Associated medical conditions amongst 10-year-old children with oral clefts: A retrospective review across three cleft centres (Part 2)

Gee, Samantha, Ezzeldin, Maryam, Curtis, Jacob, Clark, Victoria, Samllridge, Jacqueline and Collard, Mechelle 2023. Associated medical conditions amongst 10-year-old children with oral clefts: A retrospective review across three cleft centres (Part 2). British Dental Journal 234 (12) , pp. 931-936. 10.1038/s41415-023-5975-6

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Abstract

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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	Springer Nature [academic journals on nature.com]
ISSN:	0007-0610
Date of First Compliant Deposit:	9 May 2023
Date of Acceptance:	15 April 2023
Last Modified:	25 Jul 2023 14:05
URI:	https://orca.cardiff.ac.uk/id/eprint/159345

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