ABSTRACT
OBJECTIVE: To compare the use of the 5-year-olds' index on both dental study casts and intraoral photographs when measuring primary surgical outcome for children born with unilateral cleft lip and palate (UCLP). DESIGN: A cross-sectional study. SETTING: Models and photographs collected from cleft units across the UK as part of the CCUK (Cleft Care UK) study were scored by two clinicians at the School of Oral and Dental Sciences, Bristol, UK. PARTICIPANTS: Five-year-old children born with UCLP as part of the CCUK study. One hundred and ninety-eight had dental study casts available and 49 had intraoral photographs available. METHODS: The records of both groups, that is study casts (n = 198) and photographs (n = 49) were scored using the 5-year-olds' index on two occasions by two examiners. RESULTS: Reliability of scoring is reduced for intraoral photographs compared with dental study casts. Using weighted Kappa the inter-rater reliability for dental study casts was 0.72 to 0.77 and the inter-rater reliability for intraoral photographs was 0.52 to 0.59. LIMITATIONS: The photographs and study casts were not matched for each individual and were collected by a number of different clinicians in each unit, both of which will have had an effect on the quality and consistency of the final records. CONCLUSIONS: Dental study casts provide more reliable results and thus still represent the gold standard when assessing primary surgical outcome in cleft care using the 5-year-olds' index.
Subject(s)
Cleft Lip/surgery , Cleft Palate/surgery , Models, Dental , Photography, Dental/methods , Child, Preschool , Cross-Sectional Studies , Dental Occlusion , Female , Humans , Male , Observer Variation , Reproducibility of Results , Treatment OutcomeABSTRACT
Swellings and tumours within the oral cavity are a common finding, however, benign intra-oral schwannoma or neurolemma is relatively uncommon, especially in younger patients. Involvement of the palate is a rare presentation although there have been a few reported cases relating to the lingual and other tissues. This paper reviews intra-oral schwannomas and presents a case of such a tumour of the soft palate in a paediatric patient and discusses the presenting features, differential diagnoses, along with the management of the condition.
Subject(s)
Neurilemmoma/diagnosis , Palatal Neoplasms/diagnosis , Palate, Soft/pathology , Biopsy , Child , Follow-Up Studies , Humans , MaleABSTRACT
This article aims to describe the current status of 3-dimensional (3D) imaging in dental practice. Advances in this field have made 3D imaging far more accessible in all dental fields. This paper describes methods of imaging dental hard and soft tissues and their clinical uses. In addition, the potential advantages and disadvantages of various systems are discussed, as well as expected future developments.
Subject(s)
Cephalometry/methods , Computer-Aided Design , Imaging, Three-Dimensional/methods , Radiography, Dental/methods , Cone-Beam Computed Tomography/methods , Decision Making , Dental Implantation, Endosseous/methods , Dental Impression Technique , Dental Prosthesis Design , Face/anatomy & histology , Humans , Image Processing, Computer-Assisted/methods , Mandible/diagnostic imaging , Mandible/surgery , Models, Dental , Oral Surgical Procedures/methods , Patient Care Planning , Patient Education as Topic , Periodontal Diseases/diagnostic imaging , Radiographic Image Enhancement/methods , Treatment Outcome , User-Computer InterfaceABSTRACT
This paper reviews the eosinophilic ulcer and presents a case of such an ulcer on the tongue of a young female patient. The stages involved in arriving at a differential diagnosis are discussed, along with management of the condition.