Dental care for the patient with a cleft lip and palate. Part 1: From birth to the mixed dentition stage

Rivkin, C J; Keith, Olga; Crawford, P. J. M.; Hathorn, I S

doi:10.1038/sj.bdj.4800393

Cited by 15 publications

(14 citation statements)

References 13 publications

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“…We see the predisposing factors mentioned in the literature (Paul and Brandt, 1998; Rivkin et al, 2000; Cheng et al, 2007) as main causes of the higher prevalence of caries in patients with severe cleft forms. Hence, a preoperatively inserted drinking plate can lead to an early colonization of the oral cavity with Streptococcus mutans bacteria and lactobacilli (Bokhout et al, 1996; van Loveren et al, 1998).…”

Section: Discussionmentioning

confidence: 85%

Dental Caries in the Primary Dentition of German Children with Cleft Lip, Alveolus, and Palate

Kirchberg

Makuch

Hemprich

et al. 2014

The Cleft Palate Craniofacial Journal

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Objective : The purpose of this cross-sectional study was to assess the prevalence of dental caries in children with cleft lip, alveolus, and/or cleft palate living in central Germany between 1996 and 2010. Participants : A total of 295 children 1 to 6 years of age from three birth cohorts (BC) with clefts from central Germany were included in the study. They were compared with 548 1- to 6-year-old cleft-free children from the same region. Setting : Children with clefts underwent a dental examination in an outpatient dental clinic at the University of Leipzig. The first BC was examined between 1996 and 1998, the second between 2002 and 2004, and the third between 2008 and 2010. Controls were examined at day-care centers in Leipzig during the same periods. Main Outcome Measure : The standard dental caries index for the primary dentition (dmf/t3-4) was used for clinical assessment. Results : Over the entire study period, the mean prevalence of dental caries in deciduous teeth was significantly higher (1.32 dmf/t3-4) in children with clefts compared with cleft-free children. However, a decline in caries (approximately 1 dmf/t3-4) and an increase in the proportion of children with healthy primary dentition were observed in both groups. These results represent a caries decline of 61% in children with clefts. Conclusions : Caries rates for children 1 to 6 years of age with clefts from central Germany showed a considerable decline over the last years. The caries rates for clefts patients in the third BC (2008 to 2010) was similar to that of cleft-free children in the first BC (1996 to 1998).

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Section: Discussionmentioning

confidence: 85%

Dental Caries in the Primary Dentition of German Children with Cleft Lip, Alveolus, and Palate

Kirchberg

Makuch

Hemprich

et al. 2014

The Cleft Palate Craniofacial Journal

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“…Poor oral health may interfere with healing following a surgical intervention, such as alveolar bone graft [14, 15], or significant dental decay may preclude important orthodontic treatment [16]. Furthermore, early loss of teeth may complicate the orthodontic treatment provided for children with CLP [17]. …”

Section: Methodsmentioning

confidence: 99%

Development of an implementation intention-based intervention to change children’s and parent-carers’ behaviour

Davies¹,

Armitage

Lin

et al. 2017

Pilot Feasibility Stud

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BackgroundImplementation intentions enable individuals to translate good intentions into action. Parents and children can find maintaining oral health difficult, as evidenced by the presence of tooth decay. This is a common condition in children in spite of being preventable through the use of regular tooth brushing, fluoride protection and avoiding sugar intake. Even when parents and children are positive about looking after the teeth, they can face challenges in maintaining consistent habits. The aim of this paper is to describe the design of a video animation to teach parents and children how to use implementation intentions to establish new habits to improve oral health, applied in this case, to parents and children with cleft lip and/or palate (CLP).MethodsEvidence from a qualitative study of parents’ and children’s knowledge, beliefs and behaviour informed the design of an animation forming part of an intervention for children and parents using implementation intentions. The user views generated a set of guiding principles to determine the style and content of a teaching video, whilst an animation designer translated the key messages of implementation intention into images and characters appealing and meaningful to the target audience of children and parents.ResultsA team of researchers, an animation designer and a script writer designed a 2-min video as a teaching tool for children and parents. The team drafted and iteratively refined the content and visuals, with guidance from an advisory group and informal discussions with children in the target age group and their parents. Planning, consulting, designing and production of the animation spanned a total of 20 weeks. The video explains how to formulate ‘if-then’ plans using the voices of a boy and his mother in a conversation, with examples from oral health to illustrate how to enact intentions. It is available via digital media and designed to be delivered by dental care practitioners. The effectiveness of the intervention will be evaluated as part of a feasibility study.ConclusionThe current study describes the development of an intervention mediated through an animation tutorial that enables children and parents to devise ‘if-then’ plans to improve oral health as a collaborative endeavour between parents and children. The animation uses examples from oral health, but we believe there is scope for exploring application of the intervention to other areas of behaviour.

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“…1 Associated dental defects can include: incisor displacement, presence of supernumerary teeth, hypodontia, enamel hypoplasia, microdontia and unusual shaped teeth, transposition and geminated/fused teeth. 2 Evidence has shown that this group of patients are at a higher risk of developing dental caries compared with the general population 3 ( Fig. 1).…”

Section: Introductionmentioning

confidence: 92%

Access to primary dental care for cleft lip and palate patients in South Wales

Bhatia

Collard

2012

Br Dent J

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Dental care for the patient with a cleft lip and palate. Part 1: From birth to the mixed dentition stage

Abstract: This is the first of two articles looking at dental care for the patient with a cleft lip and palate. Part 1 looks at the needs of the child with a cleft lip and palate from birth through to the mixed dentition stage.

Cited by 15 publications

References 13 publications

Dental Caries in the Primary Dentition of German Children with Cleft Lip, Alveolus, and Palate

Dental Caries in the Primary Dentition of German Children with Cleft Lip, Alveolus, and Palate

Development of an implementation intention-based intervention to change children’s and parent-carers’ behaviour

Access to primary dental care for cleft lip and palate patients in South Wales

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