{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:17:53Z","timestamp":1777522673254,"version":"3.51.4"},"reference-count":64,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T00:00:00Z","timestamp":1430438400000},"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":[[2015,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare dental arch relationship outcomes following one- and two-stage palatal repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Nonrandomized, clinical trial with concurrent control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Hokkaido University Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"subjects\">\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Sixty-eight consecutively treated Japanese patients with complete unilateral cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Thirty-one of the 68 patients underwent two-stage palatoplasty with delayed hard palate closure, and 37 patients underwent one-stage pushback palatoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Dental casts were taken at 4.9 to 6.3 (mean: 5.2) years of age in the two-stage group and at 4.0 to 6.3 (mean: 5.1) years of age in the one-stage group, and dental arch relationships were assessed using the 5-Year-Olds\u2019 Index (5-Y) by four raters and the Huddart\/Bodenham Index (HB) by two raters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Intrarater and interrater reliabilities evaluated using weighted kappa statistics were good or better for the 5-Y and HB ratings. The mean 5-Y score was 2.94 in the two-stage group and 3.13 in the one-stage group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value was not significant). However, there was a significant difference in distributions between the groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05). The HB scores of molars were significantly greater in the two-stage group than in the one-stage group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05). The rank correlation coefficients between the 5-Y and total HB score (\u03c1 = \u22120.840,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .01) and between the 5-Y and the score of the incisors in the HB (\u03c1 = \u22120.814,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .01) were significantly increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results suggest that the anteroposterior relationship was not significantly different between the groups, but the transversal relationship was better in the two-stage group than in the one-stage group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/13-285","type":"journal-article","created":{"date-parts":[[2014,5,22]],"date-time":"2014-05-22T16:45:58Z","timestamp":1400777158000},"page":"277-286","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Dental Arch Relationship Outcomes in One- and Two-Stage Palatoplasty for Japanese Patients with Complete Unilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"52","author":[{"given":"Tadashi","family":"Mikoya","sequence":"first","affiliation":[{"name":"Stomatognathic Function, Center for Advanced Oral Medicine, Hokkaido University Hospital."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toyoko","family":"Shibukawa","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Hokkaido University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takafumi","family":"Susami","sequence":"additional","affiliation":[{"name":"Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Graduate School of Dentistry, Hokkaido University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshimoto","family":"Tengan","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaka","family":"Katashima","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiko","family":"Oyama","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Hokkaido University Hospital, Sapporo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Matsuzawa","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Hokkaido University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumi","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Hokkaido University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emi","family":"Funayama","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Hokkaido University Hospital, Sapporo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,5]]},"reference":[{"key":"e_1_3_1_2_1","first-page":"404","volume-title":"Practical Statistics for Medical Research.","author":"Altman D.G.","year":"1991","unstructured":"Altman D.G. 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