{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:42:11Z","timestamp":1777524131395,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,12,15]],"date-time":"2017-12-15T00:00:00Z","timestamp":1513296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess the orthodontic burden of care of patients from a Brazilian rehabilitation center (Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo [HRAC-USP]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>One hundred files of unilateral complete cleft lip and palate patients who had consecutively finished orthodontic rehabilitation at HRAC-USP were evaluated from January 2011 to January 2013. The duration of orthodontic treatment, number of visits, kilometers traveled, number of appliances and surgical procedures performed were recorded. The sample was divided into 2 subgroups according to severity the interarch relation (Goslon Yardstick score) at the beginning of orthodontic treatment. Mann-Whitney test was applied for intergroup comparison ( P &lt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For the total sample (n = 100), the mean time of orthodontic treatment was 140.2 months, the mean number of orthodontic appointments was 61.8, the mean number of appliances was 10, the mean number of surgical procedures was 6.2, and the mean distance traveled to attend the center for orthodontic appointments was 38,978.5 km. The subgroup with the most severe malocclusion (Goslon yardsticks scores 4 and 5) showed a longer orthodontic treatment length, greater number of surgical procedures, and longer distance traveled than those presenting Goslon yardstick scores 1, 2, and 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with greater severity of the initial malocclusion experienced a higher burden of care than patients with less severity of the initial malocclusion. To reduce the burden of care, research and efforts should focus on minimizing maxillary growth deficiency related to primary surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665617718825","type":"journal-article","created":{"date-parts":[[2018,1,5]],"date-time":"2018-01-05T14:32:19Z","timestamp":1515162739000},"page":"74-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Assessment of Orthodontic Burden of Care in Patients With Unilateral Complete Cleft Lip and Palate"],"prefix":"10.1177","volume":"55","author":[{"given":"Thamara Frascarelli","family":"Alberconi","sequence":"first","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela Leticia Clavisio","family":"Siqueira","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata","family":"Sathler","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine A.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Pediatric Dentistry, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela G.","family":"Garib","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil"},{"name":"Department of Orthodontics, Bauru Dental School, University of S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,12,15]]},"reference":[{"key":"bibr1-1055665617718825","doi-asserted-by":"publisher","DOI":"10.1080\/00016350902720888"},{"key":"bibr2-1055665617718825","doi-asserted-by":"publisher","DOI":"10.1590\/S1678-77572012000200024"},{"key":"bibr3-1055665617718825","doi-asserted-by":"publisher","DOI":"10.3109\/02844317409084377"},{"key":"bibr4-1055665617718825","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(82)80034-9"},{"key":"bibr6-1055665617718825","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(72)80055-9"},{"key":"bibr7-1055665617718825","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2013.40.10.791"},{"key":"bibr9-1055665617718825","first-page":"688","volume":"51","author":"Meazzini MC","year":"2013","journal-title":"Cleft Palate Craniofac 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