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Objectives: To evaluate dental arch relationships of patients with complete unilateral and complete bilateral cleft lip and palate (CUCLP/CBCLP) in New Zealand. Setting and sample population: Retrospective nationwide observational outcomes study involving 100 CUCLP and 32 CBCLP non-syndromic patients. Material and methods: Four calibrated assessors, blinded to the origin of the randomized digital models, used the GOSLON (UCLP) and the Bauru-BCLP (BCLP) Yardsticks and a 100 mm visual analogue scale (VAS) (UCLP&BCLP) to assess dental arch relationships. Weighted Kappa statistics were used to determine the intra-and inter-rater reliability for the GOSLON/Bauru-BCLP Yardsticks and correlations for the VAS.Results: Intra-rater reliability ranged from 0.57 to 0.88 (GOSLON), 0.62-0.84 (Bauru-BCLP) and 0.45-0.93 (VAS). Inter-rater reliability ranged from 0.62 to 0.86, (GOSLON), 0.48-0.75 (Bauru-BCLP) and 0.64-0.93 (VAS). Of the 100 CUCLP models, 46% had poor/very poor, 28% fair and 26% had good/very good dental arch relationships. Of the 32 CBCLP models, 37.5% were poor/very poor, 40.6% fair and 21.9% had good/ very good dental arch relationships. The mean CUCLP VAS score was 50.5 mm (SD 19.9 mm) whilst the mean CBCLP VAS score was 40.0 mm (SD 22.0 mm) and both showed a strong relationship with their respective Yardstick scorings.

Collaboration between different professional groups and agencies is an essential element in the provision of high quality community care for people with complex health and social needs. There are, however, a number of barriers to effective interprofessional working. These include: the differing structures and operational philosophies of organizations; the differing languages and values of professional groups; professional and agency rivalries; and the fact that professional groups are, still, largely educated and trained in isolation. Interprofessional learning has been advocated as a possible solution to some of these problems. In this paper the rationale, planning, delivery and evaluation of one interprofessional education initiative are presented. Twelve months of planning between a team of three university teachers working in South Wales, United Kingdom, led to a combined group of community nursing and social work students following post-qualifying courses at undergraduate diploma and first degree level participating in two shared learning sessions. Using an interactive approach the student group explored, first, professional roles and responsibilities and secondly, engaged in group work focused on the discussion of case studies. Student evaluation of the sessions indicated an overwhelming appreciation of the importance of interprofessional education in unidisciplinary education programmes.

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An investigation was undertaken of the variability in the perception of ideal bracket location for the pre-adjusted edgewise appliance by the same clinician (intra-clinician variability) and between different clinicians (inter-clinician variability). The effect of recent training and experience upon this variability, as well as the likely changes in crown inclincation and root apex positioning, was also assessed. Results show that both intra- and inter-clinician variability for the long axis of the clinical crown (LACC) angulation was large while very small variations occurred in the location of the long axis (LA) point. Experience and training significantly reduced the variability in LACC angulation, but had little effect on the LA point location. The likely clinical implications are limited to only minor changes in crown inclination and root apex position for the majority of clinicians. However, the extreme intra-clinician variations found in LACC angulation could well result in poor root apex positioning.

ObjectivesTo investigate the dental caries experience of New Zealand children born with orofacial cleft (OFC), to compare this to age‐specific national population‐based data and to investigate any differences by demographic characteristics, cleft type and exposure to community water fluoridation.MethodsNationwide retrospective study of 554 dental records from 478 children born after 1 January 2000 with OFC were assessed at aged 5 (n = 333) and 12 years (n = 221), with 76 children (15.9%) having records at both ages. Community Oral Health Service records were analysed to determine dental caries experience (dmft/DMFT). Logistic regression was used to assess the likelihood of having experienced dental caries (d3mft/D3MFT ≥ 1) and multivariable models for variables including demographic characteristics, cleft type and exposure to community water fluoridation.ResultsA higher (49.6%) caries prevalence (dmft ≥ 1) and mean dmft at 5 years old (2.3; SD 3.6) were found in children with OFC than 5‐year‐olds in the general population (prevalence 40.4% and mean dmft 1.8). The 12‐year‐old (37.6%) caries prevalence (DMFT ≥ 1) and mean DMFT 0.8 (SD 1.4) were similar to population‐based data (caries prevalence 37.3% and mean DMFT 0.9). Children with caries (dmf/DMF ≥ 1) had means of 4.8 (SD 3.8) at age 5 and 2.1 (SD 1.4) at age 12 years. Greater caries experience was associated Pacific and Māori ethnicity, and not receiving community water fluoridation. No differences were detected by sex or cleft type.ConclusionThe dental caries experience for 5‐year‐old children with OFC was poor in relation to population‐based data and similar for 12‐year‐olds. Preventive guidelines for children with OFC from an early age should be a priority, along with the extension of community water fluoridation coverage.