Outcomes of cleft care in Western Australia: A pilot study

The purpose of this study was to compare outcomes and delivery of cleft care in Western Australia with the average standard of care in the United Kingdom (UK). This was achieved through a cross‐sectional study involving children born with unilateral cleft lip and palate between April 1983 and March...

Full description

Saved in:
Bibliographic Details
Published in:Australian dental journal 2001-03, Vol.46 (1), p.32-36
Main Authors: Williams, Alison C., Johnson, Nicola C., Singer, Steven, Southall, Peter, Mildinhall, Sue, Semb, Gunvor, Sell, Debbie, Thomas, Steve, Sandy, Jonathan R.
Format: Article
Language:English
Subjects:
Bone Transplantation
centralized services
Cephalometry
Child
Child, Preschool
Cleft Lip - surgery
Cleft lip and palate
Cleft Palate - surgery
Dental Care
Dental Occlusion
Dentistry
Female
Hearing
Humans
Male
Oral Surgical Procedures - standards
outcomes
Pilot Projects
Speech
Treatment Outcome
United Kingdom
Western Australia
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purpose of this study was to compare outcomes and delivery of cleft care in Western Australia with the average standard of care in the United Kingdom (UK). This was achieved through a cross‐sectional study involving children born with unilateral cleft lip and palate between April 1983 and March 1985 (12 year olds) or between April 1990 and March 1992 (5 year olds). A total of 38 children born with unilateral cleft lip and palate were under the care of the cleft team based at Perth's Princess Margaret Hospital. Dental arch relations, facial skeletal pattern, speech, hearing, success of alveolar bone grafting and dental health were measured. It was found that fewer Princess Margaret Hospital children in both age cohorts had revision surgery and speech therapy compared with the UK average. The facial skeletal pattern, speech, hearing and alveolar bone grafting out‐comes from Princess Margaret Hospital were similar to the UK at age 12. Seventeen per cent of the Princess Margaret Hospital 12 year olds had a poor dental arch relationships compared with 39 percent in the UK. In the 5 year olds, most outcomes in Princess Margaret Hospital patients appeared better than the UK with lower residual treatment needs. While it is difficult to draw firm conclusions because of the small numbers involved, this study indicates standards need to be set and determined for Australia.
ISSN:0045-0421
1834-7819
DOI:10.1111/j.1834-7819.2001.tb00271.x