Challenges for dental care of the paediatric patient born with cleft lip and/or palate

Cleft lip and/or palate includes a spectrum of congenital disorders affecting union on the lip, alveolus, hard and/or soft palate. The management of children born with an orofacial cleft requires a complex process from a multidisciplinary team (MDT) to restore form and function. Since the Clinical Standards Advisory Group (CSAG) report in 1998, the UK has reformed and restructured cleft services to improve the outcomes for children born with a cleft.The spectrum of cleft conditions, the members of the MDT and a chronological description of the stages of cleft management from diagnosis to adulthood are described using a clinical example. This paper forms the introduction to a series of more detailed papers which span all major aspects of cleft management. The papers will cover the following topics: dental anomalies; associated medical conditions among children; orthodontic management of patients; speech assessment and intervention; role of the clinical psychologist; challenges for the paediatric dentist; genetics and orofacial clefts; surgery - primary and secondary; restorative dentistry; and global perspectives.

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An introduction to the UK care pathway for children born with a cleft of the lip and/or palate

Dudding

Martin

Popat

2023

Br Dent J

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Digital resources in the monitoring of patients with cleft lip and palate: protocol for a scoping review

Carvalho,

de Araújo,

de Souza

et al. 2024

BMJ Open

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IntroductionCleft lip and/or palate (CL+/-P) is a congenital malformation affecting the lip and palate, requiring long-term treatment due to potential associated complications. For this reason, it is important for the patient to be continuously monitored and followed for health promotion and prevention, as well as improving the quality of life. The aim of this scoping review protocol is to identify and map the available evidence regarding the application of digital resources and technologies in the monitoring and follow-up of patients with CL+/-P.Methods and analysisThis scoping review protocol follows the guidelines recommended by the Joanna Briggs Institute Manual, employing the PCC acronym (Patient/Concept/Context). Searches will be conducted, in May 2024, of PubMed, Web of Science, Scopus, Latin American and Caribbean Health Sciences Literature, ScienceDirect, as well as grey literature indexed in ProQuest Open Access Dissertations & Theses and Google Scholar. The review will consider all types of published studies, including grey literature, in English, Portuguese and Spanish languages, and will consider studies regardless of publication date. Exclusions will apply to studies that do not address the use of digital resources and technologies in CL+/-P monitoring and follow-up.Ethics and disseminationAs this is a scoping review, no ethics committee approval is required. After completion, the plan is to publish results in scientific journals on craniofacial malformations.Study registrationOpen Science Framework, DOI:10.17605/OSF.IO/Y6AG8.

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A GDP's Guide to Cleft Lip and Palate

Bilkhoo,

Rivers,

Devlin

2024

Dent Update

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General dental practitioners form a vital part of the multidisciplinary team for cleft lip and palate management and their role in treatment and prevention is key to ensuring successful outcomes. This article highlights key dental aspects to be aware of when treating this cohort of patients and summarizes the input of other medical specialties involved in care from birth to adulthood. CPD/Clinical Relevance: Knowledge of the pathway for patients born with cleft lip and palate is fundamental for GDPs.

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Challenges for dental care of the paediatric patient born with cleft lip and/or palate

Cited by 4 publications

References 20 publications

An introduction to the UK care pathway for children born with a cleft of the lip and/or palate

An introduction to the UK care pathway for children born with a cleft of the lip and/or palate

Digital resources in the monitoring of patients with cleft lip and palate: protocol for a scoping review

A GDP's Guide to Cleft Lip and Palate

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