Management of patients with non-syndromic clefts of the lip and/or palate part 1: from antenatal diagnosis to primary surgery

McIntyre, Grant T

doi:10.12968/denu.2014.41.8.678

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…All children with clefts in the United Kingdom receive specialized care from birth via their allocated cleft center (McIntyre, 2014). The purpose of these centers is to provide high-quality care by a group of professionals who have expertise in treating children and adults with cleft lip and/or palate.…”

Section: Introductionmentioning

confidence: 99%

Clefts and Dental General Anesthesia: The South Thames Experience

Patel

Vaidyanathan

Bhujel

2021

The Cleft Palate-Craniofacial Journal

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Background: Children with clefts have high dental needs and often require a dental general anesthesia (DGA) for the management of their dentition. Objective: To assess the number of children with clefts requiring a pediatric dental consultant led DGA in the South Thames Cleft Service over a 3-year period. Design: Data were collected retrospectively over a 36-month period. Results: Sixty-five children with cleft lip and/or palate required a DGA with the South Thames Cleft Service. The average age of the child was 7 years, and the average number of teeth treated under the general anesthetic was 9. Families traveled an average of 21 miles to access their child’s care, and the referral-to-treat time was on average 14 weeks. Conclusion: Results highlight the need for DGA provision for children with clefts. Cleft centers need sufficient capacity for this service to prevent long wait times, and in view of distances traveled shared, care should be implemented with local providers.

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Section: Introductionmentioning

confidence: 99%

Clefts and Dental General Anesthesia: The South Thames Experience

Patel

Vaidyanathan

Bhujel

2021

The Cleft Palate-Craniofacial Journal

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Associated medical conditions among 10-year-old children with oral clefts - a retrospective review across three cleft centres: Part 2

et al. 2023

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Introduction In many cases, children with oral clefts present with accompanying medical conditions. These associated conditions can add complexity to the patient's dental management, both in terms of their treatment need and risk. Recognition and careful consideration of associated medical conditions is therefore crucial in providing safe and effective care for these patients.Aim This paper is the second in a two-part three-centre series. It investigates the prevalence of medical conditions affecting cleft lip and/or palate patients attending three cleft units within the UK.Method Retrospective review was undertaken within three cleft units: South Wales (SW), Cleft NET East (CNE) and West Midlands (WM). This was completed via assessment of the 10-year audit record appointment clinical notes for the year 2016/2017.Results In total, 144 cases were reviewed (SW = 42; CNE = 52; WM = 50). Of these, 38.9% of patients (n = 56) had associated medical conditions recorded.Discussion The review highlights the variety and impact of medical conditions affecting UK cleft patients providing insight into the consequent complexity of their dental care.Conclusion An awareness of cleft lip and/or palate patients' associated medical conditions is important for all health care professionals involved in their care. Indeed, understanding of the patient's medical needs by multidisciplinary cleft teams is essential for effective planning and completion of holistic care. Involvement of specialists in paediatric dentistry sharing care with general dental practitioners is vital in providing appropriate oral health care and preventive support.

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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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Management of patients with non-syndromic clefts of the lip and/or palate part 1: from antenatal diagnosis to primary surgery

Cited by 3 publications

References 19 publications

Clefts and Dental General Anesthesia: The South Thames Experience

Clefts and Dental General Anesthesia: The South Thames Experience

Associated medical conditions among 10-year-old children with oral clefts - a retrospective review across three cleft centres: Part 2

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

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