family":"Duggal","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prabhat Kumar","family":"Chaudhari","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vilas","family":"Samrit","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrg2933"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cji004"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-104"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/028443102753478327"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/02-119.4.1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.04.001"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1991_028_0385_doamfr_2.3.co_2"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1597\/15-274"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1597\/16-123"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181b3ed9c"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-139"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1999_036_0527_aolvru_2.3.co_2"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12039"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617747702"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001784"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/02844311.2010.499671"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1597\/09-186.1"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjv024"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617726532"}],"container-title":["Orthodontics &amp; 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