Management of patients with non-syndromic clefts of the lip and/or palate part 2: from primary surgery to alveolar bone grafting

McIntyre, Grant T

doi:10.12968/denu.2014.41.9.775

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…As the patient grows older and attends further cleft MDT clinics, which include treatment planning and long-term management with orthodontic and restorative input, general dental practitioners are paramount in the shared care of these patients. 23,24 Early identification of dental anomalies is essential. Although this study explored the most commonplace dental anomalies found in cleft patients, it is worth noting that the literature also mentions other dental anomalies which may present themselves in this population.…”

Section: Implications For Dentists Working In Primary Carementioning

confidence: 99%

“…It is known that cleft-affected individuals have a higher caries prevalence compared their noncleft counterparts. 23,24,26,27 As treatment plans are formulated through cleft MDTs, certain teeth may require treatment within primary dental care. For instance, shape/size anomalies may require restoration or build-up to camouflage, while certain teeth within the cleft site may require extraction if they are deemed to be of poor long-term prognosis.…”

Section: Implications For Dentists Working In Primary Carementioning

confidence: 99%

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Dental anomalies in cleft lip and/or palate children at age 10 - a retrospective review across three cleft centres: Part 1

et al. 2023

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Introduction Children with oral clefts often present with dental anomalies which can impact function, aesthetics and complicate the patient's dental treatment and needs. An understanding of potential anomalies, along with early recognition and planning, is thus essential for effective care.Aim This paper is the first in a two-part three-centre series. This paper will assess the dental anomalies identified in 10-year-old patients attending three cleft centres in the UK.Method Retrospective review was undertaken of the clinical notes of 10-year-old patients attending South Wales (SW), Cleft NET East (CNE) and West Midlands (WM) cleft units, for their ten-year audit record appointment in 2016/2017.Results In total, 144 patients were reviewed (SW = 42; CNE = 52; WM = 50). Dental anomalies were recorded for 80.6% of patients (n = 116).Discussion The review gives insight into the dental complexities of UK oral cleft patients. These patients require specialist paediatric dental input and intensive preventive regimes.Conclusion Shared care between cleft team specialists and general dental practitioners is important when providing holistic care for cleft patients.

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Section: Implications For Dentists Working In Primary Carementioning

confidence: 99%

Section: Implications For Dentists Working In Primary Carementioning

confidence: 99%

Dental anomalies in cleft lip and/or palate children at age 10 - a retrospective review across three cleft centres: Part 1

et al. 2023

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“…Patients with craniofacial cleft may require series of treatment from the time of birth to adulthood [5], and the timing for initial surgery varies among centers all over the world. This is influenced by the type of orofacial cleft, presence of other congenital anomalies, availability of medical facilities, surgeons' skills, and preferences among other factors.…”

Section: Tessier Clefts and Locationmentioning

confidence: 99%

Rare primary craniofacial clefts: pattern, challenges, and management in a Nigerian population

Agbara¹,

Akintububo²,

Fomete³

et al. 2020

jos

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Introduction: There is inconsistent clinical presentation of rare orofacial clefts, and its low number has resulted in most studies on rare craniofacial clefts to be retrospective in nature, with significant amount published as case reports. Objectives: To study the pattern, challenges, and management of rare craniofacial clefts in a Nigerian population. Material and methods: This is a retrospective observational study of patients with rare facial clefts, who visited private health institutions between January 2009 and August 2018. Data retrieved was analyzed using statistical package for social sciences (SPSS), version 16 (SPSS Inc., Chicago, IL, USA). Results: Of the 899 patients who presented with orofacial clefts within the reviewed period, a total of 20 patients had rare facial clefts, with typical to rare craniofacial cleft ratio of 46.3 : 1. The prevalence rate of rare craniofacial cleft was 22.2 per 1,000 cases. Age of patients ranged from 0.04 to 37.00 years, with median age of 3.50 ± 36.96 years. There were 10 males and 10 females, with male to female ratio of 1 : 1. Tessier number 0 had the highest frequency (n = 9, 36.0%), followed by Tessier number 7 (n = 3, 12.0%) and 2 (n = 3, 12.0%). Repair was achieved using local tissue advancement and direct closure techniques under general anesthesia in 10 patients and local anesthesia in 6 patients. Coloboma of the eyelid was the most common abnormality noted. Conclusions: The prevalence of rare craniofacial clefts is low in this environment and Tessier 0 cleft is the commonest type seen. Treatment is generally challenging due to inadequate manpower.

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“…1 Being born with a cleft of the lip and/or palate (CL/P) can impact several aspects of a child's life, including feeding problems, altered facial aesthetics and growth, communication difficulties and an increased risk of dental disease and malocclusion. [2][3][4][5][6] Due to an increased risk of bullying and social stigmatization as a result of their facial difference, challenges with communication and lower levels of self-esteem and self-acceptance, 7,8 it has been hypothesized that children with CL/P may present with lower levels of well-being. Despite this, a recent systematic review and metaanalysis indicated that overall children born with CL/P have similar levels of well-being when compared with their typically developing peers; however, they may experience slightly increased levels of psychological symptoms, including depression and anxiety.…”

Section: Introductionmentioning

confidence: 99%

“…Oral clefts are the most common craniofacial abnormality worldwide, with an estimated prevalence of approximately 1.5 in every 1000 live births 1 . Being born with a cleft of the lip and/or palate (CL/P) can impact several aspects of a child's life, including feeding problems, altered facial aesthetics and growth, communication difficulties and an increased risk of dental disease and malocclusion 2–6 . Due to an increased risk of bullying and social stigmatization as a result of their facial difference, challenges with communication and lower levels of self‐esteem and self‐acceptance, 7,8 it has been hypothesized that children with CL/P may present with lower levels of well‐being.…”

Section: Introductionmentioning

confidence: 99%

The impact of COVID‐19 on the well‐being of Victorian children born with cleft lip and/or palate

Branson,

Collins,

McGrath

et al. 2023

Orthod Craniofacial Res

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BackgroundA longitudinal cohort study was established to investigate the well‐being of children born with cleft lip and/or palate (CL/P) during the COVID‐19 pandemic, in Victoria, Australia.Materials and MethodsThe Royal Children's Hospital cleft service database was used to identify children aged between 4 and 17 years old born with an isolated CL/P. Families of eligible children who consented to participate were asked to complete the Strengths and Difficulties Questionnaire (SDQ) between October and December 2020 and again 6‐month later. SDQ results from typically developing Australian children during the COVID‐19 pandemic were utilized from a previously published study.Results63 parents completed the baseline questionnaire, with 44 completing the 6‐month follow‐up. For participants at baseline, the mean age was 8.9 years, with 55% male. All outcome domains of the SDQ improved between baseline and timepoint 2, with the difference in total difficulties scores being statistically significant, indicating a reduction in total difficulties at timepoint 2, associated with the easing of COVID‐19 restrictions. When compared with the Australian population during the COVID‐19 pandemic, Victorian children born with CL/P had lower SDQ scores for all difficulties outcome domains, with statistically significant results for conduct problems, hyperactivity, peer problems and total difficulties, indicating fewer difficulties for children born with CL/P.ConclusionsChildren born with CL/P experienced fewer difficulties when compared with the typically developing Australian population during the COVID‐19 pandemic. The level of restrictions imposed because of the pandemic also had little influence on the well‐being of these children.

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Management of patients with non-syndromic clefts of the lip and/or palate part 2: from primary surgery to alveolar bone grafting

Cited by 5 publications

References 9 publications

Dental anomalies in cleft lip and/or palate children at age 10 - a retrospective review across three cleft centres: Part 1

Dental anomalies in cleft lip and/or palate children at age 10 - a retrospective review across three cleft centres: Part 1

Rare primary craniofacial clefts: pattern, challenges, and management in a Nigerian population

The impact of COVID‐19 on the well‐being of Victorian children born with cleft lip and/or palate

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