Functional outcomes in the Cleft Care UK study - Part 3: Oral health and audiology

J. Smallridge; A. J. Hall; R. Chorbachi; V. Parfect; M. Persson; A. J. Ireland; A. K. Wills; A. R. Ness; J. R. Sandy

doi:10.1111/ocr.12110

Functional outcomes in the Cleft Care UK study - Part 3: Oral health and audiology

J. Smallridge, A. J. Hall, R. Chorbachi, V. Parfect, M. Persson, A. J. Ireland, A. K. Wills, A. R. Ness, J. R. Sandy^*

^*Corresponding author for this work

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Abstract

Objectives: To compare oral health and hearing outcomes from the Clinical Standards Advisory Group (CSAG, 1998) and the Cleft Care UK (CCUK, 2013) studies.

Setting and sample population: Two UK-based cross-sectional studies of 5-year-olds born with non-syndromic unilateral cleft lip and palate undertaken 15 years apart. CSAG children were treated in a dispersed model of care with low-volume operators. CCUK children were treated in a centralized, high volume operator system.

Materials and methods: Oral health data were collected using a standardized proforma. Hearing was assessed using pure tone audiometry and middle ear status by otoscopy and tympanometry. ENT and hearing history were collected from medical notes and parental report.

Results: Oral health was assessed in 264 of 268 children (98.5%). The mean dmft was 2.3, 48% were caries free, and 44.7% had untreated caries. There was no evidence this had changed since the CSAG survey. Oral hygiene was generally good, 96% were enrolled with a dentist. Audiology was assessed in 227 of 268 children (84.7%). Forty-three per cent of children received at least one set of grommets - a 17.6% reduction compared to CSAG. Abnormal middle ear status was apparent in 50.7% of children. There was no change in hearing levels, but more children with hearing loss were managed with hearing aids.

Conclusions: Outcomes for dental caries and hearing were no better in CCUK than in CSAG, although there was reduced use of grommets and increased use of hearing aids. The service specifications and recommendations should be scrutinized and implemented.

Original language	English
Pages (from-to)	25-35
Number of pages	11
Journal	Orthodontics and Craniofacial Research
Volume	18
Issue number	Supplement S2
DOIs	https://doi.org/10.1111/ocr.12110
Publication status	Published - 16 Nov 2015

Bibliographical note

Accepted 5 September 2015

Keywords

Audiology
Cleft Lip
Cleft palate
Oral health
Treatment outcome

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Smallridge_et_al_2015_Orthodontics_Craniofacial_Research_part3
© 2015 John Wiley & Sons A/S. "This is the peer reviewed version of the following article: [Functional outcomes in the Cleft Care UK study - Part 3: Oral health and audiology], which has been published in final form at [10.1111/ocr.12110]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving."
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@article{d20e363b055548f0b63d81187cc3d18b,

title = "Functional outcomes in the Cleft Care UK study - Part 3: Oral health and audiology",

abstract = "Objectives: To compare oral health and hearing outcomes from the Clinical Standards Advisory Group (CSAG, 1998) and the Cleft Care UK (CCUK, 2013) studies.Setting and sample population: Two UK-based cross-sectional studies of 5-year-olds born with non-syndromic unilateral cleft lip and palate undertaken 15 years apart. CSAG children were treated in a dispersed model of care with low-volume operators. CCUK children were treated in a centralized, high volume operator system.Materials and methods: Oral health data were collected using a standardized proforma. Hearing was assessed using pure tone audiometry and middle ear status by otoscopy and tympanometry. ENT and hearing history were collected from medical notes and parental report.Results: Oral health was assessed in 264 of 268 children (98.5%). The mean dmft was 2.3, 48% were caries free, and 44.7% had untreated caries. There was no evidence this had changed since the CSAG survey. Oral hygiene was generally good, 96% were enrolled with a dentist. Audiology was assessed in 227 of 268 children (84.7%). Forty-three per cent of children received at least one set of grommets - a 17.6% reduction compared to CSAG. Abnormal middle ear status was apparent in 50.7% of children. There was no change in hearing levels, but more children with hearing loss were managed with hearing aids.Conclusions: Outcomes for dental caries and hearing were no better in CCUK than in CSAG, although there was reduced use of grommets and increased use of hearing aids. The service specifications and recommendations should be scrutinized and implemented.",

keywords = "Audiology, Cleft Lip, Cleft palate, Oral health, Treatment outcome",

author = "J. Smallridge and Hall, {A. J.} and R. Chorbachi and V. Parfect and M. Persson and Ireland, {A. J.} and Wills, {A. K.} and Ness, {A. R.} and Sandy, {J. R.}",

note = "Accepted 5 September 2015",

year = "2015",

month = nov,

day = "16",

doi = "10.1111/ocr.12110",

language = "English",

volume = "18",

pages = "25--35",

journal = "Orthodontics and Craniofacial Research",

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T1 - Functional outcomes in the Cleft Care UK study - Part 3

T2 - Oral health and audiology

AU - Smallridge, J.

AU - Hall, A. J.

AU - Chorbachi, R.

AU - Parfect, V.

AU - Persson, M.

AU - Ireland, A. J.

AU - Wills, A. K.

AU - Ness, A. R.

AU - Sandy, J. R.

N1 - Accepted 5 September 2015

PY - 2015/11/16

Y1 - 2015/11/16

N2 - Objectives: To compare oral health and hearing outcomes from the Clinical Standards Advisory Group (CSAG, 1998) and the Cleft Care UK (CCUK, 2013) studies.Setting and sample population: Two UK-based cross-sectional studies of 5-year-olds born with non-syndromic unilateral cleft lip and palate undertaken 15 years apart. CSAG children were treated in a dispersed model of care with low-volume operators. CCUK children were treated in a centralized, high volume operator system.Materials and methods: Oral health data were collected using a standardized proforma. Hearing was assessed using pure tone audiometry and middle ear status by otoscopy and tympanometry. ENT and hearing history were collected from medical notes and parental report.Results: Oral health was assessed in 264 of 268 children (98.5%). The mean dmft was 2.3, 48% were caries free, and 44.7% had untreated caries. There was no evidence this had changed since the CSAG survey. Oral hygiene was generally good, 96% were enrolled with a dentist. Audiology was assessed in 227 of 268 children (84.7%). Forty-three per cent of children received at least one set of grommets - a 17.6% reduction compared to CSAG. Abnormal middle ear status was apparent in 50.7% of children. There was no change in hearing levels, but more children with hearing loss were managed with hearing aids.Conclusions: Outcomes for dental caries and hearing were no better in CCUK than in CSAG, although there was reduced use of grommets and increased use of hearing aids. The service specifications and recommendations should be scrutinized and implemented.

AB - Objectives: To compare oral health and hearing outcomes from the Clinical Standards Advisory Group (CSAG, 1998) and the Cleft Care UK (CCUK, 2013) studies.Setting and sample population: Two UK-based cross-sectional studies of 5-year-olds born with non-syndromic unilateral cleft lip and palate undertaken 15 years apart. CSAG children were treated in a dispersed model of care with low-volume operators. CCUK children were treated in a centralized, high volume operator system.Materials and methods: Oral health data were collected using a standardized proforma. Hearing was assessed using pure tone audiometry and middle ear status by otoscopy and tympanometry. ENT and hearing history were collected from medical notes and parental report.Results: Oral health was assessed in 264 of 268 children (98.5%). The mean dmft was 2.3, 48% were caries free, and 44.7% had untreated caries. There was no evidence this had changed since the CSAG survey. Oral hygiene was generally good, 96% were enrolled with a dentist. Audiology was assessed in 227 of 268 children (84.7%). Forty-three per cent of children received at least one set of grommets - a 17.6% reduction compared to CSAG. Abnormal middle ear status was apparent in 50.7% of children. There was no change in hearing levels, but more children with hearing loss were managed with hearing aids.Conclusions: Outcomes for dental caries and hearing were no better in CCUK than in CSAG, although there was reduced use of grommets and increased use of hearing aids. The service specifications and recommendations should be scrutinized and implemented.

KW - Audiology

KW - Cleft Lip

KW - Cleft palate

KW - Oral health

KW - Treatment outcome

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U2 - 10.1111/ocr.12110

DO - 10.1111/ocr.12110

M3 - Article (Academic Journal)

C2 - 26567853

AN - SCOPUS:84946710459

SN - 1601-6335

VL - 18

SP - 25

EP - 35

JO - Orthodontics and Craniofacial Research

JF - Orthodontics and Craniofacial Research

IS - Supplement S2

ER -

Functional outcomes in the Cleft Care UK study - Part 3: Oral health and audiology

Abstract

Bibliographical note

Keywords

UN SDGs

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