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

Research output: Contribution to journalSpecial issue

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 languageEnglish
Pages (from-to)25-35
Number of pages11
JournalOrthodontics & craniofacial research
Volume18
Issue numberSuppl.2
DOIs
Publication statusPublished - 16 Nov 2015

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Audiology
Oral Health
Hearing
Hearing Aids
Middle Ear
Otoscopy
Acoustic Impedance Tests
Pure-Tone Audiometry
Oral Hygiene
Cleft Lip
Dental Caries
Cleft Palate
Dentists
Hearing Loss
Cross-Sectional Studies

Bibliographical note

© 2015 The Authors. Orthodontics & Craniofacial Research Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Keywords

  • audiology
  • cleft Lip
  • cleft palate
  • oral health
  • treatment outcome

Cite this

Smallridge, J., Hall, A. J., Chorbachi, R., Parfect, V., Persson, M., Ireland, A. J., ... Sandy, J. R. (2015). Functional outcomes in the Cleft Care UK study - Part 3: oral health and audiology. Orthodontics & craniofacial research, 18(Suppl.2), 25-35. https://doi.org/10.1111/ocr.12110
Smallridge, J. ; Hall, A.J. ; Chorbachi, R. ; Parfect, V. ; Persson, M. ; Ireland, A.J. ; Wills, A.K. ; Ness, A.R. ; Sandy, J.R. / Functional outcomes in the Cleft Care UK study - Part 3 : oral health and audiology. In: Orthodontics & craniofacial research. 2015 ; Vol. 18, No. Suppl.2. pp. 25-35.
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Smallridge, J, Hall, AJ, Chorbachi, R, Parfect, V, Persson, M, Ireland, AJ, Wills, AK, Ness, AR & Sandy, JR 2015, 'Functional outcomes in the Cleft Care UK study - Part 3: oral health and audiology', Orthodontics & craniofacial research, vol. 18, no. Suppl.2, pp. 25-35. https://doi.org/10.1111/ocr.12110

Functional outcomes in the Cleft Care UK study - Part 3 : oral health and audiology. / Smallridge, J.; Hall, A.J.; Chorbachi, R.; Parfect, V.; Persson, M.; Ireland, A.J.; Wills, A.K.; Ness, A.R.; Sandy, J.R.

In: Orthodontics & craniofacial research, Vol. 18, No. Suppl.2, 16.11.2015, p. 25-35.

Research output: Contribution to journalSpecial issue

TY - JOUR

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 - © 2015 The Authors. Orthodontics & Craniofacial Research Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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

UR - http://onlinelibrary.wiley.com/doi/10.1111/ocr.12110/abstract

U2 - 10.1111/ocr.12110

DO - 10.1111/ocr.12110

M3 - Special issue

C2 - 26567853

VL - 18

SP - 25

EP - 35

IS - Suppl.2

ER -

Smallridge J, Hall AJ, Chorbachi R, Parfect V, Persson M, Ireland AJ et al. Functional outcomes in the Cleft Care UK study - Part 3: oral health and audiology. Orthodontics & craniofacial research. 2015 Nov 16;18(Suppl.2):25-35. https://doi.org/10.1111/ocr.12110