Evidence map›Paper›PMID 38568324›Full record

ArticleClinical oral investigations2024

Predictors for long-term relapse of orthodontic treatment in patients with cleft lip and palate. A clinical follow-up study.

Sarah Achterrath, Isabelle Graf, Romeo Guevara, Bert Braumann, Teresa Kruse

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Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sarah AchterrathDepartment of Orthodontics, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 32, 50937, Cologne, Germany. sarah.achterrath@uk-koeln.de.
Isabelle GrafDepartment of Orthodontics, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 32, 50937, Cologne, Germany.
Romeo GuevaraDepartment of Orthodontics, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 32, 50937, Cologne, Germany.
Bert BraumannDepartment of Orthodontics, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 32, 50937, Cologne, Germany.
Teresa KruseDepartment of Orthodontics, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 32, 50937, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify predictors for long-term relapse of orthodontic therapy in patients with cleft lip and palate (CLP). MATERIALS AND

methodsPatients with uni- and bilateral non-syndromal CLP were followed up at least two years after completion of their orthodontic therapy. Plaster casts of the start of treatment (T1), after completion of treatment (T2), and at follow-up (T3) were measured using the modified Huddart Bodenham Index. Characteristics of multidisciplinary therapy were taken from the patient files. Potentially influencing factors of relapse were investigated using logistic regression analyses and Spearman correlations.

resultsIn total 58.07% of the included 31 patients showed a stable treatment outcome at follow-up after an average of 6.9 years. Even if relapse occurred, 61.54% of these patients still showed improvement regarding their occlusion compared to baseline. Predictors for the occurrence of relapse were the severity of dysgnathia at baseline (p = 0.039) and the extent of therapeutic change (p = 0.041). The extent of therapeutic change was additionally a predictor for the extent of post-therapeutic relapse (ρ = 0.425; p = 0.019).

conclusionsPatients with CLP benefit from their orthodontic therapy in the long term despite an increased tendency to relapse. CLINICAL RELEVANCE: Results of this long-term study could be used to adapt the treatment concept for patients with CLP and reinforce the significance of a patient-centered orthodontic treatment concept for affected patients.

Indexed as

Cleft LipCleft PalateChronic DiseaseDental CareFollow-Up StudiesHumansBilateral cleft lip and palateLong-term stabilityModified Huddart Bodenham IndexTreatment outcomeUnilateral cleft lip and palate

Identifiers

PMID38568324
PMCPMC10991025

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