{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:35:44Z","timestamp":1777523744952,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"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":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To assess occlusal outcomes of orthodontic treatment for patients with complete cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective assessment using the Peer Assessment Rating (PAR) index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Consecutive patients treated by one consultant orthodontist at a tertiary care cleft center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>One hundred twenty-seven patients with either complete unilateral cleft lip and palate (UCLP) or bilateral cleft lip and palate (BCLP) consecutively treated with fixed appliances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>Fixed orthodontic appliance treatment and orthognathic surgery when required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>The PAR index assessment was carried out by a calibrated-independent assessor. Treatment duration, the number of patient visits, and data on dental anomalies were drawn from patient records and radiographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred two patients\u2019 study models were assessed after exclusions. Mean start PAR score for UCLP (n = 71) was 43.9 (95% CI, 41.2-46.6, SD 11.5), with a mean score reduction of 84.3% (95% CI, 81.9-86.7, SD 10.1). The UCLP mean treatment time was 23.7 months with 20.1 appointments. Mean start PAR score for BCLP (n = 31) was 43.4 (95% CI, 39.2-47.6, SD 11.4), with a mean score reduction of 80.9% (95% CI, 76.3-85.5, SD 12.5). The BCLP mean treatment time was 27.8 months with 20.5 appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These results compare well with other outcome reports, including those for patients without a cleft, and reflect the standard of care provided by an experienced cleft orthodontist. As with high-volume surgeons, orthodontic treatment for this high need group is favorable when provided by a high-volume orthodontist. These findings may be used for comparative audit with similar units providing cleft care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665621996116","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T05:02:25Z","timestamp":1616562145000},"page":"79-85","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Occlusal Outcome of Orthodontic Treatment for Patients With Complete Cleft Lip and Palate"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1096-5012","authenticated-orcid":false,"given":"Daniel","family":"Stonehouse-Smith","sequence":"first","affiliation":[{"name":"NIHR Academic Clinical Fellow in Orthodontics, King\u2019s Health Partners, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aida N.A. Abd","family":"Rahman","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Universiti Teknologi MARA, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanette","family":"Mooney","sequence":"additional","affiliation":[{"name":"Regional Cleft Unit, Royal Manchester Children\u2019s Hospital, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8632-9960","authenticated-orcid":false,"given":"Haydn","family":"Bellardie","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Department of Orthodontics, University of the Western Cape, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2004.0147"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1597\/15-292"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0038_clapci_2.0.co_2"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/bdj.2007.807"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-5406(95)70133-8"},{"issue":"3","key":"e_1_3_2_7_1","first-page":"336","article-title":"The genetics of cleft lip and cleft palate","volume":"22","author":"Fraser FC","year":"1970","unstructured":"Fraser FC. 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